Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia

Introducción: la profilaxis preexposición al VIH (PrEP) ha demostrado disminuir la incidencia del VIH, pero su adopción en Colombia es aún incipiente. Para avanzar en la implementación de la PrEP como intervención de salud pública es necesario conocer el interés de las poblaciones en riesgo de VIH y...

Full description

Autores:
Tipo de recurso:
Fecha de publicación:
2024
Institución:
Universidad de Caldas
Repositorio:
Repositorio Institucional U. Caldas
Idioma:
spa
OAI Identifier:
oai:repositorio.ucaldas.edu.co:ucaldas/24102
Acceso en línea:
https://repositorio.ucaldas.edu.co/handle/ucaldas/24102
https://doi.org/10.17151/hpsal.2024.29.1.9
Palabra clave:
Profilaxis preexposición
actitud
intención
minorías sexuales y de género
VIH
Pre-Exposure Prophylaxis
Attitude
Intention
Sexual and Gender Minorities
HIV
Profilaxia Pré-Exposição
Atitude
Intenção
Minorias Sexuais e de Gênero
HIV
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-sa/4.0/
id REPOUCALDA_ae6763425716ff50aa08249c2c15d14a
oai_identifier_str oai:repositorio.ucaldas.edu.co:ucaldas/24102
network_acronym_str REPOUCALDA
network_name_str Repositorio Institucional U. Caldas
repository_id_str
dc.title.none.fl_str_mv Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
Factors related to the interest and intention of using pre-exposure prophylaxis for HIV in gay and/or bisexual men, Colombia
title Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
spellingShingle Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
Profilaxis preexposición
actitud
intención
minorías sexuales y de género
VIH
Pre-Exposure Prophylaxis
Attitude
Intention
Sexual and Gender Minorities
HIV
Profilaxia Pré-Exposição
Atitude
Intenção
Minorias Sexuais e de Gênero
HIV
title_short Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
title_full Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
title_fullStr Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
title_full_unstemmed Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
title_sort Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, Colombia
dc.subject.none.fl_str_mv Profilaxis preexposición
actitud
intención
minorías sexuales y de género
VIH
Pre-Exposure Prophylaxis
Attitude
Intention
Sexual and Gender Minorities
HIV
Profilaxia Pré-Exposição
Atitude
Intenção
Minorias Sexuais e de Gênero
HIV
topic Profilaxis preexposición
actitud
intención
minorías sexuales y de género
VIH
Pre-Exposure Prophylaxis
Attitude
Intention
Sexual and Gender Minorities
HIV
Profilaxia Pré-Exposição
Atitude
Intenção
Minorias Sexuais e de Gênero
HIV
description Introducción: la profilaxis preexposición al VIH (PrEP) ha demostrado disminuir la incidencia del VIH, pero su adopción en Colombia es aún incipiente. Para avanzar en la implementación de la PrEP como intervención de salud pública es necesario conocer el interés de las poblaciones en riesgo de VIH y los factores que facilitarían su uso. Objetivo: identificar los factores relacionados con el interés e intención de tomar PrEP en hombres gay/bisexuales. Metodología: estudio transversal analítico en una muestra no probabilística en ciudades principales de Colombia. Se exploraron las características sociodemográficas, conocimiento, motivaciones, habilidades conductuales y factores psicosociales, se utilizaron modelos logísticos para estimar la relación de estos factores con el interés y la intención de usar la PrEP. Resultados y conclusiones: participaron 552 hombres gay/bisexuales, 301 (54 %) reclutados en línea y 251 en persona. Solo el 40 % de la muestra sabía de la existencia de PrEP. 57.4 % (IC95%:54.9%-62.4%) reportaron interés e 52.9 % (IC95%: 48.5%-57.3%) intención de usar PrEP. El interés y la intención de usar la PrEP se relacionaron con actitudes y normas positivas hacia PrEP, así como con mayores habilidades relacionadas con servicios de PrEP. El estigma hacia la PrEP y los síntomas depresivos se relacionaron con menor interés e intención. Los resultados sugieren la necesidad de fomentar la información sobre PrEP, especialmente en poblaciones con más desventajas sociales y que experimentan más estigma, al igual que desarrollar intervenciones comunitarias que apoyen las motivaciones y las habilidades para usar la PrEP.
publishDate 2024
dc.date.none.fl_str_mv 2024-01-01T00:00:00Z
2024-01-01T00:00:00Z
2024-01-01
2025-10-08T21:26:57Z
2025-10-08T21:26:57Z
dc.type.none.fl_str_mv Artículo de revista
http://purl.org/coar/resource_type/c_6501
http://purl.org/coar/resource_type/c_2df8fbb1
Text
info:eu-repo/semantics/article
Journal article
http://purl.org/redcol/resource_type/ART
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/version/c_970fb48d4fbd8a85
status_str publishedVersion
dc.identifier.none.fl_str_mv 0121-7577
https://repositorio.ucaldas.edu.co/handle/ucaldas/24102
10.17151/hpsal.2024.29.1.9
2462-8425
https://doi.org/10.17151/hpsal.2024.29.1.9
identifier_str_mv 0121-7577
10.17151/hpsal.2024.29.1.9
2462-8425
url https://repositorio.ucaldas.edu.co/handle/ucaldas/24102
https://doi.org/10.17151/hpsal.2024.29.1.9
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv 140
1
118
29
Hacia la Promoción de la Salud
Anderson PL, Glidden D V, Liu A, Buchbinder S, Lama JR, Guanira JV, et al. Emtricitabine-Tenofovir Concentrations and Pre-Exposure Prophylaxis Efficacy in Men Who Have Sex with Men. Sci Transl Med [Internet]. 2012; 4(151):151ra125-151ra125. Disponible en: https://doi.org/10.1126%2Fscitranslmed.3004006
Fonner VA, Dalglish SL, Kennedy CE, Baggaley R, O’Reilly KR, Koechlin FM, et al. Effectiveness and safety of oral HIV preexposure prophylaxis for all populations. AIDS [Internet]. 2016; 30(12):1973-83. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949005/
Ravasi G, Grinsztejn B, Baruch R, Guanira JV, Luque R, Cáceres CF, et al. Towards a fair consideration of PrEP as part of combination HIV prevention in Latin America. Journal of the International AIDS Society [Internet]. 2016; 19:21113.Disponible en: https://doi.org/10.7448/IAS.19.7.21113
Organización Panamericana de la Salud. Profilaxis Previa a la Exposición (PrEP) [Internet]. PAHO. 2021 [citado 9 de junio de 2022]. Disponible en: https://www.paho.org/es/temas/prevencion-combinada-infeccion-por-vih/profilaxisprevia-exposicion-prep
Silva Torres T, Konda K, Vega-Ramirez EH, Elorreaga Reyes OA, Diaz-Sosa D, Hoagland B, et al. Awareness and factors associated with willingness to use Pre-exposure prophylaxis (PrEP) in Brazil, Mexico and Peru: an online survey among men who have sex with men (MSM) (Preprint). JMIR Public Health Surveill [Internet]. 2019; 5(2):e13771. Disponible en: https://publichealth.jmir.org/2019/2/e13771
Ministerio de Salud y Protección Social. Acta No 01 de 2019. Sesión Ordinaria. 28, 29, 30 y 31 de enero de 2019. En:Comisión Revisora. Sala Especializada de Moléculas Nuevas NIyMB. 2019.
Ministerio de Salud y Protección Social. Resolución 2292 de 2021 [Internet]. Colombia: Minsalud; 2021. p. 62. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución No. 2292 de 2021.pdf
Ministerio de Salud y Protección Social. Profilaxis Preexposición al VIH (PrEP). Lineamiento para la implementación de la PrEP en Colombia [Internet]. Colombia: Minsalud; 2023. https://prep-colombia.org/wp-content/uploads/2023/07/Lineamiento-PrEP_FINAL_Junio2023.pdf
Martínez-Cajas J, Alvarado-Llano B, Martínez-Buitrago E, Torres-Isasiga J, Arrivillaga, M, Camargo, P, et al. AC-2020-12-1420.R1 – HIV care providers’ familiarity, concerns, and attitudes about HIV PrEP in Colombia: insights from the PrEP-Col-Study. AIDS Care [Internet]. 2022; 34(11):1428-1434. https://doi.org/10.1080/09540121.2022.2029813
Arrivillaga M, Gómez SA, Mueses HF, Alvarado B, Martínez BE, Camargo-Plazas P, et al. Facilitadores y recomendaciones de proveedores de salud para la implementación de la Profilaxis Pre-Exposición en clínicas de VIH en Colombia. “Estudio PPrE-Colombia”. Revista Gerencia y Políticas de Salud [Internet]. 2022; 21:1-27. Disponible en: https://revistas.javeriana.edu.co/files-articulos/RGPS/21%20(2022)/54570443003/index.html
Bolívar-Rocha MC, Arrivillaga M, Camargo-Plazas P, Torres-Isasiga J, Hurtado-Quiñones L, Gómez-Peñaloza S, et al.Organizational factors related to the implementation of HIV-PrEP: A qualitative exploration with healthcare managers and providers working in HIV clinics in Colombia. Sex Gend Divers Soc Serv [Internet]. 2024; 1–26. https://doi.org/10.1080/10538720.2023.2291088
Coelho LE, Torres TS, Veloso VG, Grinsztejn B, Jalil EM, Wilson EC, et al. The Prevalence of HIV Among Men Who Have Sex With Men (MSM) and Young MSM in Latin America and the Caribbean: A Systematic Review [published correction appears in AIDS Behav. 2021 Jul 26]. AIDS Behav [Internet]. 2021; 25(10):3223-3237. Disponible en: https://doi.org/10.1007/s10461-021-03180-5
Fisher JD, Fisher WA, Bryan AD, Misovich SJ. Information-motivation-behavioral skills model - Based HIV risk behavior change intervention for inner-city high school youth. Heal Psychol. 2002;21(2):177-86.
Shrestha R, Altice FL, Huedo-Medina TB, Karki P, Copenhaver M. Willingness to Use Pre-Exposure Prophylaxis (PrEP):An Empirical Test of the Information-Motivation-Behavioral Skills (IMB) Model among High-Risk Drug Users in Treatment. AIDS Behav [Internet]. 2017; 21(5):1299-308. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27990587/
Knox J, Kutner BA, Shiau S, Winterhalter FS, Wu Y, Hirsch-Moverman Y, et al. Assessing the Information-Motivation-Behavioral Skills Model to Predict Pre-exposure Prophylaxis Adherence Among Black Men Who have Sex with Men and Transgender Women in a Community Setting in New York City. AIDS Behav [Internet]. 2022; 26(7):2494-502.Disponible en: https://link.springer.com/article/10.1007/s10461-022-03588-7
Walsh JL. Applying the Information–Motivation–Behavioral Skills Model to Understand PrEP Intentions and Use Among Men Who Have Sex with Men. AIDS Behav [Internet]. 2019; 23(7):1904-16. Disponible en: http://link.springer.com/10.1007/s10461-018-2371-3
Dubov A, Altice FL, Fraenkel L. An Information–Motivation–Behavioral Skills Model of PrEP Uptake. AIDS Behav [Internet]. 2018; 22(11):3603-16. Disponible en: https://doi.org/10.1007/s10461-018-2095-418. Mueses-Marín HF, Alvarado-Llano B, Torres-Isasiga J, Camargo-Plazas P, Bolívar-Rocha MC, Galindo-Orrego X, et al.Scales to Assess Knowledge, Motivation, and Self-Efficacy for HIV PrEP in Colombian MSM: PrEP-COL Study. AIDS Res Treat [Internet]. 2021; 1-11. Disponible en: https://www.hindawi.com/journals/art/2021/4789971/
Wilton J, Kain T, Fowler S, Hart TA, Grennan T, Maxwell J, et al. Use of an HIV-risk screening tool to identify optimal candidates for PrEP scale-up among men who have sex with men in Toronto, Canada: Disconnect between objective and subjective HIV risk. J Int AIDS Soc [Internet]. 2016; 19(1). Disponible en: http://dx.doi.org/10.7448/IAS.19.1.20777
Mueses-Marín HF, Montaño D, Galindo J, Alvarado-Llano B, Martínez-Cajas J. Psychometric properties and validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a population attending an HIV clinic in Cali,Colombia. Biomedica [Internet]. 2019; 39(1):33-45. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31021545/
Alvarado B, Mueses HF, Galindo J, Martínez-Cajas JL. Application of the “syndemics” theory to explain unprotected sex and transactional sex: A cross-sectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia. Biomedica [Internet]. 2020; 40(2):391-403. Diponible en: https://www.redalyc.org/journal/843/84364615016/84364615016.pdf
Fullerton AS. A conceptual framework for ordered logistic regression models. Sociol Methods Res [Internet]. 2009;38(2):306-347. Disponible en: https://journals.sagepub.com/doi/10.1177/0049124109346162
Mueses-Marín HF, Tello-Bolívar IC, Galindo-Orrego MI, Galindo-Quintero J. Perceptions about sexual risk, HIV and HIVtesting in Cali, Colombia. Colomb Med (Cali) [Internet]. 2018; 49(2):139-147. Disponible en: https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/3897
Camargo-Plazas P, Peralta-Ardila MdP, Mueses HF, Alvarado-Llano BE, Gómez Peñaloza SA, Martínez-Cajas JL. La adopción de prep como estrategia de prevención del VIH en Colombia: Análisis secundario de datos cualitativos. New Trends in Qualitative Research (NTQR) [Internet]. 2023; 18:e896. Disponible en: https://publi.ludomedia.org/index.php/ntqr/article/view/896
Bolívar MC, Gomez-Peñaloza SA, Camargo-Plazas P, Peralta-Ardila MdP, Mueses-Marín HF, et al. Barriers and facilitators to HIV pre-exposure prophylaxis uptake among transgender women in Colombia: A qualitative analysis using the COM-B model. PLOS Glob Public Health, 2023; 3(9):e0001395. Disponible en: https://doi.org/10.1371/journal.pgph.000139526. Sun Z, Gu Q, Dai Y, Zou H, Agins B, Chen Q, et al. Increasing awareness of HIV pre-exposure prophylaxis (PrEP) and willingness to use HIV PrEP among men who have sex with men: a systematic review and meta-analysis of global data. J Int AIDS Soc [Internet]. 2022; 25(3):e25883. Disponible en: https://doi.org/10.1002/jia2.25883
Pinto RM, Berringer KR, Melendez R, Mmeje O. Improving PrEP Implementation Through Multilevel Interventions: A Synthesis of the Literature. AIDS Behav [Internet]. 22:3681-3691. Disponible en: https://doi.org/10.1007/s10461-018-2184-4
Narváez Ochoa MA, Arrivillaga M. Intención de uso de la profilaxis pre-exposición (PrEP) de hombres que tienen sexo con hombres en Colombia. Bogotá: Pontificia Universidad Javeriana; 2021.
Hillis A, Germain J, Hope V, McVeigh J, Van Hout MC. Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming. AIDS Behav [Internet].2020; 24(11):3056-70. Disponible en: https://doi.org/10.1007/s10461-020-02855-9
Farthing H, Rodriguez A, Armstrong M, Iyengar S, Nigh E, Potter JN, et al. Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education. Int J STD AIDS [Internet]. 2019;30(2):147–53. Disponible en:https://pubmed.ncbi.nlm.nih.gov/30301426/
Alvarado BE, Martínez-Cajas JL, Mueses HF, Correa Sánchez D, Adam BD, Hart TA. Adaptation and Pilot Evaluation of an Intervention Addressing the Sexual Health Needs of Gay Men Living with HIV Infection in Colombia. Am J Mens Health [Internet]. 2021; 15(1). Disponible en:https://pubmed.ncbi.nlm.nih.gov/33511900/
Hart TA, Noor SW, Skakoon-Sparling S, Lazkani SN, Gardner S, Leahy B, et al. GPS: A Randomized Controlled Trial of Sexual Health Counseling for Gay and Bisexual Men Living With HIV. Behav Ther [Internet]. 2021; 52(1):1-14.Disponible en: https://pubmed.ncbi.nlm.nih.gov/33483108/
Mauldin RL, Rawwad TA, Amith M, Kuhns LM, Schneider JA, Fujimoto K. Community-clinic linkages for promoting HIV prevention: organizational networks for PrEP client referrals and collaborations. AIDS Care [Internet]. 2022;34(3):340-348. Dipsonible en: https://pubmed.ncbi.nlm.nih.gov/34085893/
Jackson-Gibson M, Ezema AU, Orero W, et al. Facilitators and barriers to HIV pre-exposure prophylaxis (PrEP) uptake through a community-based intervention strategy among adolescent girls and young women in Seme Sub-County, Kisumu,Kenya. BMC Public Health [Internet]. 2021; 21(1):1284. Disponible en: https://doi.org/10.1186/s12889-021-11335-1
Huang Y, Tian R, Zhou Z, Xu J, Agins B, Zou H, et al. HIV Pre-Exposure Prophylaxis Use on a Global Scale Among Men Who Have Sex with Men: A Systematic Review and Meta-Analysis. AIDS Patient Care STDS [Internet]. 2023; 37(4):159-191. Disponible en: https://doi.org/10.1089/apc.2022.0198
Biello KB, Oldenburg CE, Mitty A, Closson EF, Mayer KH, Safren SA, et al. The “Safe Sex” Conundrum: Anticipated Stigma From Sexual Partners as a Barrier to PrEP Use Among Substance Using MSM Engaging in Transactional Sex. AIDS Behav [Internet]. 2017; 21: 300-306. Disponible en: https://doi.org/10.1007/s10461-016-1466-y
Fujimoto K, Wang P, Flash CA, Kuhns LM, Zhao Y, Amith M, & Schneider JA. Network modeling of PrEP uptake on referral networks and health venue utilization among young men who have sex with men. AIDS Behav [Internet].2019; 23(7):1698-1707. Disponible en: https://doi.org/10.1007/s10461-018-2327-7
Knight R, Small W, Carson A, Shoveller J. Complex and Conflicting Social Norms: Implications for Implementation of Future HIV Pre-Exposure Prophylaxis (PrEP) Interventions in Vancouver, Canada. PLoS ONE [Internet]. 2016; 11(1):e0146513. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146513
Brooks RA, Landrian A, Nieto O, Fehrenbacher A. Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles. AIDS Behav [Internet]. 2019; 23:1964-1973. Disponible en: https://doi.org/10.1007/s10461-019-02397-9
Howell J, Deane-King J, Maguire R. Factors Associated with PrEP Stigma Among Gay, Bisexual, and Other Men Who Have Sex with Men (gbMSM): A Systematic Review. Journal of Homosexuality [Internet]. 2024; 1-30. https://doi.org/10.1080/00918369.2024.2326891
Meanley S, Connochie D, Choi SK, Bonett S, Flores DD, Bauermeister JA. Assessing the Role of Gay Community Attachment, Stigma, and PrEP Stereotypes on Young Men Who Have Sex with Men’s PrEP Uptake. AIDS Behav[Internet]. 2021; 25(6):1761-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33211207/
Babel RA, Wang P, Alessi EJ, Raymond HF, Wei C. Stigma, HIV Risk, and Access to HIV Prevention and Treatment Services Among Men Who have Sex with Men (MSM) in the United States: A Scoping Review. AIDS Behav [Internet].2021; 25(11):3574-3604. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33866444/
Card KG, Hawkins BW, Mortazavi L, Gregory A, Ng KH, Lachowsky NJ. Stigma, the Media, and Pre-exposure Prophylaxis for HIV Prevention: Observations for Enhancing Knowledge Translation and Resisting Stigma in the Canadian Context.AIDS Behav [Internet]. 2019; 23(7):1877-1887. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30390190/
Keene LC, Dehlin JM, Pickett J, Berringer KR, Little I, Tsang A, et al. 6#PrEP4Love: success and stigma following release of the first sex-positive PrEP public health campaign. Cult Health Sex [Internet]. 2021;23(3):397-413. Disponible en: https://doi.org/10.1080/13691058.2020.1715482
Calabrese SK, Tekeste M, Mayer KH, Magnus M, Krakower D, Kershaw T, et al. Considering Stigma in the Provision of HIV Pre-Exposure Prophylaxis: Reflections from Current Prescribers. AIDS Patient Care STDS [Internet]. 2019;33(2):79-88. Disponible en: https://doi.org/10.1089/apc.2018.0166
Patrick R, Jain J, Harvey-Vera A, Semple SJ, Rangel G, et al. Perceived barriers to pre-exposure prophylaxis use among HIV-negative men who have sex with men in Tijuana, Mexico: A latent class analysis. PLoS ONE [Internet]. 2019;14(8):e0221558. https://doi.org/10.1371/journal.pone.0221558
Aguilera-Mijares S, Martínez-Davalos A, Bautista-Arredondo S, Vermandere H. The Preexposure Prophylaxis Care Continuum Among Mexican Men Who Have Sex With Men and Transwomen: A Qualitative Study. Sex Transm Dis [Internet]. 2023; 50(8):512-517. Disponible en: https://doi.org/10.1097/olq.0000000000001759
Miller SJ, Harrison SE, Sanasi-Bhola K. A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States. Int J Environ Res Public Health [Internet]. 2021; 18(21):11431. Disponible en: https://doi.org/10.3390/ijerph182111431
Wolff C, Alvarado R, Wolff M. Prevalencia, factores de riesgo y manejo de la depresión en pacientes con infección por VIH: Revisión de la literatura. Rev Chilena Infectol [Internet]. 2010; 27(1):65-74. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182010000100011&lng=es&nrm=iso&tlng=n
Krakower D, Maloney KM, Powell VE, Levine K, Grasso C, Melbourne K, et al. Patterns and clinical consequences of discontinuing HIV preexposure prophylaxis during primary care. J Int AIDS Soc [Internet]. 2019; 22(2):e25250.Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/jia2.25250/full
Colson PW, Franks J, Wu Y, Winterhalter FS, Knox J, Ortega H, et al. Adherence to Pre-exposure Prophylaxis in Black Men Who Have Sex with Men and Transgender Women in a Community Setting in Harlem, NY. AIDS Behav [Internet].2020; 24(12):3436-3455. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32385678/
Parsons JT, Rendina HJ, Lassiter JM, Whitfield THF, Starks TJ, Grov C. Uptake of HIV pre-exposure prophylaxis (PrEP) in a national cohort of gay and bisexual men in the United States: The Motivational PrEP Cascade. J Acquir Immune Defic Syndr [Internet]. 2017; 74(3):285. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315535/
Fondo Colombiano de Enfermedades de Alto costo. VIH Sida en Colombia, retos y apuestas en salud [Internet]. Cuenta de Alto Costo. 2020. Disponible en: https://cuentadealtocosto.org/site/vih/vih-sida-en-colombia-retos-y-apuestas-en-salud/
Núm. 1 , Año 2024 : Enero-Abril
https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/download/9163/7439
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad de Caldas
publisher.none.fl_str_mv Universidad de Caldas
dc.source.none.fl_str_mv https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/9163
institution Universidad de Caldas
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1860877870201569280
spelling Factores relacionados al interés e intención al uso de profilaxis preexposición al VIH en hombres gay y/o bisexuales, ColombiaFactors related to the interest and intention of using pre-exposure prophylaxis for HIV in gay and/or bisexual men, ColombiaProfilaxis preexposiciónactitudintenciónminorías sexuales y de géneroVIHPre-Exposure ProphylaxisAttitudeIntentionSexual and Gender MinoritiesHIVProfilaxia Pré-ExposiçãoAtitudeIntençãoMinorias Sexuais e de GêneroHIVIntroducción: la profilaxis preexposición al VIH (PrEP) ha demostrado disminuir la incidencia del VIH, pero su adopción en Colombia es aún incipiente. Para avanzar en la implementación de la PrEP como intervención de salud pública es necesario conocer el interés de las poblaciones en riesgo de VIH y los factores que facilitarían su uso. Objetivo: identificar los factores relacionados con el interés e intención de tomar PrEP en hombres gay/bisexuales. Metodología: estudio transversal analítico en una muestra no probabilística en ciudades principales de Colombia. Se exploraron las características sociodemográficas, conocimiento, motivaciones, habilidades conductuales y factores psicosociales, se utilizaron modelos logísticos para estimar la relación de estos factores con el interés y la intención de usar la PrEP. Resultados y conclusiones: participaron 552 hombres gay/bisexuales, 301 (54 %) reclutados en línea y 251 en persona. Solo el 40 % de la muestra sabía de la existencia de PrEP. 57.4 % (IC95%:54.9%-62.4%) reportaron interés e 52.9 % (IC95%: 48.5%-57.3%) intención de usar PrEP. El interés y la intención de usar la PrEP se relacionaron con actitudes y normas positivas hacia PrEP, así como con mayores habilidades relacionadas con servicios de PrEP. El estigma hacia la PrEP y los síntomas depresivos se relacionaron con menor interés e intención. Los resultados sugieren la necesidad de fomentar la información sobre PrEP, especialmente en poblaciones con más desventajas sociales y que experimentan más estigma, al igual que desarrollar intervenciones comunitarias que apoyen las motivaciones y las habilidades para usar la PrEP.Introduction: HIV pre-exposure prophylaxis (PrEP) has been shown to reduce the incidence of HIV, but its adoption in Colombia is still beginning. To advance the implementation of PrEP as a public health intervention, it is necessary to know the interest of populations at risk of HIV and the factors that would facilitate its use. Objective:Identify factors related to interest and intention to take PrEP in gay/bisexual men. Methodology: Analytical cross-sectional study in a non-probabilistic sample in main cities of Colombia. Sociodemographic characteristics, knowledge, motivations, behavioral skills, and psychosocial factors were explored; logistic models were used to estimate the relationship of these factors with interest and intention to use PrEP. Results and conclusions: 552 gay/bisexual men participated, 301 (54%) recruited online and 251 in person. Only 40% of the sample knew of the existence of PrEP. 57.4% (95% CI: 54.9%-62.4%) reported interest and 52.9% (95% CI: 48.5%-57.3%) intention to use PrEP. Interest and intention to use PrEP were related to positive attitudes and norms toward PrEP, as well as greater skills related to PrEP services. Stigma toward PrEP and depressive symptoms were related to lower interest and intention. Our results suggest the need to promote information about PrEP, especially in populations with more social disadvantages and who experience more stigma, as well as to develop community interventions that support motivations and skills to use PrEP.Universidad de Caldas2024-01-01T00:00:00Z2025-10-08T21:26:57Z2024-01-01T00:00:00Z2025-10-08T21:26:57Z2024-01-01Artículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articleJournal articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85application/pdf0121-7577https://repositorio.ucaldas.edu.co/handle/ucaldas/2410210.17151/hpsal.2024.29.1.92462-8425https://doi.org/10.17151/hpsal.2024.29.1.9https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/9163spa140111829Hacia la Promoción de la SaludAnderson PL, Glidden D V, Liu A, Buchbinder S, Lama JR, Guanira JV, et al. Emtricitabine-Tenofovir Concentrations and Pre-Exposure Prophylaxis Efficacy in Men Who Have Sex with Men. Sci Transl Med [Internet]. 2012; 4(151):151ra125-151ra125. Disponible en: https://doi.org/10.1126%2Fscitranslmed.3004006Fonner VA, Dalglish SL, Kennedy CE, Baggaley R, O’Reilly KR, Koechlin FM, et al. Effectiveness and safety of oral HIV preexposure prophylaxis for all populations. AIDS [Internet]. 2016; 30(12):1973-83. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949005/Ravasi G, Grinsztejn B, Baruch R, Guanira JV, Luque R, Cáceres CF, et al. Towards a fair consideration of PrEP as part of combination HIV prevention in Latin America. Journal of the International AIDS Society [Internet]. 2016; 19:21113.Disponible en: https://doi.org/10.7448/IAS.19.7.21113Organización Panamericana de la Salud. Profilaxis Previa a la Exposición (PrEP) [Internet]. PAHO. 2021 [citado 9 de junio de 2022]. Disponible en: https://www.paho.org/es/temas/prevencion-combinada-infeccion-por-vih/profilaxisprevia-exposicion-prepSilva Torres T, Konda K, Vega-Ramirez EH, Elorreaga Reyes OA, Diaz-Sosa D, Hoagland B, et al. Awareness and factors associated with willingness to use Pre-exposure prophylaxis (PrEP) in Brazil, Mexico and Peru: an online survey among men who have sex with men (MSM) (Preprint). JMIR Public Health Surveill [Internet]. 2019; 5(2):e13771. Disponible en: https://publichealth.jmir.org/2019/2/e13771Ministerio de Salud y Protección Social. Acta No 01 de 2019. Sesión Ordinaria. 28, 29, 30 y 31 de enero de 2019. En:Comisión Revisora. Sala Especializada de Moléculas Nuevas NIyMB. 2019.Ministerio de Salud y Protección Social. Resolución 2292 de 2021 [Internet]. Colombia: Minsalud; 2021. p. 62. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución No. 2292 de 2021.pdfMinisterio de Salud y Protección Social. Profilaxis Preexposición al VIH (PrEP). Lineamiento para la implementación de la PrEP en Colombia [Internet]. Colombia: Minsalud; 2023. https://prep-colombia.org/wp-content/uploads/2023/07/Lineamiento-PrEP_FINAL_Junio2023.pdfMartínez-Cajas J, Alvarado-Llano B, Martínez-Buitrago E, Torres-Isasiga J, Arrivillaga, M, Camargo, P, et al. AC-2020-12-1420.R1 – HIV care providers’ familiarity, concerns, and attitudes about HIV PrEP in Colombia: insights from the PrEP-Col-Study. AIDS Care [Internet]. 2022; 34(11):1428-1434. https://doi.org/10.1080/09540121.2022.2029813Arrivillaga M, Gómez SA, Mueses HF, Alvarado B, Martínez BE, Camargo-Plazas P, et al. Facilitadores y recomendaciones de proveedores de salud para la implementación de la Profilaxis Pre-Exposición en clínicas de VIH en Colombia. “Estudio PPrE-Colombia”. Revista Gerencia y Políticas de Salud [Internet]. 2022; 21:1-27. Disponible en: https://revistas.javeriana.edu.co/files-articulos/RGPS/21%20(2022)/54570443003/index.htmlBolívar-Rocha MC, Arrivillaga M, Camargo-Plazas P, Torres-Isasiga J, Hurtado-Quiñones L, Gómez-Peñaloza S, et al.Organizational factors related to the implementation of HIV-PrEP: A qualitative exploration with healthcare managers and providers working in HIV clinics in Colombia. Sex Gend Divers Soc Serv [Internet]. 2024; 1–26. https://doi.org/10.1080/10538720.2023.2291088Coelho LE, Torres TS, Veloso VG, Grinsztejn B, Jalil EM, Wilson EC, et al. The Prevalence of HIV Among Men Who Have Sex With Men (MSM) and Young MSM in Latin America and the Caribbean: A Systematic Review [published correction appears in AIDS Behav. 2021 Jul 26]. AIDS Behav [Internet]. 2021; 25(10):3223-3237. Disponible en: https://doi.org/10.1007/s10461-021-03180-5Fisher JD, Fisher WA, Bryan AD, Misovich SJ. Information-motivation-behavioral skills model - Based HIV risk behavior change intervention for inner-city high school youth. Heal Psychol. 2002;21(2):177-86.Shrestha R, Altice FL, Huedo-Medina TB, Karki P, Copenhaver M. Willingness to Use Pre-Exposure Prophylaxis (PrEP):An Empirical Test of the Information-Motivation-Behavioral Skills (IMB) Model among High-Risk Drug Users in Treatment. AIDS Behav [Internet]. 2017; 21(5):1299-308. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27990587/Knox J, Kutner BA, Shiau S, Winterhalter FS, Wu Y, Hirsch-Moverman Y, et al. Assessing the Information-Motivation-Behavioral Skills Model to Predict Pre-exposure Prophylaxis Adherence Among Black Men Who have Sex with Men and Transgender Women in a Community Setting in New York City. AIDS Behav [Internet]. 2022; 26(7):2494-502.Disponible en: https://link.springer.com/article/10.1007/s10461-022-03588-7Walsh JL. Applying the Information–Motivation–Behavioral Skills Model to Understand PrEP Intentions and Use Among Men Who Have Sex with Men. AIDS Behav [Internet]. 2019; 23(7):1904-16. Disponible en: http://link.springer.com/10.1007/s10461-018-2371-3Dubov A, Altice FL, Fraenkel L. An Information–Motivation–Behavioral Skills Model of PrEP Uptake. AIDS Behav [Internet]. 2018; 22(11):3603-16. Disponible en: https://doi.org/10.1007/s10461-018-2095-418. Mueses-Marín HF, Alvarado-Llano B, Torres-Isasiga J, Camargo-Plazas P, Bolívar-Rocha MC, Galindo-Orrego X, et al.Scales to Assess Knowledge, Motivation, and Self-Efficacy for HIV PrEP in Colombian MSM: PrEP-COL Study. AIDS Res Treat [Internet]. 2021; 1-11. Disponible en: https://www.hindawi.com/journals/art/2021/4789971/Wilton J, Kain T, Fowler S, Hart TA, Grennan T, Maxwell J, et al. Use of an HIV-risk screening tool to identify optimal candidates for PrEP scale-up among men who have sex with men in Toronto, Canada: Disconnect between objective and subjective HIV risk. J Int AIDS Soc [Internet]. 2016; 19(1). Disponible en: http://dx.doi.org/10.7448/IAS.19.1.20777Mueses-Marín HF, Montaño D, Galindo J, Alvarado-Llano B, Martínez-Cajas J. Psychometric properties and validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a population attending an HIV clinic in Cali,Colombia. Biomedica [Internet]. 2019; 39(1):33-45. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31021545/Alvarado B, Mueses HF, Galindo J, Martínez-Cajas JL. Application of the “syndemics” theory to explain unprotected sex and transactional sex: A cross-sectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia. Biomedica [Internet]. 2020; 40(2):391-403. Diponible en: https://www.redalyc.org/journal/843/84364615016/84364615016.pdfFullerton AS. A conceptual framework for ordered logistic regression models. Sociol Methods Res [Internet]. 2009;38(2):306-347. Disponible en: https://journals.sagepub.com/doi/10.1177/0049124109346162Mueses-Marín HF, Tello-Bolívar IC, Galindo-Orrego MI, Galindo-Quintero J. Perceptions about sexual risk, HIV and HIVtesting in Cali, Colombia. Colomb Med (Cali) [Internet]. 2018; 49(2):139-147. Disponible en: https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/3897Camargo-Plazas P, Peralta-Ardila MdP, Mueses HF, Alvarado-Llano BE, Gómez Peñaloza SA, Martínez-Cajas JL. La adopción de prep como estrategia de prevención del VIH en Colombia: Análisis secundario de datos cualitativos. New Trends in Qualitative Research (NTQR) [Internet]. 2023; 18:e896. Disponible en: https://publi.ludomedia.org/index.php/ntqr/article/view/896Bolívar MC, Gomez-Peñaloza SA, Camargo-Plazas P, Peralta-Ardila MdP, Mueses-Marín HF, et al. Barriers and facilitators to HIV pre-exposure prophylaxis uptake among transgender women in Colombia: A qualitative analysis using the COM-B model. PLOS Glob Public Health, 2023; 3(9):e0001395. Disponible en: https://doi.org/10.1371/journal.pgph.000139526. Sun Z, Gu Q, Dai Y, Zou H, Agins B, Chen Q, et al. Increasing awareness of HIV pre-exposure prophylaxis (PrEP) and willingness to use HIV PrEP among men who have sex with men: a systematic review and meta-analysis of global data. J Int AIDS Soc [Internet]. 2022; 25(3):e25883. Disponible en: https://doi.org/10.1002/jia2.25883Pinto RM, Berringer KR, Melendez R, Mmeje O. Improving PrEP Implementation Through Multilevel Interventions: A Synthesis of the Literature. AIDS Behav [Internet]. 22:3681-3691. Disponible en: https://doi.org/10.1007/s10461-018-2184-4Narváez Ochoa MA, Arrivillaga M. Intención de uso de la profilaxis pre-exposición (PrEP) de hombres que tienen sexo con hombres en Colombia. Bogotá: Pontificia Universidad Javeriana; 2021.Hillis A, Germain J, Hope V, McVeigh J, Van Hout MC. Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming. AIDS Behav [Internet].2020; 24(11):3056-70. Disponible en: https://doi.org/10.1007/s10461-020-02855-9Farthing H, Rodriguez A, Armstrong M, Iyengar S, Nigh E, Potter JN, et al. Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education. Int J STD AIDS [Internet]. 2019;30(2):147–53. Disponible en:https://pubmed.ncbi.nlm.nih.gov/30301426/Alvarado BE, Martínez-Cajas JL, Mueses HF, Correa Sánchez D, Adam BD, Hart TA. Adaptation and Pilot Evaluation of an Intervention Addressing the Sexual Health Needs of Gay Men Living with HIV Infection in Colombia. Am J Mens Health [Internet]. 2021; 15(1). Disponible en:https://pubmed.ncbi.nlm.nih.gov/33511900/Hart TA, Noor SW, Skakoon-Sparling S, Lazkani SN, Gardner S, Leahy B, et al. GPS: A Randomized Controlled Trial of Sexual Health Counseling for Gay and Bisexual Men Living With HIV. Behav Ther [Internet]. 2021; 52(1):1-14.Disponible en: https://pubmed.ncbi.nlm.nih.gov/33483108/Mauldin RL, Rawwad TA, Amith M, Kuhns LM, Schneider JA, Fujimoto K. Community-clinic linkages for promoting HIV prevention: organizational networks for PrEP client referrals and collaborations. AIDS Care [Internet]. 2022;34(3):340-348. Dipsonible en: https://pubmed.ncbi.nlm.nih.gov/34085893/Jackson-Gibson M, Ezema AU, Orero W, et al. Facilitators and barriers to HIV pre-exposure prophylaxis (PrEP) uptake through a community-based intervention strategy among adolescent girls and young women in Seme Sub-County, Kisumu,Kenya. BMC Public Health [Internet]. 2021; 21(1):1284. Disponible en: https://doi.org/10.1186/s12889-021-11335-1Huang Y, Tian R, Zhou Z, Xu J, Agins B, Zou H, et al. HIV Pre-Exposure Prophylaxis Use on a Global Scale Among Men Who Have Sex with Men: A Systematic Review and Meta-Analysis. AIDS Patient Care STDS [Internet]. 2023; 37(4):159-191. Disponible en: https://doi.org/10.1089/apc.2022.0198Biello KB, Oldenburg CE, Mitty A, Closson EF, Mayer KH, Safren SA, et al. The “Safe Sex” Conundrum: Anticipated Stigma From Sexual Partners as a Barrier to PrEP Use Among Substance Using MSM Engaging in Transactional Sex. AIDS Behav [Internet]. 2017; 21: 300-306. Disponible en: https://doi.org/10.1007/s10461-016-1466-yFujimoto K, Wang P, Flash CA, Kuhns LM, Zhao Y, Amith M, & Schneider JA. Network modeling of PrEP uptake on referral networks and health venue utilization among young men who have sex with men. AIDS Behav [Internet].2019; 23(7):1698-1707. Disponible en: https://doi.org/10.1007/s10461-018-2327-7Knight R, Small W, Carson A, Shoveller J. Complex and Conflicting Social Norms: Implications for Implementation of Future HIV Pre-Exposure Prophylaxis (PrEP) Interventions in Vancouver, Canada. PLoS ONE [Internet]. 2016; 11(1):e0146513. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146513Brooks RA, Landrian A, Nieto O, Fehrenbacher A. Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles. AIDS Behav [Internet]. 2019; 23:1964-1973. Disponible en: https://doi.org/10.1007/s10461-019-02397-9Howell J, Deane-King J, Maguire R. Factors Associated with PrEP Stigma Among Gay, Bisexual, and Other Men Who Have Sex with Men (gbMSM): A Systematic Review. Journal of Homosexuality [Internet]. 2024; 1-30. https://doi.org/10.1080/00918369.2024.2326891Meanley S, Connochie D, Choi SK, Bonett S, Flores DD, Bauermeister JA. Assessing the Role of Gay Community Attachment, Stigma, and PrEP Stereotypes on Young Men Who Have Sex with Men’s PrEP Uptake. AIDS Behav[Internet]. 2021; 25(6):1761-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33211207/Babel RA, Wang P, Alessi EJ, Raymond HF, Wei C. Stigma, HIV Risk, and Access to HIV Prevention and Treatment Services Among Men Who have Sex with Men (MSM) in the United States: A Scoping Review. AIDS Behav [Internet].2021; 25(11):3574-3604. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33866444/Card KG, Hawkins BW, Mortazavi L, Gregory A, Ng KH, Lachowsky NJ. Stigma, the Media, and Pre-exposure Prophylaxis for HIV Prevention: Observations for Enhancing Knowledge Translation and Resisting Stigma in the Canadian Context.AIDS Behav [Internet]. 2019; 23(7):1877-1887. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30390190/Keene LC, Dehlin JM, Pickett J, Berringer KR, Little I, Tsang A, et al. 6#PrEP4Love: success and stigma following release of the first sex-positive PrEP public health campaign. Cult Health Sex [Internet]. 2021;23(3):397-413. Disponible en: https://doi.org/10.1080/13691058.2020.1715482Calabrese SK, Tekeste M, Mayer KH, Magnus M, Krakower D, Kershaw T, et al. Considering Stigma in the Provision of HIV Pre-Exposure Prophylaxis: Reflections from Current Prescribers. AIDS Patient Care STDS [Internet]. 2019;33(2):79-88. Disponible en: https://doi.org/10.1089/apc.2018.0166Patrick R, Jain J, Harvey-Vera A, Semple SJ, Rangel G, et al. Perceived barriers to pre-exposure prophylaxis use among HIV-negative men who have sex with men in Tijuana, Mexico: A latent class analysis. PLoS ONE [Internet]. 2019;14(8):e0221558. https://doi.org/10.1371/journal.pone.0221558Aguilera-Mijares S, Martínez-Davalos A, Bautista-Arredondo S, Vermandere H. The Preexposure Prophylaxis Care Continuum Among Mexican Men Who Have Sex With Men and Transwomen: A Qualitative Study. Sex Transm Dis [Internet]. 2023; 50(8):512-517. Disponible en: https://doi.org/10.1097/olq.0000000000001759Miller SJ, Harrison SE, Sanasi-Bhola K. A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States. Int J Environ Res Public Health [Internet]. 2021; 18(21):11431. Disponible en: https://doi.org/10.3390/ijerph182111431Wolff C, Alvarado R, Wolff M. Prevalencia, factores de riesgo y manejo de la depresión en pacientes con infección por VIH: Revisión de la literatura. Rev Chilena Infectol [Internet]. 2010; 27(1):65-74. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182010000100011&lng=es&nrm=iso&tlng=nKrakower D, Maloney KM, Powell VE, Levine K, Grasso C, Melbourne K, et al. Patterns and clinical consequences of discontinuing HIV preexposure prophylaxis during primary care. J Int AIDS Soc [Internet]. 2019; 22(2):e25250.Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/jia2.25250/fullColson PW, Franks J, Wu Y, Winterhalter FS, Knox J, Ortega H, et al. Adherence to Pre-exposure Prophylaxis in Black Men Who Have Sex with Men and Transgender Women in a Community Setting in Harlem, NY. AIDS Behav [Internet].2020; 24(12):3436-3455. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32385678/Parsons JT, Rendina HJ, Lassiter JM, Whitfield THF, Starks TJ, Grov C. Uptake of HIV pre-exposure prophylaxis (PrEP) in a national cohort of gay and bisexual men in the United States: The Motivational PrEP Cascade. J Acquir Immune Defic Syndr [Internet]. 2017; 74(3):285. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315535/Fondo Colombiano de Enfermedades de Alto costo. VIH Sida en Colombia, retos y apuestas en salud [Internet]. Cuenta de Alto Costo. 2020. Disponible en: https://cuentadealtocosto.org/site/vih/vih-sida-en-colombia-retos-y-apuestas-en-salud/Núm. 1 , Año 2024 : Enero-Abrilhttps://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/download/9163/7439https://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Mueses-Marín, Héctor FabioAlvarado-Llano, Beatriz EugeniaBolívar-Rocha, María CamilaArrivillaga, MarcelaCamargo-Plazas, PilarTorres-Isasiga, Julián AndrésGalindo-Orrego, XimenaMartínez-Cajas, Jorge Luisoai:repositorio.ucaldas.edu.co:ucaldas/241022025-10-08T21:26:57Z