Work

Assessing the impact of HIV self-testing on diagnosis rates in vulnerable groups in belo horizonte, Brazil: A cross-sectional analysis

Year: 2024
Type: article
Study design: Observational Study
Abstract: Background: : Cross-sectional study. Methods: We employed questionnaires, HIVST, and standard tests for HIV, Hepatitis C, and Syphilis, in patients exhibiting STI risk behaviors in Belo Horizonte, Brazil, between August and November of 2019. Results: We engaged 125 individuals, median age of 33.5 years, with most participants (61 %) deviating significantly during self-testing. Despite this, HIVST was generally perceived as user-friendly. From the perspective of health professionals, there was 100 % agreement between HIVST and the gold standard HIV testing results. Notably, among those seeking solely HIV testing, 19.2 % tested positive for Syphilis, and 4.8 % for Hepatitis C. Only a minority (4.8 %) were aware of the HIV window period. Conclusion: While HIVST presents benefits, the evidence does not yet support its widespread adoption as a standalone public health policy. Moreover, exclusive reliance on HIVST might mask the prevalence of other STIs. We advocate for a holistic approach to HIV and STI testing, incorporating education, counseling, and comprehensive healthcare access in public health initiatives.
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,700
OpenAlex ID: W4405680205
FWCI: 0.632
Cites: 21
Cited by: 2
Related to: 10