Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Elorreaga, Oliver A.
Data de Publicação: 2022
Outros Autores: Torres, Thiago S., Vega-Ramirez, E. Hamid, Konda, Kelika A., Hoagland, Brenda, Benedetti, Marcos, Pimenta, Cristina, Diaz-Sosa, Dulce, Robles-Garcia, Rebeca, Grinsztejn, Beatriz, Caceres, Carlos F., Veloso, Valdiléa G.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/57200
Resumo: This project was made possible thanks to funding and support from Unitaid. Unitaid accelerates access to innovative health products and lays the foundations for their scale-up by countries and partners. Unitaid is a hosted partnership of the WHO. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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spelling Elorreaga, Oliver A.Torres, Thiago S.Vega-Ramirez, E. HamidKonda, Kelika A.Hoagland, BrendaBenedetti, MarcosPimenta, CristinaDiaz-Sosa, DulceRobles-Garcia, RebecaGrinsztejn, BeatrizCaceres, Carlos F.Veloso, Valdiléa G.2023-03-03T11:58:33Z2023-03-03T11:58:33Z2022ELORREAGA, Oliver A. et al. Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study. PLOS Global Public Health, v. 2, n. 7, p. 1-18, Jul. 2022.2767-3375https://www.arca.fiocruz.br/handle/icict/5720010.1371/journal.pgph.0000678This project was made possible thanks to funding and support from Unitaid. Unitaid accelerates access to innovative health products and lays the foundations for their scale-up by countries and partners. Unitaid is a hosted partnership of the WHO. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. Lima, Peru.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.National Institute of Psychiatry Ramon de la Fuente Muñiz. Mexico DF, Mexico.Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. Lima, Peru.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.National Institute of Psychiatry Ramon de la Fuente Muñiz. Mexico DF, Mexico.National Institute of Psychiatry Ramon de la Fuente Muñiz. Mexico DF, Mexico.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Centro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad. Lima, Peru.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.HIV self-testing (HIVST) is an essential tool within the combined HIV prevention package and has been available in Latin America since 2015. However, HIVST use among key populations remains low. This study describes awareness, willingness, and barriers to HIVST among MSM in Brazil, Mexico, and Peru. A cross-sectional web-based survey was advertised in two geosocial networking apps (Grindr and Hornet) and Facebook in 2018. We included cisgender men ≥18 years old who self-reported HIV-negative status. We used multivariable Poisson regression models to calculate adjusted prevalence ratios (aPR) to assess the factors associated with willingness to use HIVST for each country. A total of 18,916 completed the survey, 59% from Brazil, 30% from Mexico, and 11% from Peru. Overall, 20% of MSM had never tested for HIV. Awareness and willingness to use HIVST were higher in Brazil than in Peru and Mexico (p < .001). Across the countries, the patterns of association of willingness with HIVST barriers were similar. Most participants think post-test counseling is essential and that dealing with a positive result would be difficult (aPR 1.13 to 1.37, range of aPRs across the three countries). Having the knowledge to deal with a positive HIVST resulted in increased willingness to use HIVST (aPR range: 1.11 to 1.22), while a lack of trust in HIVST compared to HIV testing in clinics was inversely associated (aPR range: 0.80 to 0.90). In general, willingness to use HIVST was associated with higher income (aPR range: 1.49 to 1.97), higher education (aPR range: 1.13 to 1.42), and willingness to use PrEP (aPR range: 1.19 to 1.72). Efforts to increase HIVST knowledge and resolve perceived barriers are warranted, especially among MSM with lower income and education from Brazil, Mexico, and Peru. Personalized virtual counseling could be crucial among this population. In addition, those willing to use HIVST are also willing to use PrEP. It indicates that HIVST delivery could be incorporated into PrEP programs within the Brazilian Public Health System and eventually in Mexico and Peru.engPublic Library of ScienceAwareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHIV self-testing (HIVST)Men who Have Sex with Men (MSM)HIVHIV infectionsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/57200/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Oliver_Elorreaga_etal_INI_2022.pdfve_Oliver_Elorreaga_etal_INI_2022.pdfapplication/pdf1472347https://www.arca.fiocruz.br/bitstream/icict/57200/2/ve_Oliver_Elorreaga_etal_INI_2022.pdf52d4858eefb08a71139749a23c976499MD52icict/572002023-05-18 22:12:45.998oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-05-19T01:12:45Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
title Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
spellingShingle Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
Elorreaga, Oliver A.
HIV self-testing (HIVST)
Men who Have Sex with Men (MSM)
HIV
HIV infections
title_short Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
title_full Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
title_fullStr Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
title_full_unstemmed Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
title_sort Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study
author Elorreaga, Oliver A.
author_facet Elorreaga, Oliver A.
Torres, Thiago S.
Vega-Ramirez, E. Hamid
Konda, Kelika A.
Hoagland, Brenda
Benedetti, Marcos
Pimenta, Cristina
Diaz-Sosa, Dulce
Robles-Garcia, Rebeca
Grinsztejn, Beatriz
Caceres, Carlos F.
Veloso, Valdiléa G.
author_role author
author2 Torres, Thiago S.
Vega-Ramirez, E. Hamid
Konda, Kelika A.
Hoagland, Brenda
Benedetti, Marcos
Pimenta, Cristina
Diaz-Sosa, Dulce
Robles-Garcia, Rebeca
Grinsztejn, Beatriz
Caceres, Carlos F.
Veloso, Valdiléa G.
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Elorreaga, Oliver A.
Torres, Thiago S.
Vega-Ramirez, E. Hamid
Konda, Kelika A.
Hoagland, Brenda
Benedetti, Marcos
Pimenta, Cristina
Diaz-Sosa, Dulce
Robles-Garcia, Rebeca
Grinsztejn, Beatriz
Caceres, Carlos F.
Veloso, Valdiléa G.
dc.subject.en.none.fl_str_mv HIV self-testing (HIVST)
Men who Have Sex with Men (MSM)
HIV
HIV infections
topic HIV self-testing (HIVST)
Men who Have Sex with Men (MSM)
HIV
HIV infections
description This project was made possible thanks to funding and support from Unitaid. Unitaid accelerates access to innovative health products and lays the foundations for their scale-up by countries and partners. Unitaid is a hosted partnership of the WHO. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
publishDate 2022
dc.date.issued.fl_str_mv 2022
dc.date.accessioned.fl_str_mv 2023-03-03T11:58:33Z
dc.date.available.fl_str_mv 2023-03-03T11:58:33Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv ELORREAGA, Oliver A. et al. Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study. PLOS Global Public Health, v. 2, n. 7, p. 1-18, Jul. 2022.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/57200
dc.identifier.issn.none.fl_str_mv 2767-3375
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pgph.0000678
identifier_str_mv ELORREAGA, Oliver A. et al. Awareness, willingness and barriers to HIV Self-testing (HIVST) among Men who Have Sex with Men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study. PLOS Global Public Health, v. 2, n. 7, p. 1-18, Jul. 2022.
2767-3375
10.1371/journal.pgph.0000678
url https://www.arca.fiocruz.br/handle/icict/57200
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Public Library of Science
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