Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/217176 |
Resumo: | Background: Brazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result. Methods: Respondent-driven sampling (RDS) was used to recruit 4176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times). Results: For this analysis, 3605 MSM were included. The acceptability of HIVST was 49.1%, lower among those who had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBTNGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability. Conclusions: The acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM. |
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Magno, LaioLeal, Andrea FachelKnauth, Daniela RivaDourado, InêsGuimarães, Mark Drew CroslandSantana, Elis PassosGomes, Tiago Jordão de Freitas PinheiroRocha, Gustavo MachadoVeras, Maria AméliaKendall, CarlPontes, Alexandre KerrBrito, Ana Maria deKerr, Ligia Regina Franco SansigoloThe Brazilian HIV/MSM Surveillance Group2021-01-09T04:18:48Z20201471-2334http://hdl.handle.net/10183/217176001120195Background: Brazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result. Methods: Respondent-driven sampling (RDS) was used to recruit 4176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times). Results: For this analysis, 3605 MSM were included. The acceptability of HIVST was 49.1%, lower among those who had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBTNGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability. Conclusions: The acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM.application/pdfengBMC Infectious Diseases. [London, UK]. Vol. 20 (2020), 865, p. 1-10HomensMinorias sexuais e de gêneroHIVSociologiaMedicinaBrasilHIV self-testAcceptabilityHIV testingMen who have sex with menRespondent-driven samplingBrazilAcceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in BrazilEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001120195.pdf.txt001120195.pdf.txtExtracted Texttext/plain52022http://www.lume.ufrgs.br/bitstream/10183/217176/2/001120195.pdf.txt5dcf48e14a719d033c4b66e594aed5cdMD52ORIGINAL001120195.pdfTexto completo (inglês)application/pdf589498http://www.lume.ufrgs.br/bitstream/10183/217176/1/001120195.pdfe4fc46ca23553113c4f9a010032fcb3aMD5110183/2171762023-10-20 03:36:42.072342oai:www.lume.ufrgs.br:10183/217176Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-10-20T06:36:42Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
title |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
spellingShingle |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil Magno, Laio Homens Minorias sexuais e de gênero HIV Sociologia Medicina Brasil HIV self-test Acceptability HIV testing Men who have sex with men Respondent-driven sampling Brazil |
title_short |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
title_full |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
title_fullStr |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
title_full_unstemmed |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
title_sort |
Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV : a study with respondent-driven sampling in Brazil |
author |
Magno, Laio |
author_facet |
Magno, Laio Leal, Andrea Fachel Knauth, Daniela Riva Dourado, Inês Guimarães, Mark Drew Crosland Santana, Elis Passos Gomes, Tiago Jordão de Freitas Pinheiro Rocha, Gustavo Machado Veras, Maria Amélia Kendall, Carl Pontes, Alexandre Kerr Brito, Ana Maria de Kerr, Ligia Regina Franco Sansigolo The Brazilian HIV/MSM Surveillance Group |
author_role |
author |
author2 |
Leal, Andrea Fachel Knauth, Daniela Riva Dourado, Inês Guimarães, Mark Drew Crosland Santana, Elis Passos Gomes, Tiago Jordão de Freitas Pinheiro Rocha, Gustavo Machado Veras, Maria Amélia Kendall, Carl Pontes, Alexandre Kerr Brito, Ana Maria de Kerr, Ligia Regina Franco Sansigolo The Brazilian HIV/MSM Surveillance Group |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Magno, Laio Leal, Andrea Fachel Knauth, Daniela Riva Dourado, Inês Guimarães, Mark Drew Crosland Santana, Elis Passos Gomes, Tiago Jordão de Freitas Pinheiro Rocha, Gustavo Machado Veras, Maria Amélia Kendall, Carl Pontes, Alexandre Kerr Brito, Ana Maria de Kerr, Ligia Regina Franco Sansigolo The Brazilian HIV/MSM Surveillance Group |
dc.subject.por.fl_str_mv |
Homens Minorias sexuais e de gênero HIV Sociologia Medicina Brasil |
topic |
Homens Minorias sexuais e de gênero HIV Sociologia Medicina Brasil HIV self-test Acceptability HIV testing Men who have sex with men Respondent-driven sampling Brazil |
dc.subject.eng.fl_str_mv |
HIV self-test Acceptability HIV testing Men who have sex with men Respondent-driven sampling Brazil |
description |
Background: Brazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result. Methods: Respondent-driven sampling (RDS) was used to recruit 4176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times). Results: For this analysis, 3605 MSM were included. The acceptability of HIVST was 49.1%, lower among those who had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBTNGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability. Conclusions: The acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2021-01-09T04:18:48Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/217176 |
dc.identifier.issn.pt_BR.fl_str_mv |
1471-2334 |
dc.identifier.nrb.pt_BR.fl_str_mv |
001120195 |
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1471-2334 001120195 |
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http://hdl.handle.net/10183/217176 |
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eng |
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eng |
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BMC Infectious Diseases. [London, UK]. Vol. 20 (2020), 865, p. 1-10 |
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