Behavioral Factors Research Articles

Obesidad y sobrepeso

Obesity is a chronic, recurrent, heterogeneous, complex disease. It arises from an energy imbalance due to a sedentary lifestyle, excess calorie intake, or both, to which various genetic, social, behavioral, psychological, metabolic, cellular, and molecular factors must be added. This condition is characterized by an abnormal accumulation of adipose tissue. This increases the risk of chronic diseases such as type 2 diabetes, cardiovascular disease, and cancer, with important biological, psychological, and social implications. Its prevalence has increased globally, affecting all demographic groups. Multidisciplinary treatment focuses on lifestyle changes and is sometimes supplemented with medication. In extreme cases, bariatric surgery can improve the metabolic profile. This update will also focus in general on how excess weight behaves in pregnant patients, older adult patients, and patients with type 1 diabetes.

Drivers of housing developers’ perception on future construction reuse material premium for wood

The construction sector has significant environmental footprints due to its extensive con- sumption of resources, greenhouse gas emissions, and waste generation. Strategies like ex- panding the reuse of construction materials may contribute towards the sector’s environmen- tal objectives. Enhancing the reuse of wood, a material associated with low environmental impacts, may further improve the sector’s environmental outcomes. However, at this point, reuse of wood materials is marginal. Understanding the willingness of market agents to embark on such use will aid in policy and market development. This study examines the behavioral and institutional factors that affect the premium of housing developers for the use of reused wood materials in the construction of future residential and leisure buildings. It is based on a novel concept known as the Construction Reuse Material Premium (CRP). A conceptual model is developed from a comprehensive theoretical framework based on both Theory of Planned Behavior and Institutional Theory. Data were collected through a cross- sectional survey in fall 2022, targeting Norwegian housing development companies. Survey data were analyzed using partial least squares structural equation modeling (PLS-SEM). The findings reveal that housing developers’ attitudes, regulatory and market conditions, and company size negatively influence expected CRP, suggesting developers foresee a greater shift in their willingness to accept costs for reused materials compared to consumer willing- ness to pay. In contrast, stakeholder influence and positive subjective norms toward reuse are associated with a more favorable market outlook for buildings using reused materials.

The Last Bite: Exploring behavioural and Situational factors influencing leftover food waste in households

Food leftovers are a major contributor to household food waste. However, the drivers of household food leftover management practices are less understood. This study analyses the leftover food management behaviour using the Motivation-Opportunity-Ability framework. A Structural Equation Modelling (SEM) analysis was used to empirically test the influence of motivation, opportunity, ability, and competing goals on self-reported leftover food management practices of Australian consumers. The results show consumers’ motivation is strongly associated with leftover food management practices. Particularly, consumers are motivated not to waste food because of negative feelings towards wasting food and understanding the consequences of leftover food waste. Consumer abilities in meal planning, efficient cooking, food inventory management, interpreting expiry dates, and food storage also significantly affected leftover food management in the home. The availability of time, information technology and lifestyle showed a relatively weaker impact on leftover food management. Competing goals of eating healthy, safe, and tasty food and having enough food lower the interest in leftover food management in the home. Understanding the drivers of leftover food management can guide designing interventions to promote behaviour change in preventing leftover waste.

Does cancer clinical trial enrollment for sexual and gender minority people differ from heterosexual, cisgender people?

BackgroundSexual and gender minority (SGM) people experience cancer disparities compared to heterosexual and cisgender (non-SGM) people and likely have barriers to cancer clinical trial enrollment. Data are sparse, however, regarding cancer clinical trial enrollment for SGM versus non-SGM people. MethodsUsing data from the 2020 Behavioral Risk Factor Surveillance Survey (BRFSS), we applied a logistic regression to assess associations between SGM status and clinical trial enrollment for 346 SGM and 9441 non-SGM people diagnosed with cancer. The model was adjusted for age at diagnosis, race/ethnicity, partnership status, education, employment, and sex assigned at birth. ResultsSGM individuals had 94 % greater odds than non-SGM individuals to report participation in a clinical trial (aOR 1.94; 95 % CI 1.02–3.68) after adjusting for other factors. ConclusionsData from the BRFSS suggest that SGM people with cancer have higher odds of clinical trial enrollment compared to non-SGM people with cancer. Future work is needed to prospectively track oncology treatment, including clinical trial participation, and outcomes of SGM people versus non-SGM people with cancer. Other studies will be needed to develop and implement systematic, consistent, and non-stigmatizing sexual orientation and gender identity data collection methods.

Associations Between a Social Determinant of Health Summary Measure and Self‐Reported Physical and Mental Health Among Cancer Survivors

ABSTRACTObjectiveWe sought to examine the associations between a social needs measure and physical, and mental health among cancer survivors in the United States.MethodsWe conducted a cross‐sectional analysis using the 2022 Behavioral Risk Factor Surveillance System survey involving 16,930 eligible cancer survivors. The primary outcomes of interest were self‐reported physical and mental health in the past 30 days. A social needs measure was our primary exposure of interest. Multivariate logistic regression was used to examine the associations of interest.ResultsOverall, 56% and 73% survivors with several days of poor physical and mental health, respectively, reported having two or more social needs. In multivariate analysis, those having at least one social need were more likely to report several days of poor physical (one need: OR, 1.62; 95% CI, 1.31–2.00, two or more needs: OR, 3.52; 95% CI, 2.84–4.35) and mental health (one need: OR, 3.07; 95% CI, 2.07–4.57, two or more needs: OR, 9.69; 95% CI, 6.83–13.74). Among survivors with two or more social needs, having exercised in the past 30 days were 41% and 59% less likely to experience poor physical and mental health, respectively (p‐value < 0.05). However, having at least one chronic disease was associated with several days of poor physical/mental health among those with two or more needs (p‐value < 0.05).ConclusionHaving social needs was associated with self‐reporting of several days of poor physical and mental health among cancer survivors. Integrated care should include mental/physical health management addressing cancer survivors' various social needs.

Risk Factors Affecting The Incident of Malaria in The Working Area of The Malaimsimsa Public Health Center Sorong City

Background: Malaria is an infectious disease caused by Plasmodium sp, a single-celled living creature that belongs to the group of the genus Protozoa which is parasitic. The purpose of this study was to determine the influence of environmental factors and behavioral factors on the incidence of malaria in the working area of the Malaimsimsa Community Health Center, Sorong City.Methods: This research is an observational study using a case-control study . The case group in this study included people with malaria as indicated by positive malaria blood test results. Examination of malaria is carried out by means of microscopic examination by making thick and thin blood preparations, stained using Giemsa stain, then identified using a microscope. The control group includes people who are not sick with negative blood test results.Result: The results of this study indicate that all malaria infections that occur are caused by infection with the type of Plasmodium vivax. The risk factors that influence the incidence of malaria are behavioral factors, namely the use of body armor and the use of insect repellent. While the risk factors that do not affect the incidence of malaria are the presence of puddles, temperature and use of mosquito nets.Conclusion : From the results of this study it can be concluded that the factors of stagnant water, temperature and use of mosquito nets are not related to the incidence of malaria, on the contrary the use of body armor and the use of insect repellent have a relationship with the incidence of malaria.

Modeling financial market dynamics with the use of fuzzy

In the modern world, financial markets play an important role in the economy and people’s lives. They provide access to financial resources and are also a source of profit for many companies. However, instability in the financial markets can lead to serious consequences such as financial crises and loss of investor confidence. In this regard, modelling the financial market dynamics becomes increasingly relevant. This work considered the use of fuzzy mathematics for this purpose. Fuzzy mathematics is a branch of mathematics that studies methods and algorithms for dealing with fuzzy data and fuzzy objects. It allows to consider uncertainty and incompleteness of information, which is especially important in the financial markets where data is often incomplete and inaccurate. The purpose of this research is to establish the relationship between financial asset prices while using behavioural factors (investor sentiment), fundamental (market returns), and microstructural ones (company size, ratio of book and market values of the company). The application of fuzzy mathematics in financial modelling will improve the accuracy and reliability of forecasts as well as increase the stability of the model to various sources of uncertainty.

PREFERENCE FACTORS REGARDING CENTRAL BANK DIGITAL CURRENCY ANONYMITY: BEHAVIOURAL, CULTURAL, OR INSTITUTIONAL

Central Bank Digital Currencies (CBDCs) offer a model of monetary order that potentially reduces the social costs associated with money circulation compared to private cryptocurrencies, which are energy-intensive. However, the success of CBDCs is contingent on design choices, which may conflict with policy goals and consumer preferences. A key challenge is the balance between transaction privacy/anonymity and payment convenience/functionality. Preferences for privacy/convenience are influenced by cultural attitudes, behavioural factors, and trust in institutions. This research seeks to address the following questions: 1) How do cultural and behavioural factors interact to shape preferences for CBDC anonymity/privacy? 2) To what extent do behavioural biases moderate cultural constraints? 3) Is there a correlation between such moderation and levels of trust? A survey (Google Forms, 19 questions) was administered to 164 respondents from Eastern Europe, Asia, and Africa. Analysis reveals that regional homogeneity in responses suggests culturally conditioned preferences. However, preferences for anonymity over convenience are significantly influenced by institutional factors beyond culture. Culture does not appear to be a decisive factor in matters of trust. In cases of lower trust in monetary institutions, preferences for convenience outweigh anonymity. The study concludes that successful CBDC design is context-specific and depends on the unique circumstances of individual countries. Central banks must understand consumer preferences within their respective countries to choose an optimal CBDC design. However, excessive focus on "marketing" to consumer preferences may undermine the central bank's role as a policymaker, while choosing the right design is crucial for CBDC's success.

A qualitative content analysis based on an extended parallel process model study of daycare center teacher behaviors concerning the eye health of preschool children

Purpose: This study is to explore the antecedent factors of daycare teacher behaviors concerning the eye health of preschool children by applying an extended parallel process model.Methods: Focus group interviews were conducted with ten daycare center teachers on September 4 and 14, 2023. A data analysis was performed according to the content analysis method by clustering the data into the four categories: the two threat factors of severity and susceptibility and the two efficacy factors of self-efficacy and response-efficacy.Results: Daycare center teachers’ perception of the severity of eye health problems in preschool children was high in relation to eye trauma, but it was recognized that viewing the electronic devices were of a less severe because symptoms were not noticed in a short period of time. They also showed low susceptibility because they were not sufficiently interested in the eye health hazard behaviors of preschool children. The self-efficacy of daycare center teachers was low because this was a lack of knowledge about symptoms of eye problems. However, they recognized that eye health activities performed in the preschool age could prevent negative eye health outcomes, thus showing a high response efficacy.Conclusion: In the future, it is necessary to increase the sensitivity and engagement of daycare center teachers concerning with the eye health of preschool children and to increase their self-efficacy. It will also be necessary to develop various interventions to improve eye health for preschool children that can be implemented by daycare center teachers.

Exploring the Recycling Behavior and Climate Change Mitigation in Booming Countries: A Path to Cleaner Seas and Sustainable Futures- A Case of UAE

The expansion of the global population, technological progress, economic growth, and rapid urbanization have induced substantial shifts in lifestyle choices, reshaping consumption patterns. This research aimed to investigate the interrelation between recycling practices in rapidly developing nations, notably China, Brazil, Turkey, Vietnam, Nigeria, and the United Arab Emirates (UAE), while emphasizing the role of the UAE, particularly Abu Dhabi, in mitigating climate change and addressing marine pollution. Furthermore, the study ascertain the significance of recycling practices, specifically concerning plastic and e-waste in the UAE, in contributing to environmental sustainability and promoting cleaner oceans. This endeavor ultimately aimed for more sustainable and conscientious development pathways. The research methodology was founded on established theoretical and conceptual framework developed through an in-depth analysis of variables rooted in the theory of planned behavior. Following the successful collection of data on recycling behaviors related to plastic and e-waste in Abu Dhabi, the data was analysed using the Statistical Package for the Social Sciences (SPSS). The findings from the correlation analysis conducted showed complex correlations between recycling behavior and environmental factors. The positive connections found between “comparing recycling practice” and a favorable “future development pathway,” suggested active recycling involvement and good future perspectives. Similarly, positive correlation between “reducing marine pollution” and “environmental sustainability,” demonstrated a shared environmental conscience. However, a negative link was found between “mitigating climate change” and “reducing marine pollution”, “recycling behavior, showing that respondents with higher priority on mitigating climate change also not in favour to recycle and prioritize for reducing marine pollution.

Behavioral Predisposing Factors in Mothers of Toddlers Affecting the Risk of Stunting Among Toddlers in Dairi Regency

Stunting a significant public health issue worldwide, particularly in low- and middle-income countries where access to adequate nutrition and healthcare is limited. This condition affects not only physical growth but also cognitive development and well-being. The study aimed to explore the impact of maternal behavioral factors, including nutrition, breastfeeding practices, and health-seeking behaviors, on the risk of stunting among toddlers. Method It is a cross sectional study with retrospective case control approach. A total of 120 mothers who had toddlers aged 6-24 months involved recruited from Puskesmas Pegagan Julu, Dairi District. Variables collected were knowledge, attitude and action of mothers, weight, height, age of children and exclusive breastfeeding consumption. Analyzed was performed through bivariate and multivariate logistic regression. Results a total 28.60% of toddlers were stunted, with significant links found between maternal nutritional knowledge (OR = 0.45, p < 0.05), exclusive breastfeeding for six months (OR = 0.60, p < 0.05), and regular health-seeking behavior (OR = 0.32, p < 0.01), and reduced stunting risk. Conversely, inadequate sanitation facilities were associated with increased stunting prevalence (OR = 2.76, p < 0.01).

Pro-Ecological Consumer Behavior versus Energy Reduction and Sustainable Consumption: A Case from Poland

The concepts of sustainable consumption and production increased in popularity after the World Summit on Sustainable Development in Johannesburg in 2002. Moreover, the focus of attention was turned to the consumer and their key importance in achieving the goals of more sustainable practices. Hence, the main aim of this article is to present the influence of factors related to pro-ecological consumer behaviors on sustainable consumption including energy-use reduction. Epsilon regression was implemented as the research method. This statistical tool enabled the authors to carry out research on such complex phenomena and make the analysis immune to the high correlation among explanatory variables. Moreover, it allowed the authors to consider interactions in the set of diagnostic variables. The research presented in this paper is based on data drawn from the Barometer of Consumer Social Responsibility in Poland for 2022. As the final result of this research, a ranking of pro-ecological consumer behavior factors was constructed. On the one hand, not buying products using excessive packaging can be considered the most important factor of Polish pro-ecological consumer behaviors. On the other hand, trying to choose more ecological products with comparable prices can be regarded as the factor which has the smallest impact. Furthermore, the presented method also allowed for determining the contribution of individual factors to the pro-ecological behavior of consumers.

Distinct impulsivity profiles in subtypes of violence among community-dwelling patients with severe mental disorders: a longitudinal study

BackgroundAlthough only a few patients with severe mental disorders (SMD) can commit violent behaviour in the community, violent behaviour aggravates the stigma towards patients with SMD. Understanding the subtypes of violent behaviour may be beneficial for preventing violent behaviour among patients with SMD, but it has rarely been studied.MethodsThis longitudinal study investigated 1914 patients with SMD in the community at baseline, and the follow-up period ranged from February 2021 to August 2021. The Barratt Impulsiveness Scale Version-11, the Buss-Perry Aggression Questionnaire, the Impulsive/Premeditated Aggression Scale, the Personality Diagnostic Questionnaire and the MacArthur Community Violence Instrument were used at baseline. The Modified Overt Aggression Scale was used to assess the occurrence of violent behaviour (outcome) during the follow-up period. Cox regression models were used to calculate hazard ratios (HRs) with 95% confidence intervals (CIs). Latent class analysis was used to characterise the subtypes of patients with SMD who engaged in violent behaviour at follow-up.ResultsWe found that 7.2% of patients with SMD presented violent behaviour within six months in the community. Younger age (OR = 0.98, 95% CI = 0.96-1.00, p = 0.016) and no economic source (OR = 1.60, 95% CI = 1.10–2.33, p = 0.014) were risk factors for violent behaviour. Patients with SMD who engaged in violent behaviour could be classified into three subtypes: one class characterised by a history of violence and impulsivity, another class characterised by high levels of aggression and motor impulsivity, and the last class characterised by median cognitive impulsivity.ConclusionsSocio-demographic factors were risk factors for violent behaviour among patients with SMD, which could eliminate the discrimination toward this group. Impulsivity played a vital role in identifying the three subtypes of patients with SMD who engaged in violent behaviour. These findings may be helpful for the development of a personalised violence risk management plan for patients with SMD who commit violent behaviour in the community.

Oral health-related quality of life in the Myanmar population: The first national oral health survey 2016 - 2017.

To describe the oral health-related quality of life (OHRQoL) and its potential influencing factors within the Myanmar population. Data were from the first national oral health survey, involving 3,513 participants aged 15-18 years, 35-44 years, and 60-74 years from 21 selected townships in Myanmar. Self-administered questionnaire-based surveys, conducted from December 2016 to January 2017, included socio-demographics, behavioral factors, self-reported oral conditions (number of teeth present, teeth and gingival conditions), and inquiries regarding OHRQoL (a set of 12 questions with 5 response options) using the recommended questions from WHO Oral Health Surveys. The most prevalent oral health issues were difficulties in chewing (32.2%) and biting foods (30.8%). In bivariate analysis, older individuals, rural residents, and participants with higher educational levels were associated with OHRQoL. In multiple regression analysis, self-reported number of teeth, teeth and gingival conditions were strong predictors of OHRQoL in all age groups. Self-rated oral health conditions predicted quality of life due to oral problems. The development of national oral health policies and strategies is imperative to facilitate early detection of oral health problems and promote the awareness of oral health importance.

Cardiovascular health of Brazilian adolescents within the framework of Life's Essential 8: Findings from the ERICA study

The Life's Essential 8 (LE8) is an official cardiovascular health (CVH) assessment tool, however, its use remains limited within the adolescent population. We aim to describe the prevalence of CVH in Brazilian adolescents using the LE8 framework and to analyze its distribution considering sociodemographic factors. The sample comprised 36,956 adolescents aged 12 to 17years, who participated in the Study of Cardiovascular Risks in Adolescents, a nationwide, cross-sectional, school-based study. CVH was assessed by the LE8 score (0-100 points), comprising eight metrics categorized into two domains: health behaviors (diet, physical activity, nicotine exposure, and sleep) and health factors (body mass index, non-HDL cholesterol, blood glucose, and blood pressure). Sociodemographic factors were sex, age, type of school, skin color, and region of residence. The results were expressed as means with 95% confidence intervals (95% CI). The overall average score was 75.8 points (95% CI: 75.3-76.3), classified as moderate CVH. The general score was higher among males (76.8; 95% CI: 76.6-77.7) and younger adolescents (12-14years old) (78.5; 95% CI: 77.7-79.4). The health factors had a higher mean than behavioral factors (87.6, 95% CI: 87.3-87.9 vs. 64.0, 95% CI: 63.3-64.7). The best score was blood glucose (94.7; 95% CI: 94.2-95.2), while the diet score was the lowest (48.5; 95% CI: 46.3-50.6). The CVH of Brazilian adolescents is classified as moderate and varied according to sociodemographic characteristics. Intervention actions should prioritize behavioral factors to improve the LE8 score and consequently prevent cardiovascular events in adulthood.

Protective factors for suicidal behaviour in adults self-reported as LGBTQ+: a study based on modulating variables

Protective factors for suicidal behaviour in adults self-reported as LGBTQ+: a study based on modulating variables

Predictive factors of suicidal behaviors in borderline personality disorder post-discharge: A comprehensive review

Predictive factors of suicidal behaviors in borderline personality disorder post-discharge: A comprehensive review

How does chronic disease influence subjective life expectancy among middle-aged and older adults? Evidence from the China Health and Retirement Longitudinal Study (CHARLS) 2018 cross-sectional data.

Chronic diseases have become one of the most important factors threatening human health. Subjective life expectancy (SLE) describes an individual's expectation or subjective perception of lifespan. This article aims to explore the relationship between chronic diseases and SLE, as well as the differences among different age groups and different types of chronic diseases in this relationship. China Health and Retirement Longitudinal Study (CHARLS) is a nationwide longitudinal study that evaluates the social, economic, and health conditions of middle-aged and older adult families and individuals aged 45 and above in China. In this study, CHARLS used probability proportional to size sampling (PPS sampling) to ensure the breadth and representativeness of the sample. This study selected cross-sectional data from CHARLS 2018, removed missing values, and obtained a valid sample of 10,658 middle-aged and older individuals, of whom 8564 had chronic diseases. After controlling demographic, health behavior, socioeconomic, psychological, and social security factors, an ordered logistic regression was performed to explore the relationship between chronic disease and SLE in middle-aged and older adults. The results show that chronic diseases negatively correlate with SLE in middle-aged and older adults. Middle-aged and older adults with chronic diseases are 36.2% less likely to have high life expectancy than those without chronic diseases. Many different types of chronic diseases are negatively correlated with SLE. Cancer is most negatively correlated with SLE, far exceeding other chronic diseases. Chronic disease and SLE of middle-aged and older adults have age-heterogeneous differences. For middle-aged people aged 45-59 and young older adults aged 60-79, there is a significant correlation between chronic diseases and SLE. However, there is no correlation between chronic diseases and subjective life expectancy in the older population aged 80 and above. The government and society should pay close attention to the prevention and treatment of chronic diseases among middle-aged and older adults and adjust policies and measures according to the population's age structure. In addition, the government and society should pay attention to the spiritual needs of middle-aged and older adults. The government and society should pay more attention to cancer patients. Finally, the scientific research team should also strengthen research on chronic diseases, research and development of specific drugs and vaccines, improve the cure rate of chronic diseases, promote people's health, and make people no longer afraid of diseases.

Assessment of the epidemiological risk factors of diabetic and hypertensive patients amongst the adult population

Background: 93 lakh people in India are undergoing diabetes and hypertension medication. It is true that the most important modifiable risk factors for type 2 diabetes and hypertension today are poor diet, cigarette smoking, and insufficient exercise. NCD-related deaths worldwide will increase by 17% by 2025, costing $47 trillion in lost productivity between 2011 and 2030. Methods: 300 diabetics, hypertensive and diabetic with hypertensive patients were selected from 8 urban wards and 8 rural panchayats of Bhopal by multi-stage random sampling. A semi-structured, pretested and validated questionnaire derived from WHO-STEPS survey was used to collect data in terms of socio-demographic variables, behavioural risk factors measurement and physical measurements. Mean and standard deviations were calculated for quantitative data, frequency and proportions were calculated for qualitative data. Chi-square value was calculated and p value less than 0.05 was considered statistically significant. Results: The mean age was 46.55±2.17 years. DBP found to be 3% more than 39% of males have systolic BP ≥140 mm of Hg. 33.6% fall under obese-I category. Current tobacco smokers, current alcohol consumption, heavy alcohol use, salt intake >5 gm/day, BMI ≥30 (obese-II) was significantly associated with hypertension. Conclusions: The study’s findings indicate that the alarmingly high occurrence of risk factors for diabetes and hypertension among adults need immediate attention. This indicates the need for an extensive screening and awareness campaign to identify undetected cases in the community and to offer early treatment and continuous follow-up to prevent consequences.

A Cross-Sectional Study of Spanish Grindr Users: Sociodemographic Characteristics, Sexual Health Trends, and Attitudes toward HIV Testing.

Men who have sex with men are at an increased risk of acquiring sexually transmitted infections, and although behavioral and contextual interventions have improved, infections continue to spread. Therefore, a new focus on recent trends in sexual health in this population is needed. The aim of this study was to describe the relationship between sociodemographic and behavioral characteristics according to Grindr usage patterns, the prevalence of sexually transmitted infections (STIs), and attitudes toward HIV testing. In January 2020, a cross-sectional study was conducted using a sample of 881 men who have sex with men (MSM) who completed an online questionnaire. We evaluated their Grindr use patterns (moderate or intensive) and explored the associations of these with sociodemographic behavioral characteristics, STIs, and attitudes toward HIV testing. Of 881 participants in total, 587 (66.6%) were intensive Grindr users. Compared to moderate users, these participants reported significantly higher numbers of casual sexual partners (76.2% vs. 23.8%; p < 0.001), were more likely to participate in Chemsex (77.3% vs. 22.7%: p = 0.031), and had a higher self-reported number of STIs (69.9% vs. 30.1; p = 0.046). They also demonstrated better attitudes toward HIV testing (69.7% vs. 30.3%; p = 0.045) and perceived themselves to be at moderate risk of HIV (71.2% vs. 28.8%: p = 0.048). Moreover, intensive Grindr users were 1.36 times more likely than moderate users to test positive for STIs (95%CI = 1.15-1.91; p = 0.048). With some limitations, age, sexual partners, intensive Grindr users, and PrEP uses were associated with the risk of STIs in the sample of Spanish Grindr users studied. As Grindr users are vulnerable to sociodemographic and behavioral factors that determine STIs and HIV infection, mainly among intensive users, it is necessary to highlight the importance of new trends such as online dating apps, PrEP use, substance use in sex, and Chemsex, and these need to be incorporated into online public health strategies.