Self‐testing, communication and information technology to promote <scp>HIV</scp> diagnosis among young gay and other men who have sex with men (<scp>MSM</scp>) in Brazil

Boni, Raquel Brandini De; Lentini, Nena; Santelli, A. C. F. S.; Barbosa, Aristides; Cruz, Marly Marques da; Bingham, Trista; Cota, Vanda Lúcia; Corrêa, Renato Girade; Veloso, Valdiléa G.; Grinsztejn, Beatriz

doi:10.1002/jia2.25116

Cited by 21 publications

(24 citation statements)

References 7 publications

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“…On testing, low risk perception has been shown highly discordant to actual risk taking behavior [42,43], which certainly hinders its use. We need to expand the adoption of new testing platforms, such as self-testing in Latin America [2], local studies have shown its feasibility and acceptability [57,58]. On treatment, late treatment initiation and suboptimal adherence are significant challenges for which solutions are needed.…”

Section: Resultsmentioning

confidence: 99%

The HIV epidemic in Latin America

Luz

Veloso

Grinsztejn

2019

Current Opinion in HIV and AIDS

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Purpose of review To describe how countries in Latin America and the Caribbean are (or are not) meeting 2016 WHO guidelines on the use of antiretroviral drugs for treating and preventing HIV infection, that is, their progress on the adoption of ‘Treat All’ and of preexposure prophylaxis (PrEP) as an additional prevention tool for people at substantial risk of HIV infection. Recent findings The HIV epidemic in the region continues largely concentrated in vulnerable populations with MSM and transgender women (TGW) suffering the highest burden. On treatment, the challenges of late initiation as well as suboptimal adherence persist. On prevention, recent studies on PrEP willingness in key populations show promising results, meanwhile PrEP implementation projects as well as actual PrEP adoption by national health systems is expanding. A glimpse of real-world PrEP uptake is shown through Brazil's first-year experience of offering PrEP in multiple cities in all regions of the country. Summary In conclusion, accomplishments have been made though challenges for fully addressing the HIV epidemic persist. The impact of both treatment and PrEP will be limited by the availability and prompt use of all services, including HIV testing.

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Section: Resultsmentioning

confidence: 99%

The HIV epidemic in Latin America

Luz

Veloso

Grinsztejn

2019

Current Opinion in HIV and AIDS

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“…The AHA program counted on an extensive communications plan to increase HIV testing and target young MSM [26]. The appropriateness of the communications strategy was piloted in focus groups including the target population, conducted in the preformative research (which also mapped the main MSM gathering sites and possible community partners to the program).…”

Section: Methodsmentioning

confidence: 99%

An Internet-Based HIV Self-Testing Program to Increase HIV Testing Uptake Among Men Who Have Sex With Men in Brazil: Descriptive Cross-Sectional Analysis

et al. 2019

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Background Approximately 30% of people living with HIV worldwide are estimated to be unaware of their infection. HIV self-testing (HIVST) is a strategy recommended by the World Health Organization to increase access to and uptake of testing among key populations who are at high risk for HIV infection. Objective This study aimed to describe the development and feasibility of a free, anonymous, internet-based HIVST strategy designed for men who have sex with men in Curitiba, Brazil (electronic testing [e-testing]). Methods The project was developed under the scope of the “A Hora é Agora” (The Time is Now) program. Individuals aiming to request an HIVST package (two tests each) answered an anonymous 5-minute questionnaire regarding inclusion criteria and sexual risk behavior. Eligible individuals could receive one package every 6 months for free. Website analytics, response to online questionnaires, package distribution, and return of test results were monitored via a platform-integrated system. Results Between February 2015 and January 2016, the website documented 17,786 unique visitors and 3218 completed online questionnaires. Most individuals self-reported being white (77.0%), young (median age: 25 years, interquartile range: 22-31 years), educated (87.3% completed secondary education or more), and previously tested for HIV (62.5%). Overall, 2526 HIVST packages were delivered; of those, 542 (21.4%) reported a result online or by mail (23 reactive and 11 invalid). During the study period, 37 individuals who reported using e-testing visited the prespecified health facility for confirmatory testing (30 positive, 7 negative). Conclusions E-testing proved highly feasible and acceptable in this study, thus supporting scale-up to additional centers for men who have sex with men in Brazil.

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“…Results of an innovative HIV self‐testing component within a broader, community‐wide implementation science project in Curitiba, Brazil demonstrated feasibility and improved HIV diagnosis among young MSM who had not previously tested for HIV . Based on their findings, De Boni et al .…”

Section: Taking Community‐led Programming Across the Continuum To Scalementioning

confidence: 99%

Building the evidence base to optimize the impact of key population programming across the HIV cascade

et al. 2018

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Self‐testing, communication and information technology to promote HIV diagnosis among young gay and other men who have sex with men (MSM) in Brazil

Cited by 21 publications

References 7 publications

The HIV epidemic in Latin America

The HIV epidemic in Latin America

An Internet-Based HIV Self-Testing Program to Increase HIV Testing Uptake Among Men Who Have Sex With Men in Brazil: Descriptive Cross-Sectional Analysis

Building the evidence base to optimize the impact of key population programming across the HIV cascade

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