HIV testing and HIV knowledge among men who have sex with men in Natal, Northeast Brazil

Bay, Mônica Baumgardt; Freitas, Marise Reis de; Lucas, Márcia Cavalcante Vinhas; Souza, Elizabeth Cristina Fagundes de; Roncalli, Ângelo Giuseppe

doi:10.1016/j.bjid.2019.01.003

Cited by 12 publications

(8 citation statements)

References 23 publications

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“…Recently, HIV testing has been made available in Primary Health Care (PHC) clinics in the Brazilian National Health System (Sistema Único de Saúde: SUS) [16]. However, the primary beneficiaries of this program are pregnant women [17], and coverage among sexual minorities remains low [18,19]. Stigma and discrimination towards MSM in Brazil are high, and is considered a barrier to HIV testing [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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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 12 months 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 (LGBT-NGO), 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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Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…These data corroborate other research by stating that age, schooling and HIV testing increase the knowledge on how to confront the epidemic. 4,19,21,22 It should be noted that HIV testing involves access to health services and pre-and post-test counseling, which may have contributed to increased education of this group.…”

Section: Discussionmentioning

confidence: 99%

Testagem para o HIV e profilaxia pós-exposição entre homens que fazem/ não fazem sexo com homens

et al. 2021

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Resumo Objetivos identificar a realização da testagem para o HIV e o conhecimento sobre profilaxia pós-exposição (PEP) entre homens; e comparar os dados entre homens que fazem (ou não) sexo com homens. Método estudo transversal realizado com 271 homens participantes do carnaval no Rio de Janeiro, selecionados através da amostragem por conveniência. Os dados foram coletados no sambódromo, com auxílio de um questionário em fevereiro de 2017. A análise foi realizada por meio do software SPSS. Resultados houve disparidades na realização de testagem para o HIV e conhecimentos sobre PEP entre homens que fazem (ou não) sexo com homens. Homens que fazem sexo com homens possuem comportamentos e conhecimento melhores de enfrentamento ao HIV. Conclusão e implicações para a prática as políticas de enfrentamento ao HIV têm conseguido alcançar uma das populações-chave da epidemia, os homens que fazem sexo com homens, contudo homens que não fazem sexo com homens continuam vulneráveis.

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“…Recently, HIV test is available in Primary Health Care (PHC) clinics of the Brazilian National Health System (SUS) [16]. However, the bene t of this program is mainly for pregnant women [17], and the coverage among sexual minorities remains low [18,19]. Stigma and discrimination towards MSM in Brazil are high and one of the barrier to access health care services and HIV test especially at PHC [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

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Leal

Knauth

et al. 2020

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Background : Brazil has a substantial population living with HIV (PLWH) who are still unaware of their serostatus and has recently added HIV self-test (HIVST) into its public health system for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and its associated factors among those who had never been tested or had a previous HIV negative result. Methods : Respondent-driven sampling (RDS) was used for behavioral and biological surveillance to recruit 4,176 MSM in 12 Brazilian cities in 2016. 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 : We included 3,605 MSM who did not previously know they were PLWH. The acceptability of HIVST was 49.1%, lower among those had never tested compared to those who had a previous HIV negative test. In the subgroup of MSM who had never had an HIV test, those who reported discrimination and who had a medical appointment in the last 12 months reported higher HIVST acceptability. Among MSM who had a previous HIV negative test, only those reporting condomless receptive anal sex had greater HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in LGBT nongovernmental organizations, and complete secondary or incomplete higher school were associated with greater acceptability in both groups. Conclusions : The findings highlight that it is necessary to improve information about HIVST among the most vulnerable MSM in Brazil. Given the acceptability of self-testing and its current promotion in Brazil, we can also point to the need for policies that build on this and enhance timely access to health services and prevention information.

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HIV testing and HIV knowledge among men who have sex with men in Natal, Northeast Brazil

Cited by 12 publications

References 23 publications

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

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

Testagem para o HIV e profilaxia pós-exposição entre homens que fazem/ não fazem sexo com homens

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

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