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              "nombre" => "Mar&#237;a"
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    "titulo" => "&#171;Amigos con derecho a roce&#187;&#58; una oportunidad para contraer la infecci&#243;n por el virus de la inmunodeficiencia humana en hombres homo&#47;bixesuales con pr&#225;cticas sexuales de alto riesgo"
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            "nombre" => "Percy"
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            "entidad" => "Stop SIDA&#44; Barcelona&#44; Espa&#241;a"
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      "en" => array:1 [
        "titulo" => "&#171;Fuck buddies&#187;&#58; a high risk behavior for contracting HIV among homo&#47;bisexual men"
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    "fechaRecibido" => "2006-09-05"
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        0 => array:4 [
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          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec13899"
          "palabras" => array:3 [
            0 => "Hombres que mantienen relaciones sexuales con otros hombres &#40;HSH&#41;"
            1 => "Conductas sexuales de riesgo"
            2 => "Investigaci&#243;n cualitativa"
          ]
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            2 => "Qualitative research"
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">A pesar de los esfuerzos de prevenci&#243;n&#44; la prevalencia de la penetraci&#243;n anal sin cond&#243;n &#40;PASC&#41; se mantiene elevada entre los hombres que mantienen relaciones sexuales con otros hombres &#40;HSH&#41;&#46; En este estudio se describe y analiza c&#243;mo un grupo de HSH se desenvuelve ante el riesgo sexual con parejas ocasionales&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio cualitativo a trav&#233;s de 20 entrevistas semiestructuradas con HSH&#44; entre 21 y 40 a&#241;os&#44; quienes tuvieron&#44; al menos&#44; un episodio de PASC en los &#250;ltimos 3 meses&#46; Se realiz&#243; una aproximaci&#243;n &#171;fundamentada&#187; para entender el comportamiento de riesgo sexual con parejas ocasionales&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La mayor&#237;a de HSH se involucraron en pr&#225;cticas de PASC con parejas sexuales llamadas &#171;amigos con derecho a roce&#187; como una forma de equilibrar su necesidad de expresi&#243;n sexual con su necesidad de seguridad&#46; En este tipo de pareja el elemento evaluativo sobre el estado serol&#243;gico de la otra persona fue la confianza que &#233;sta le transmite con la suposici&#243;n de tener el mismo estado serol&#243;gico que el suyo&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las valoraciones subjetivas &#40;p&#46; ej&#46;&#44; confianza&#44; intuici&#243;n&#41; desempe&#241;aron un papel clave para decidir tener pr&#225;cticas de PASC con algunas parejas sexuales&#46; Las futuras aproximaciones sobre la prevenci&#243;n del VIH en HSH deben incluir estos aspectos y los contextos espec&#237;ficos &#40;p&#46; ej&#46;&#44; tipo de pareja sexual&#41; en que se practica la PASC&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Despite prevention efforts&#44; the prevalence of unprotected anal intercourse &#40;UAI&#41; remains substantial among men who have sex with men &#40;MSM&#41;&#46; This study describes and analyzes how a group of MSM manages sexual risk with sexual partners&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">Qualitative study by means in-depth&#44; semi-structured interviews with 20 MSM&#44; aged 21 to 40 years old&#44; who had had at least one episode of UAI within the previous 3 months&#46; A grounded theory approach was used to understand sexual risk management with sexual partners as seen by the MSM interviewed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Most MSM were involved in UAI when they established relationships with &#171;fuck buddies&#187; as a way to balance their need for sexual expression with their need for sexual security&#46; In these relationships&#44; the partner&#8217;s serostatus was assessed on the basis of trust and the assumption of sharing the same serologic status&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Subjective evaluations &#40;e&#46;g&#46; trust&#44; intuition&#41; played a key role in the decision to engage in UAI with &#171;fuck buddies&#187; without precise knowledge of their HIV serostatus&#46; Future approaches need to include the role of subjectivity in making decisions related to risk management and the specific contexts &#40;e&#46;g&#46; type of sexual partner&#41; in which UAI takes place&#46;</p>"
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                      "titulo" => "Is use of antiretroviral therapy among homosexual men associated with increased risk of transmission of HIV infection&#63;"
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                          "etal" => true
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                      "titulo" => "Highly active antiretroviral therapy and sexual risk behaviour&#46; A meta-analytic review"
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                      "titulo" => "Negotiating risks in context&#58; a perspective on unprotected anal intercourse and barebacking among men who have sex with men&#46; Where do we go from here&#63;"
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                      "titulo" => "Conducta sexual de riesgo para las infecciones de transmisi&#243;n sexual en hombres que practican el sexo con hombres &#40;HSH&#41;&#58; desarrollo de un modelo predictivo"
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                      "Libro" => array:3 [
                        "fecha" => "2004"
                        "editorial" => "Hospital Monte Naranco&#44; M&#233;dicos del Mundo"
                        "editorialLocalizacion" => "Oviedo"
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                  "referenciaCompleta" => "Centro Nacional de Epidemiolog&#237;a-Secretar&#237;a del Plan Nacional sobre el SIDA&#46; Infecciones de transmisi&#243;n sexual&#46; Resultados 2003&#46; Evoluci&#243;n 1995-2003&#46; Madrid&#58; Secretar&#237;a del Plan Nacional sobre el SIDA&#59; 2005&#46;"
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                  "referenciaCompleta" => "Centre d&#8217;Estudis Epidemiol&#242;gics sobre la SIDA de Catalunya &#40;CEESCAT&#41; Sistema Integrado de Vigilancia Epidemiol&#243;gica de Sida&#47;VIH&#47;ITS en Catalu&#241;a &#40;SIVES 2005&#41;&#46; Barcelona&#58; Generalitat de Catalunya&#44; Departament de Salut&#46; Documento t&#233;cnico n&#46;<span class="elsevierStyleSup">o</span> 18&#46; En prensa 2007&#46;"
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                      "titulo" => "Reemergencia de la s&#237;filis infecciosa en varones homosexuales y coinfecci&#243;n por el virus de la inmunodeficiencia humana en Barcelona&#58; 2002-2003"
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                      "titulo" => "Risk factors for HIV infection among men who have sex with men"
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