{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:59:48Z","timestamp":1785506388859,"version":"3.56.0"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"crossref","award":["(#402683\/2022-6"],"award-info":[{"award-number":["(#402683\/2022-6"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"crossref","award":["#442759\/2019-3"],"award-info":[{"award-number":["#442759\/2019-3"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective:  To estimate the prevalence of sexual risk behaviors among adolescent men who have sex with men and to identify factors associated with these behaviors.  Methods:  Data were collected between December 2020 and July 2022 in Fortaleza and S\u00e3o Paulo, Brazil, using respondent-driven sampling. Study outcomes included inconsistent condom use, multiple sexual partners, and sexualized drug use.  Results:  The final sample was composed of 287 adolescents. Among participants, 38.0% reported inconsistent condom use, 36.1% reported multiple sexual partners, and 23.8% reported sexualized drug use. Factors associated with inconsistent condom use were not having a steady partner (adjusted prevalence ratio (APR): 0.5), having come out to everyone or almost everyone (APR: 6.3), consuming alcohol weekly (APR: 2.9), looking for family\/friends\/pharmacy (APR: 0.7), or looking for the public healthcare service when sick (APR: 0.7), and having sexual intercourse with partners of unknown HIV status (APR: 1.6). Factors associated with multiple sexual partners were receiving money in exchange for sex (APR: 1.6), and having sexual intercourse with partners of unknown HIV status (APR: 2.0). Factors associated with sexualized drug use included Catholic religion (APR: 0.2), having a steady partner &lt; 20 years old (APR: 2.0), participating in non-governmental organization activities (APR: 2.5), experiences of violence (APR: 2.7), receiving money in exchange for sex (APR: 1.7), and having sexual intercourse with partners of unknown HIV status (APR: 2.1).  Conclusion:  These findings highlight the high prevalence of sexual risk behaviors among adolescent men who have sex with men, underscoring the need for targeted prevention strategies and youth-friendly services in diverse urban contexts.<\/jats:p>","DOI":"10.1590\/1980-549720260033","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:02:32Z","timestamp":1785502952000},"source":"Crossref","is-referenced-by-count":0,"title":["Sexual risk behaviors among adolescent men who have sex with men in two Brazilian cities: findings from an RDS-based study"],"prefix":"10.1590","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4318-552X","authenticated-orcid":false,"given":"Marto","family":"Leal","sequence":"first","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  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Sanhueza","family":"Sanzana","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0018-7736","authenticated-orcid":false,"given":"Cristiane Cunha","family":"Frota","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3323-1983","authenticated-orcid":false,"given":"Jennifer","family":"Glick","sequence":"additional","affiliation":[{"name":"Louisiana State University,  United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9055-7491","authenticated-orcid":false,"given":"Paula","family":"Meireles","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4699-6571","authenticated-orcid":false,"given":"Henrique","family":"Barros","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5459-6741","authenticated-orcid":false,"given":"Tatiana Monteiro","family":"Fiuza","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4396-264X","authenticated-orcid":false,"given":"Telma Alves","family":"Martins","sequence":"additional","affiliation":[{"name":"Secretaria da Sa\u00fade do Estado do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5157-0597","authenticated-orcid":false,"given":"Alexandre","family":"Grangeiro","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista \u201cJ\u00falio de Mesquita Filho\u201d,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-0782","authenticated-orcid":false,"given":"Laio","family":"Magno","sequence":"additional","affiliation":[{"name":"Universidade do Estado da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1675-2146","authenticated-orcid":false,"given":"Ines","family":"Dourado","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0707-8287","authenticated-orcid":false,"given":"George","family":"Rutherford","sequence":"additional","affiliation":[{"name":"University of California,  United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8912-6042","authenticated-orcid":false,"given":"Artur Olhovetchi","family":"Kalichman","sequence":"additional","affiliation":[{"name":"Secretaria Municipal de Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8447-3654","authenticated-orcid":false,"given":"Ivana Cristina de Holanda Cunha","family":"Barreto","sequence":"additional","affiliation":[{"name":"Fiocruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-9596","authenticated-orcid":false,"given":"Maria 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