Estimating Population Size Gizmo Answers

The literature confirms that men who have sex with men are more prone to adopting risky behaviors. In this sense, the Brazilian literature has shown that the incidence of HIV in men is greater than in women. The literature has also shown the importance of the adoption of risk reduction strategies among MSM, including seroadaptive practices, as a way to reduce the chances of becoming infected or transmitting HIV. In this sense, the seropositioning for HIV infection is widely used as a strategy for reducing the risk of HIV infection, as well as for preventing the transmission of the virus. The study of sexual position used in HIV/AIDS prevention among MSM shows that there is a clear contrast between seropositive and seronegative MSM. As some authors have already pointed out, the transmission risk is greater for HIV-positive men who are having sex with HIV-negative men than for HIV-negative men who are having sex with HIV-positive men.1515 Szwarcwald CL, de Souza Jnior PRB, Pascom ARP, Ferreira Junior O da C. Results from a method for estimating HIV incidence based on the first Cd4 count among treatment-nave cases: Brazil, 2004-2013. J AIDS Clin Res. 2016;7:627. In another study, MSM infected with HIV reported that many participants used a seropositioning strategy (69.2%) and did not use condoms during their last sexual act (42.1%) with a male sexual partner.3990 Van de Ven P, Kippax S, Crawford J, et al. In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. Am J Epidemiol. 2002;154:306-11.,4040 De Luiz GM. O uso da argumentao cientfica na opo por estilos de vida arriscados no cenrio da aids. Interface: Comun Sade Educ. 2013;17:789-802.

Brazil has a population of approximately 218 million inhabitants ( http://www.abr.gov.br/en/ ), and one of the highest incidences of HIV infection globally.4040 During 2013, there were 1.2 million people living with AIDS (PLWHA), of whom 79,000 were women and 554,000 were men.4041 The prevalence of HIV among MSM in Brazil is approximately 6.8% in 2014 (Figure 1).

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