Acceptability of self-conducted home-based HIV testing among men who have sex with men in Brazil: data from an on-line survey.

Acceptability of self-conducted home-based HIV testing among men who have sex with men in Brazil: data from an on-line survey.
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DOI:
10.1590/0102-311x00008913
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发表时间:
2014-04
影响因子:
2.8
通讯作者:
Grinsztejn B
Grinsztejn B
中科院分区:
医学4区
文献类型:
--
作者:
Lippman SA;Périssé AR;Veloso VG;Sullivan PS;Buchbinder S;Sineath RC;Grinsztejn B

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巴西的艾滋病毒/艾滋病流行病集中在男男性行为者中,但男男性行为者的艾滋病毒检测率与其风险不相称。扩大早期诊断的策略可能包括使用自我指导的家庭检测试剂盒,这些试剂盒现在可在美国购买。2011年4月,我们使用Facebook对巴西MSM进行了一项调查,以评估艾滋病毒检测的偏好和家庭检测的可接受性。在356个先前测试过的HIV阴性男男性接触者中,47%的人报告说他们更喜欢家庭测试,27%的人更喜欢诊所测试,26%的人没有偏好。不太频繁的测试者和那些考虑过测试但没有测试的人更倾向于在家测试。近90%的人报告说,他们将使用自我检测试剂盒; 62%和54%的人表示,他们将使用家庭检测来选择与常规和新伴侣进行无保护性行为。担心的问题包括难以理解测试(32%)和仅接收结果(23%)。总的来说,基于家庭的测试可能会吸引男男性接触者,并导致测试频率增加。需要对自测的可行性和实际应用进行研究。
The Brazilian HIV/AIDS epidemic is concentrated among men who have sex with men (MSM), however HIV testing rates among MSM are not commensurate with their risk. Strategies to expand early diagnosis may include use of self-conducted home-based testing kits, which are now available for purchase in the US. In April 2011 we conducted a survey with Brazilian MSM using Facebook to assess HIV testing preferences and acceptability of home-based testing. Among 356 previously tested, HIV-negative MSM, 47% reported a preference for home-based testing, 27% preferred clinic-based testing, and 26% had no preference. Less frequent testers and those who had considered testing but failed to test were more likely to prefer home-based testing. Close to 90% reported that they would use self-test kits; 62% and 54% said they would use home-based testing to make choices about unprotected sex with regular and new partners, respectively. Concerns included difficulty to understand the tests (32%) and receiving results alone (23%). Overall, home-based testing may appeal to MSM and result in increased testing frequency. Research on feasibility and utilization of self-tests in practice is needed.
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