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Awareness, willingness and barriers to HIV self-testing (HIVST) among men who have sex with men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional study

dc.creatorElorreaga, Oliver A.es_ES
dc.creatorTorres, Thiago S.es_ES
dc.creatorVega-Ramírez, E. Hamides_ES
dc.creatorKonda, Kelika A.es_ES
dc.creatorHoagland, Brendaes_ES
dc.creatorBenedetti, Marcoses_ES
dc.creatorPimenta, Cristinaes_ES
dc.creatorDiaz-Sosa, Dulcees_ES
dc.creatorRobles-Garcia, Rebecaes_ES
dc.creatorGrinsztejn, Beatrizes_ES
dc.creatorCaceres, Carlos F.es_ES
dc.creatorVeloso, Valdilea G.es_ES
dc.date2022
dc.date.accessioned2024-11-22T20:42:37Z
dc.date.available2024-11-22T20:42:37Z
dc.date.issued2022
dc.identifierJC69DIEP22es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8117
dc.identifier.urihttps://doi.org/10.1371/journal.pgph.0000678
dc.descriptionHIV self-testing (HIVST) is an essential tool within the combined HIV prevention package and has been available in Latin America since 2015. However, HIVST use among key populations remains low. This study describes awareness, willingness, and barriers to HIVST among MSM in Brazil, Mexico, and Peru. A cross-sectional web-based survey was advertised in two geosocial networking apps (Grindr and Hornet) and Facebook in 2018. We included cisgender men ≥18 years old who self-reported HIV-negative status. We used multivariable Poisson regression models to calculate adjusted prevalence ratios (aPR) to assess the factors associated with willingness to use HIVST for each country. A total of 18,916 completed the survey, 59% from Brazil, 30% from Mexico, and 11% from Peru. Overall, 20% of MSM had never tested for HIV. Awareness and willingness to use HIVST were higher in Brazil than in Peru and Mexico (p < .001). Across the countries, the patterns of association of willingness with HIVST barriers were similar. Most participants think post-test counseling is essential and that dealing with a positive result would be difficult (aPR 1.13 to 1.37, range of aPRs across the three countries). Having the knowledge to deal with a positive HIVST resulted in increased willingness to use HIVST (aPR range: 1.11 to 1.22), while a lack of trust in HIVST compared to HIV testing in clinics was inversely associated (aPR range: 0.80 to 0.90). In general, willingness to use HIVST was associated with higher income (aPR range: 1.49 to 1.97), higher education (aPR range: 1.13 to 1.42), and willingness to use PrEP (aPR range: 1.19 to 1.72). Efforts to increase HIVST knowledge and resolve perceived barriers are warranted, especially among MSM with lower income and education from Brazil, Mexico, and Peru. Personalized virtual counseling could be crucial among this population. In addition, those willing to use HIVST are also willing to use PrEP. It indicates that HIVST delivery could be incorporated into PrEP programs within the Brazilian Public Health System and eventually in Mexico and Peru.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation2(7):e0000678
dc.rightsAcceso Cerradoes_ES
dc.titleAwareness, willingness and barriers to HIV self-testing (HIVST) among men who have sex with men (MSM) in Brazil, Mexico, and Peru: a web-based cross-sectional studyes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationCentro de Investigación Interdisciplinaria en Sexualidad Sida y Sociedad, UPCH, Lima, Peru
dc.contributor.emailoliverelo@gmail.com
dc.relation.jnabreviadoPLOS GLOB PUBLIC HEALTH
dc.relation.journalPLOS Global Public Health
dc.identifier.placeEstados Unidos
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2767-3375
dc.identifier.doi10.1371/journal.pgph.0000678


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