| Author | De Boni, Raquel B. | |
| Author | Veloso, Valdiléa G. | |
| Author | Fernandes, Nilo Martinez | |
| Author | Lessa, Flavia | |
| Author | Corrêa, Renato Girade | |
| Author | Lima, Renato De Souza | |
| Author | Cruz, Marly Marques da | |
| Author | Oliveira, Juliane | |
| Author | Nogueira, Simone Muniz | |
| Author | Jesus, Beto de | |
| Author | Reis, Toni | |
| Author | Lentini, Nena | |
| Author | Miranda, Raquel Lima | |
| Author | Bingham, Trista | |
| Author | Johnson, Cheryl C. | |
| Author | Barbosa Junior, Aristides | |
| Author | Grinsztejn, Beatriz | |
| Access date | 2019-08-14T18:49:00Z | |
| Available date | 2019-08-14T18:49:00Z | |
| Document date | 2019 | |
| Citation | DE BONI, Raquel Brandini et al. 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. Journal of Medical Internet Research, v. 21, n. 8, p. 1-15, 2019. | pt_BR |
| ISSN | 1439-4456 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/34829 | |
| Language | eng | pt_BR |
| Publisher | JMIR Publications | pt_BR |
| Rights | open access | pt_BR |
| Title | 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 | pt_BR |
| Type | Article | |
| DOI | 10.2196/14145 | |
| Abstract | 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. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Ministry of Health. National Department of STI, AIDS, and Viral Hepatitis. Brasília, DF, Brazil. | pt_BR |
| Affilliation | Ministry of Health. National Department of STI, AIDS, and Viral Hepatitis. Brasília, DF, Brazil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Secretaria Municipal de Saúde Curitiba. Curitiba, PR, Brasil. | pt_BR |
| Affilliation | Secretaria Municipal de Saúde Curitiba. Curitiba, PR, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Grupo Dignidade. Curitiba, PR, Brasil. | pt_BR |
| Affilliation | Centers for Disease Control and Prevention-Brazil, Brasilia, DF, Brazil. | pt_BR |
| Affilliation | Centers for Disease Control and Prevention-Brazil. Brasilia, DF, Brazil. | pt_BR |
| Affilliation | Centers for Disease Control and Prevention. Center for Global Health. Division of Global HIV & TB. Atlanta, GA, USA. | pt_BR |
| Affilliation | World Health Organization. HIV Department. Geneva, Switzerland. | pt_BR |
| Affilliation | Centers for Disease Control and Prevention-Brazil. Brasilia, DF, Brazil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Subject | HIV self-testing | pt_BR |
| Subject | HIV/AIDS | pt_BR |
| Subject | Key populations | pt_BR |
| Subject | Men | pt_BR |
| Subject | Mobile health | pt_BR |
