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A Hora e agora: e-testing update


Author
Veloso et al.

Publication year

Country

Type of approach
Community-based

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
1079

UNAIDS HIV prevalence (2017)
0.6 [0.4-0.8]

Methodology
Feasibility study to evaluate an HIVST internet platform (e-testing) where participants complete a short questionnaire. The study provided each participant with two oral fluid-based HIVST kits by mail or pick-up in a pharmacy. Participants were also provided with condoms, lubricant, written test instructions, and a pre-paid card for returning the test results. Instructions to perform the test were also provided in a step-by-step video and through access to a 24/7 hotline for managing crises or doubts about the testing process.

Summary of findings
From February 6, 2015 to January 31, 2018, 19,617 individuals took an online survey. 12,609 were men older than 18 years, living in Curitiba and self-reporting being HIV negative. Of these, 9,214 finished the questionnaire. Their median age was 25 (IQR 22-31 years). Most of the eligible participants (62%, n=n/a) self-identified as gay/homosexual, 11% (n=n/a) as bisexual, 18% (n=n/a) as heterosexual, 0.7% (n=n/a) as transgender women. 36% (n=n/a) reported receptive condomless anal sex in the prior 6 months, and 37% (n=n/a) never had been tested for HIV. Overall, 5,900 requests were delivered (n=8,480 tests). There were 1,079 results reported to study (18%, n=n/a), from which 43 were positive (3.8%, n=43/1079).

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
3.8% (43/1079)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a


Study status
Ongoing