High acceptability of PrEP teleconsultation and HIV self-testing among PrEP users during the COVID-19 pandemic in Brazil.
High acceptability of PrEP teleconsultation and HIV self-testing among PrEP users during the COVID-19 pandemic in Brazil.
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DOI：
10.1016/j.bjid.2020.11.002
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Grinsztejn B
中科院分区：
文献类型：
--
作者：
Hoagland B;Torres TS;Bezerra DRB;Benedetti M;Pimenta C;Veloso VG;Grinsztejn B
2020 年 3 月，巴西公共卫生服务部门采用了远程医疗和艾滋病毒自检，以最大程度地减少 COVID-19 大流行期间暴露前预防 (PrEP) 获取和交付的干扰。为了了解 PrEP 远程咨询和 HIV 自我检测的可接受性，我们在社交距离期间（2020 年 4 月至 5 月）对使用社交媒体的男男性行为者和跨性别/非二元个体进行了一项基于网络的研究。在 2375 名 HIV 阴性受访者中，有 680 名报告了 PrEP 使用情况并被纳入本次分析。中位年龄为 33 岁（IQR：28-40），98% 为顺性别男性，56% 为白人，74% 受过高等教育，68% 为中高收入。 79% 的人愿意使用 HIVST，32% 的人在保持社交距离期间接受了 HIV 自检。大多数人表示更喜欢 PrEP/HIV 自检送货上门，而不是在服务机构领取。 21% 的人经历过 PrEP 远程咨询，大多数人表示对程序感到满意。据报道，PrEP 远程咨询的接受度高达 70%。在序数逻辑模型中，受过高等教育与 PrEP 远程会诊的高接受度相关（aOR：1.62；95%CI：1.07-2.45）。我们的结果指出，巴西的 PrEP 服务可以实施 PrEP 远程咨询和 PrEP/HIV 自检上门服务，以避免在 COVID-19 大流行期间以及此后提高保留率和依从性的选择。
In March 2020, telemedicine and HIV self-testing were adopted by Brazilian Public Health services to minimize disruptions in pre-exposure prophylaxis (PrEP) access and delivery during the COVID-19 pandemic. To understand the acceptability of PrEP teleconsultation and HIV self-testing, we conducted a web-based study during social distancing period (April–May, 2020) among men who have sex with men and transgender/non-binary individuals using social media. Out of the 2375 HIV negative respondents, 680 reported PrEP use and were included in this analysis. Median age was 33 years (IQR: 28–40), 98% cisgender men, 56% white, 74% high education, and 68% middle/high income. Willingness to use HIVST was 79% and 32% received an HIV self-testing during social distancing period. The majority reported preference for PrEP/HIV self-testing home delivery instead of collecting at the service. PrEP teleconsultation was experienced by 21% and most reported feeling satisfied with the procedures. High acceptability of PrEP teleconsultation was reported by 70%. In ordinal logistic model, having higher education was associated with high aceptability of PrEP teleconsultation (aOR:1.62; 95%CI: 1.07–2.45). Our results point out that PrEP teleconsultation and PrEP/HIV self-testing home delivery could be implemented by PrEP services in Brazil to avoid PrEP shortage during the COVID-19 pandemic and thereafter as an option to increase retention and adherence.
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影响因子：
8.5
作者：
Torres, Thiago Silva;Konda, Kelika A.;Veloso, Valdilea G.
通讯作者：
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影响因子：
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影响因子：
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作者：
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