{"id":"https://openalex.org/W7135411296","doi":"https://doi.org/10.1016/j.bjid.2026.105546","title":"TECHNOLOGY, PLEASURE, AND RISK: STIS IN THE ERA OF DATING APPS","display_name":"TECHNOLOGY, PLEASURE, AND RISK: STIS IN THE ERA OF DATING APPS","publication_year":2026,"publication_date":"2026-03-01","ids":{"openalex":"https://openalex.org/W7135411296","doi":"https://doi.org/10.1016/j.bjid.2026.105546"},"language":"en","primary_location":{"id":"doi:10.1016/j.bjid.2026.105546","doi":"https://doi.org/10.1016/j.bjid.2026.105546","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bjid.2026.105546","pdf_url":null,"source":{"id":"https://openalex.org/S146960544","display_name":"The Brazilian Journal of Infectious Diseases","issn_l":"1413-8670","issn":["1413-8670","1678-4391"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","norway-1","poland-70","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Brazilian Journal of Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.bjid.2026.105546","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5129121065","display_name":"Antonio S\u00e9rgio Mathias","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Antonio S\u00e9rgio Mathias","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109169594","display_name":"S\u00e9rgio Dib Leite","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"S\u00e9rgio Dib Leite","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129251506","display_name":"Matheus Ferreira Martins","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Matheus Ferreira Martins","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042418892","display_name":"Rodrigo Luiz Martins Pantoja","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Rodrigo Luiz Martins Pantoja","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129344263","display_name":"Henrique Bulgarelli Dora","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Henrique Bulgarelli Dora","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129319604","display_name":"Victoria Mackevicius Bernardes","orcid":"https://orcid.org/0009-0006-6259-1143","observed_orcids":["https://orcid.org/0009-0006-6259-1143"]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Victoria Mackevicius Bernardes","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129273531","display_name":"Caroline Costa Tuma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Caroline Costa Tuma","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129153402","display_name":"Arthur Lotufo Estevam de Farias Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Arthur Lotufo Estevam de Farias Silva","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021936482","display_name":"Larissa de Pontes Silva","orcid":"https://orcid.org/0000-0003-2785-8827","observed_orcids":["https://orcid.org/0000-0003-2785-8827"]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Larissa de Pontes Silva","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129302724","display_name":"Jhony Vaz Marques","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Jhony Vaz Marques","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114497427","display_name":"Ana Carolina Yayoi Izuka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ana Carolina Yayoi Izuka","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129315729","display_name":"Luiza Silva Tonet da Rocha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Luiza Silva Tonet da Rocha","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043760285","display_name":"Lucy Cavalcanti Ramos Vasconcelos","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102483","display_name":"Hospital Heli\u00f3polis","ror":"https://ror.org/01bkdwe73","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210102483"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Lucy Cavalcanti Ramos Vasconcelos","raw_affiliation_strings":["Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Heli\u00f3polis, Heli\u00f3polis, SP, Brazil","institution_ids":["https://openalex.org/I4210102483"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5129121065"],"corresponding_institution_ids":["https://openalex.org/I4210102483"],"apc_list":{"value":1600,"currency":"USD","value_usd":1600},"apc_paid":{"value":1600,"currency":"USD","value_usd":1600},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"30","issue":null,"first_page":"105546","last_page":"105546"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.6880000233650208,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.6880000233650208,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.24629999697208405,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12335","display_name":"Sexuality, Behavior, and Technology","score":0.013199999928474426,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dating-apps","display_name":"dating apps","score":0.9330000281333923},{"id":"https://openalex.org/keywords/sexually-transmitted-infections","display_name":"sexually transmitted infections","score":0.9950000047683716},{"id":"https://openalex.org/keywords/chemsex","display_name":"chemsex","score":0.9789999723434448},{"id":"https://openalex.org/keywords/prep","display_name":"PrEP","score":0.6370000243186951},{"id":"https://openalex.org/keywords/young-men-who-have-sex-with-men","display_name":"young men who have sex with men","score":0.8930000066757202},{"id":"https://openalex.org/keywords/condom-use","display_name":"condom use","score":0.5770000219345093},{"id":"https://openalex.org/keywords/sexual-risk-behavior","display_name":"sexual risk behavior","score":0.5109999775886536},{"id":"https://openalex.org/keywords/drug-use","display_name":"drug use","score":0.7580000162124634},{"id":"https://openalex.org/keywords/human-papillomavirus","display_name":"human papillomavirus","score":0.6990000009536743},{"id":"https://openalex.org/keywords/genital-herpes","display_name":"genital herpes","score":0.9480000138282776},{"id":"https://openalex.org/keywords/syphilis","display_name":"syphilis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/sexual-health-care","display_name":"sexual health care","score":0.7020000219345093},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.4779999852180481}],"concepts":[{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.34130001068115234},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.30469998717308044},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.2962000072002411},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.28769999742507935},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.28760001063346863},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C108170787","wikidata":"https://www.wikidata.org/wiki/Q3951828","display_name":"Agency (philosophy)","level":2,"score":0.274399995803833},{"id":"https://openalex.org/C107993555","wikidata":"https://www.wikidata.org/wiki/Q1662673","display_name":"Gender studies","level":1,"score":0.2687000036239624},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.25850000977516174},{"id":"https://openalex.org/C110875604","wikidata":"https://www.wikidata.org/wiki/Q75","display_name":"The Internet","level":2,"score":0.25110000371932983},{"id":"https://openalex.org/C2988145974","wikidata":"https://www.wikidata.org/wiki/Q620615","display_name":"Mobile apps","level":2,"score":0.2508000135421753}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.bjid.2026.105546","doi":"https://doi.org/10.1016/j.bjid.2026.105546","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bjid.2026.105546","pdf_url":null,"source":{"id":"https://openalex.org/S146960544","display_name":"The Brazilian Journal of Infectious Diseases","issn_l":"1413-8670","issn":["1413-8670","1678-4391"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","norway-1","poland-70","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Brazilian Journal of Infectious Diseases","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:db6be0bf4b544b2e9715f8d69513fad9","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/db6be0bf4b544b2e9715f8d69513fad9","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Brazilian Journal of Infectious Diseases, Vol 30, Iss , Pp 105546- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.bjid.2026.105546","doi":"https://doi.org/10.1016/j.bjid.2026.105546","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bjid.2026.105546","pdf_url":null,"source":{"id":"https://openalex.org/S146960544","display_name":"The Brazilian Journal of Infectious Diseases","issn_l":"1413-8670","issn":["1413-8670","1678-4391"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","norway-1","poland-70","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Brazilian Journal of Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7133423403","https://openalex.org/W4408051450","https://openalex.org/W4415588009","https://openalex.org/W4323925630","https://openalex.org/W7115808780","https://openalex.org/W4210784923","https://openalex.org/W4392161745","https://openalex.org/W2999682866","https://openalex.org/W2744399532","https://openalex.org/W3128762672"],"abstract_inverted_index":{"The":[0],"use":[1,43],"of":[2,23,44,112,118,132,141,166,174,210,224],"dating":[3,88,113],"apps":[4,234],"has":[5,198,214],"expanded,":[6],"especially":[7],"among":[8],"LGBTQ+":[9],"populations,":[10],"promoting":[11],"casual":[12],"sexual":[13,24,51,91,225,231,273],"interactions.":[14],"On":[15],"these":[16,68,142,264],"platforms,":[17],"codes":[18],"and":[19,50,76,93,99,122,134,187,227,244,257,269],"emojis":[20],"facilitate":[21,241],"communication":[22],"preferences,":[25],"influencing":[26],"risk":[27,242],"behaviors":[28,243],"for":[29,253,258],"sexually":[30,175],"transmitted":[31],"infections":[32],"(STIs).":[33],"An":[34],"emerging":[35],"practice":[36],"is":[37,70,154,249],"chemsex,":[38],"defined":[39],"as":[40],"the":[41,85,108,130],"intentional":[42],"psychoactive":[45,245],"substances":[46],"to":[47,57,72,83,200,237,262],"enhance":[48],"performance":[49],"pleasure,":[52],"associated":[53,217],"with":[54,150,184,218],"greater":[55],"exposure":[56],"STIs.":[58,212],"Despite":[59],"growing":[60],"visibility,":[61],"robust":[62],"national":[63,110],"data":[64,256],"remain":[65],"scarce.":[66],"Understanding":[67],"dynamics":[69],"essential":[71],"improve":[73],"clinician\u2013patient":[74],"approaches":[75],"support":[77],"prevention":[78],"strategies.":[79],"This":[80],"study":[81,105],"aimed":[82],"analyze":[84],"relationship":[86],"between":[87],"app":[89,114],"use,":[90,221],"behavior,":[92],"STI":[94,137],"risk,":[95],"focusing":[96],"on":[97,107,136,208,271],"clinical":[98],"public":[100],"health":[101,260,274],"implications.":[102],"Qualitative,":[103],"exploratory":[104],"based":[106],"first":[109],"survey":[111],"users":[115,140],"(2019),":[116],"review":[117],"recent":[119,194],"scientific":[120],"articles,":[121],"epidemiological":[123],"data.":[124],"Behavioral":[125],"trends":[126],"were":[127],"analyzed,":[128],"including":[129],"impact":[131,207],"PrEP":[133,196],"chemsex":[135],"vulnerability.":[138],"Most":[139],"platforms":[143],"are":[144],"young":[145],"men":[146,151],"who":[147],"have":[148,161,181],"sex":[149],"(MSM).":[152],"It":[153],"estimated":[155],"that":[156,172],"about":[157],"1":[158],"million":[159],"Brazilians":[160],"received":[162],"a":[163],"medical":[164],"diagnosis":[165],"an":[167,250],"STI.":[168],"Recent":[169],"studies":[170],"indicate":[171],"54%":[173],"active":[176],"people":[177],"carry":[178],"HPV,":[179],"80%":[180],"had":[182],"contact":[183],"genital":[185],"herpes,":[186],"syphilis":[188],"detection":[189],"increased":[190,222],"by":[191],"23%":[192],"in":[193],"years.":[195],"adherence":[197],"contributed":[199],"reducing":[201],"HIV":[202],"incidence,":[203],"but":[204,239],"without":[205,267],"equivalent":[206],"transmission":[209],"other":[211],"Chemsex":[213],"been":[215],"strongly":[216],"reduced":[219],"condom":[220],"number":[223],"partners,":[226],"more":[228,254],"frequent":[229],"high-risk":[230],"practices.":[232],"Dating":[233],"expand":[235],"access":[236],"partners":[238],"also":[240],"substance":[246],"use.":[247],"There":[248],"urgent":[251],"need":[252],"specific":[255],"training":[259],"professionals":[261],"address":[263],"realities":[265],"ethically,":[266],"stigma,":[268],"centered":[270],"comprehensive":[272],"care.":[275]},"counts_by_year":[],"updated_date":"2026-10-13T10:08:12.033832","created_date":"2026-03-15T00:00:00"}