Evidence map›Paper›PMID 31373276›Full record

ArticleJournal of medical Internet research2019

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.

Raquel Brandini De Boni, Valdilea Gonçalves Veloso, Nilo Martinez Fernandes, Flavia Lessa, Renato Girade Corrêa, Renato De Souza Lima, Marly Cruz, Juliane Oliveira, Simone Muniz Nogueira, Beto de Jesus and 7 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Raquel Brandini De BoniInstituto Nacional de Infectologia Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0002-2455-5997
Valdilea Gonçalves VelosoInstituto Nacional de Infectologia Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0002-6622-3165
Nilo Martinez FernandesInstituto Nacional de Infectologia Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0003-3770-6050
Flavia LessaInstituto Nacional de Infectologia Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0003-4200-5734
Renato Girade CorrêaNational Department of STI, AIDS, and Viral Hepatitis, Ministry of Health, Brailia, Brazil.ORCID 0000-0003-3863-6875
Renato De Souza LimaNational Department of STI, AIDS, and Viral Hepatitis, Ministry of Health, Brailia, Brazil.ORCID 0000-0003-4540-1054
Marly CruzEscola Nacional de Saúde Pública, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0002-4061-474X
Juliane OliveiraSecretaria Municipal de Saúde Curitiba, Curitiba, Brazil.ORCID 0000-0002-5277-4281
Simone Muniz NogueiraSecretaria Municipal de Saúde Curitiba, Curitiba, Brazil.ORCID 0000-0002-9572-1067
Beto de JesusEscola Nacional de Saúde Pública, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0001-7432-3388
Toni ReisGrupo Dignidade, Curitiba, Brazil.ORCID 0000-0003-4194-3323
Nena LentiniCenters for Disease Control and Prevention-Brazil, Brasilia, Brazil.ORCID 0000-0002-4941-0700
Raquel Lima MirandaCenters for Disease Control and Prevention-Brazil, Brasilia, Brazil.ORCID 0000-0003-4471-0429
Trista BinghamDivision of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, United States.ORCID 0000-0002-1949-5133
Cheryl C JohnsonHIV Department, World Health Organization, Geneva, Switzerland.ORCID 0000-0001-5499-5523
Aristides Barbosa JuniorCenters for Disease Control and Prevention-Brazil, Brasilia, Brazil.ORCID 0000-0002-4744-9329
Beatriz GrinsztejnInstituto Nacional de Infectologia Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.ORCID 0000-0003-3692-5155

Funding

The FIOCRUZ Therapeutic and Prevention HIV/AIDS Clinical Trials Unit (FioTrials)UM1AI069476 · NIAID · FUNDACAO OSWALDO CRUZ · PI BEATRIZ GRINSZTEJN · 2012 to 2026
$26.3M
NIAID NIH HHS UM1 AI069476PEPFARWorld Health Organization 001
6 · The paper itself

Abstract

backgroundApproximately 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.

objectiveThis 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]).

methodsThe 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.

resultsBetween 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).

conclusionsE-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.

Indexed as

AdultBrazilCross-Sectional StudiesHIV InfectionsHomosexuality, MaleHumansInternetMaleSexual BehaviorTelemedicineYoung AdultHIV/AIDSHIV self-testingkey populationsmenmobile health

Identifiers

PMID31373276
PMCPMC6694730

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.