Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey

Detalhes bibliográficos
Autor(a) principal: Agarwal, H.
Data de Publicação: 2023
Outros Autores: Torres, Thiago Silva, Chung, S., Yeatts, K., Harrison-Quintana, J.
Tipo de documento: Artigo de conferência
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/60650
Resumo: University of North Carolina at Chapel Hill. Chapel Hill, USA.
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spelling Agarwal, H.Torres, Thiago SilvaChung, S.Yeatts, K.Harrison-Quintana, J.2023-10-03T00:01:02Z2023-10-03T00:01:02Z2023AGARWAL, H. et al. Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p.https://www.arca.fiocruz.br/handle/icict/60650engMissed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional surveyOportunidades perdidas de prevenção ao HIV entre minorias sexuais e de gênero on-line na Índia com baixo uso de preparação e baixa precisão percebida de U=U - resultados de uma pesquisa transversal nacionalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/conferenceObjectUniversity of North Carolina at Chapel Hill. Chapel Hill, USA.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.University of North Carolina at Chapel Hill. Chapel Hill, USA.University of North Carolina at Chapel Hill. Chapel Hill, USA.Grindr. West Hollywood, United States.Background: Sexual and gender minorities (SGM) using smartphones to seek partners in India are vulnerable to HIV acquisition as they are outside of the government’s physical-hotspot-focused interventions. As an underreached and under-researched population, little is known about the reach of HIV-related public health messaging and services for this population. We investigated the coverage of contemporary HIV prevention strategies like daily Pre-exposure Prophylaxis (PrEP) and perceived accuracy of Undetectable=Untransmittable (U=U) among to identify the gaps and lost opportunities in the HIV prevention space for online SGMs in India. Methods: We conducted online cross-sectional study (March-April 2022) of Grindr users across 33 states and union territories in India, including individuals =18 years who reported sex with men. Cisgender women were excluded. Associations with perceived U=U accuracy and PrEP use were estimated using adjusted prevalence odds ratios (aPORs) with 95% confidence intervals (95%CI). Results: The median age of 3126 eligible participants who completed the survey was 28 years. 70.6 % (N=2206) identified to be from urban areas. 82.5% (N=2581) self-identified as male, rest identifying as transwomen, hijra, Kinner and other identities. The self-reported HIV prevalence in the sample was 3.1% (N=97). 7% (N=219) of participants reported ever using PrEP, which was associated with higher income (>INR 62,000 aPOR 1.94 [95%CI 1.19, 3.14]), selecting English language for survey (aPOR 1.70 [95%CI 1.21, 2.40]), single relationship status (aPOR2.35 [95%CI 1.45, 4.04]), and use of party drugs (aPOR2.57 [95% CI 1.65, 3.93]). After being provided with the correct definition of U=U, 25% (N=782) perceived it as completely accurate, which was associated with knowing their HIV status (HIV Negative aPOR 1.37 [95%CI 1.1, 1.71], HIV Positive aPOR 3.39 [95%CI 2.11, 5.46]), having awareness of PrEP (aPOR1.58 [95%CI 1.29,1.92]) or have used PrEP (aPOR1.56 [95%CI 1.15, 2.12]) along with use of party drugs (aPOR1.51 [95%CI 1.0 2.10]) and attending LGBTQIA+ events (aPOR1.38 [95%CI 1.1, 1.73]). Conclusions: With low perceived accuracy around U=U and low PrEP use, SGM using smartphones in India are missed by contemporary novel HIV prevention strategies. We recommend incorporating PrEP and U=U in programmatic interventions and adopting innovative digital strategies that could reduce stigma and promote HIV prevention.HIVPrEPSexual and gender minoritiesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/60650/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALMissed HIV prevention_Thiago_Torres_IAS_2023.pdfMissed HIV prevention_Thiago_Torres_IAS_2023.pdfapplication/pdf367252https://www.arca.fiocruz.br/bitstream/icict/60650/2/Missed%20HIV%20prevention_Thiago_Torres_IAS_2023.pdf33a47603ccf3d7767f72567453403338MD52icict/606502023-10-02 21:03:48.056oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-10-03T00:03:48Repositório Institucional da FIOCRUZ (ARCA) - 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dc.title.en_US.fl_str_mv Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
dc.title.alternative.en_US.fl_str_mv Oportunidades perdidas de prevenção ao HIV entre minorias sexuais e de gênero on-line na Índia com baixo uso de preparação e baixa precisão percebida de U=U - resultados de uma pesquisa transversal nacional
title Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
spellingShingle Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
Agarwal, H.
HIV
PrEP
Sexual and gender minorities
title_short Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
title_full Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
title_fullStr Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
title_full_unstemmed Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
title_sort Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey
author Agarwal, H.
author_facet Agarwal, H.
Torres, Thiago Silva
Chung, S.
Yeatts, K.
Harrison-Quintana, J.
author_role author
author2 Torres, Thiago Silva
Chung, S.
Yeatts, K.
Harrison-Quintana, J.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Agarwal, H.
Torres, Thiago Silva
Chung, S.
Yeatts, K.
Harrison-Quintana, J.
dc.subject.en.en_US.fl_str_mv HIV
PrEP
Sexual and gender minorities
topic HIV
PrEP
Sexual and gender minorities
description University of North Carolina at Chapel Hill. Chapel Hill, USA.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-10-03T00:01:02Z
dc.date.available.fl_str_mv 2023-10-03T00:01:02Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/conferenceObject
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dc.identifier.citation.fl_str_mv AGARWAL, H. et al. Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/60650
identifier_str_mv AGARWAL, H. et al. Missed HIV prevention opportunities among online sexual and gender minorities in India with low PrEP use and low perceived accuracy of U=U – results from a national cross-sectional survey. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p.
url https://www.arca.fiocruz.br/handle/icict/60650
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/60650/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/60650/2/Missed%20HIV%20prevention_Thiago_Torres_IAS_2023.pdf
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