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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
Autor
De Boni, Raquel B.
Veloso, Valdiléa G.
Fernandes, Nilo Martinez
Lessa, Flavia
Corrêa, Renato Girade
Lima, Renato De Souza
Cruz, Marly Marques da
Oliveira, Juliane
Nogueira, Simone Muniz
Jesus, Beto de
Reis, Toni
Lentini, Nena
Miranda, Raquel Lima
Bingham, Trista
Johnson, Cheryl C.
Barbosa Junior, Aristides
Grinsztejn, Beatriz
Veloso, Valdiléa G.
Fernandes, Nilo Martinez
Lessa, Flavia
Corrêa, Renato Girade
Lima, Renato De Souza
Cruz, Marly Marques da
Oliveira, Juliane
Nogueira, Simone Muniz
Jesus, Beto de
Reis, Toni
Lentini, Nena
Miranda, Raquel Lima
Bingham, Trista
Johnson, Cheryl C.
Barbosa Junior, Aristides
Grinsztejn, Beatriz
Afiliación
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Ministry of Health. National Department of STI, AIDS, and Viral Hepatitis. Brasília, DF, Brazil.
Ministry of Health. National Department of STI, AIDS, and Viral Hepatitis. Brasília, DF, Brazil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde Curitiba. Curitiba, PR, Brasil.
Secretaria Municipal de Saúde Curitiba. Curitiba, PR, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Grupo Dignidade. Curitiba, PR, Brasil.
Centers for Disease Control and Prevention-Brazil, Brasilia, DF, Brazil.
Centers for Disease Control and Prevention-Brazil. Brasilia, DF, Brazil.
Centers for Disease Control and Prevention. Center for Global Health. Division of Global HIV & TB. Atlanta, GA, USA.
World Health Organization. HIV Department. Geneva, Switzerland.
Centers for Disease Control and Prevention-Brazil. Brasilia, DF, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Ministry of Health. National Department of STI, AIDS, and Viral Hepatitis. Brasília, DF, Brazil.
Ministry of Health. National Department of STI, AIDS, and Viral Hepatitis. Brasília, DF, Brazil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde Curitiba. Curitiba, PR, Brasil.
Secretaria Municipal de Saúde Curitiba. Curitiba, PR, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Grupo Dignidade. Curitiba, PR, Brasil.
Centers for Disease Control and Prevention-Brazil, Brasilia, DF, Brazil.
Centers for Disease Control and Prevention-Brazil. Brasilia, DF, Brazil.
Centers for Disease Control and Prevention. Center for Global Health. Division of Global HIV & TB. Atlanta, GA, USA.
World Health Organization. HIV Department. Geneva, Switzerland.
Centers for Disease Control and Prevention-Brazil. Brasilia, DF, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Resumen en ingles
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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