Evidence map›Paper›PMID 33213389›Full record

ArticleBMC infectious diseases2020

Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV: a study with respondent-driven sampling in Brazil.

Laio Magno, Andrea Fachel Leal, Daniela Knauth, Inês Dourado, Mark Drew Crosland Guimarães, Elis Passos Santana, Tiago Jordão, Gustavo Machado Rocha, Maria Amélia Veras, Carl Kendall and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.4field-weighted citation impact, top 26% of its field
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

14 citing papers in PubMed, 21 citations in OpenAlex.

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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

14 authors at 8 institutions in 2 countries.

Laio MagnoDepartment of Life Sciences, Bahia State University, Rua Silveira Martins, 2555, Cabula, Salvador, 41.150-000, Bahia, Brazil. laiomagnoss@gmail.com.ORCID http://orcid.org/0000-0003-3752-0782
Andrea Fachel LealSociology Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Daniela KnauthDepartment of Social Medicine, Universidade Federal do Rio Grande do Sul, School of Medicine, Porto Alegre, Brazil.
Inês DouradoInstitute of Collective Health, Federal University of Bahia, R. Basílio da Gama, s/n - Canela, Salvador, 45760-030, Bahia, Brazil.
Mark Drew Crosland GuimarãesDepartment of Preventive and Social Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Elis Passos SantanaInstitute of Collective Health, Federal University of Bahia, R. Basílio da Gama, s/n - Canela, Salvador, 45760-030, Bahia, Brazil.
Tiago JordãoDepartment of Life Sciences, Bahia State University, Rua Silveira Martins, 2555, Cabula, Salvador, 41.150-000, Bahia, Brazil.
Gustavo Machado RochaUniversidade Federal de São João Del-Rei, Divinópolis, Brazil.
Maria Amélia VerasSanta Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Carl KendallTulane School of Public Health and Tropical Medicine, New Orleans, USA.
Alexandre Kerr PontesFederal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Ana Maria de BritoAggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Brazil.
Ligia KerrDepartment of Community Health, Federal University of Ceará, Fortaleza, Brazil.
Brazilian HIV/MSM Surveillance Group
Universidade Federal da Bahia · BRTulane University · USUniversidade do Estado da Bahia · BRUniversidade Federal de Minas Gerais · BRUniversidade Federal do Ceará · BRFederal University of São João del-Rei · BRUniversidade Federal do Rio de Janeiro · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI David Mitchell Smith · 1994 to 2026
$78.4M
NCATS NIH HHS UL1 TR001442NIAID NIH HHS P30 AI036214
6 · The paper itself

Abstract

backgroundBrazil has many people living with HIV (PLWH) who are unaware of their serostatus. The public health system has recently added HIV self-testing (HIVST) for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and explores factors associated with acceptability among MSM who have never tested for HIV or who had a previous negative result.

methodsRespondent-driven sampling (RDS) was used to recruit 4176 MSM in 12 Brazilian cities in 2016 to this biological and behavioral surveillance study. We excluded from this analysis all MSM who were aware of their positive HIV serostatus. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile's estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times).

resultsFor this analysis, 3605 MSM were included. The acceptability of HIVST was 49.1%, lower among those who had never tested for HIV (42.7%) compared to those who had a previous HIV negative test (50.1%). In the subgroup of MSM who had never tested for HIV, those who reported discrimination or who had a medical appointment in the last 12 months reported higher HIVST acceptability. Among MSM who had a previous negative HIV test, only those reporting condomless receptive anal sex reported higher HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in lesbian, gay, bisexual, and transgender nongovernmental organizations (LGBT-NGO), or complete secondary or incomplete higher undergraduate education reported higher acceptability.

conclusionsThe acceptability of HIVST was low among MSM, especially among those who never tested for HIV. Given access to HIVST in Brazil, we point to the need for programs that enhance promotion of testing addressed to MSM.

Indexed as

AdultAIDS SerodiagnosisBrazilCondomsEducational StatusFemaleHIV InfectionsHomosexuality, MaleHumansKnowledgeMalePatient Acceptance of Health CareSelf CareSurveys and QuestionnairesYoung AdultAcceptabilityBrazilHIV self-testHIV testingMen who have sex with menRespondent-driven sampling

Identifiers

PMID33213389
PMCPMC7678175
OpenAlexW3103135340

What OpenQuestion holds

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LicenceCC BY
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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.