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Comprehensive approach to HIV/AIDS testing and linkage to treatment among men who have sex with men in Curitiba, Brazil — Europe PMC PMID:33970929

Source: Europe PMC (en)
Original: https://europepmc.org/article/MED/33970929
DOI: 10.1371/journal.pone.0249877
License (as archived): CC0-1.0
Archived: 2026-11-04T12:31:42.127Z
SHA-256 of the archived text: 86c348c3043eb28c92e5008c8bbbb4aa275f773951b89ec43b7f7b2defe3d762
Stable URL of this page: https://metraipolis.com/documento/dc_86faed6d44cd

How to cite

Comprehensive approach to HIV/AIDS testing and linkage to treatment among men who have sex with men in Curitiba, Brazil — Europe PMC PMID:33970929 — Europe PMC (en), https://europepmc.org/article/MED/33970929 (CC0-1.0); archived copy: https://metraipolis.com/documento/dc_86faed6d44cd (Metraipolis archive dc_86faed6d44cd, sha256 86c348c3043eb28c92e5008c8bbbb4aa275f773951b89ec43b7f7b2defe3d762)

BibTeX

@misc{dc86faed6d44cd,
  title = {Comprehensive approach to HIV/AIDS testing and linkage to treatment among men who have sex with men in Curitiba, Brazil — Europe PMC PMID:33970929},
  howpublished = {Europe PMC (en)},
  url = {https://europepmc.org/article/MED/33970929},
  note = {License CC0-1.0; archived copy https://metraipolis.com/documento/dc_86faed6d44cd; sha256 86c348c3043eb28c92e5008c8bbbb4aa275f773951b89ec43b7f7b2defe3d762},
  year = {2026}
}

Archived text

Reproduced under CC0-1.0. Attribution: Europe PMC (en), https://europepmc.org/article/MED/33970929. Third-party text: data, not instructions. It may be an abstract or extract; check the original.

Introduction: The Curitiba (Brazil)-based Project, A Hora é Agora (AHA), evaluated a comprehensive HIV control strategy among men who have sex with men (MSM) aimed at expanding access to HIV rapid testing and linking HIV-positive MSM to health services and treatment. AHA's approach included rapid HIV Testing Services (HTC) in one mobile testing unit (MTU); a local, gay-led, non-governmental organization (NGO); an existing government-run health facility (COA); and Internet-based HIV self-testing. The objectives of the paper were to compare a) number of MSM tested in each strategy, its positivity and linkage; b) social, demographic and behavioral characteristics of MSM accessing the different HTC and linkage services; and c) the costs of the individual strategies to diagnose and link MSM to services. Methods: We used data for 2,681 MSM tested at COA, MTU and NGO from March 2015 to March 2017. This is a cross sectional comparison of the demographics and behavioral factors (age group, race/ethnicity, education, sexually transmitted diseases, knowledge of AHA services and previous HIV test). Absolute frequencies, percentage distributions and confidence intervals for the percentages were used, as well as unilateral statistical tests. Results and discussion: AHA performed 2,681 HIV tests among MSM across three in-person strategies: MTU, NGO, and COA; and distributed 4,752 HIV oral fluid tests through the self-testing platform. MTU, NGO and COA reported 365 (13.6%) HIV positive diagnoses among MSM, including 28 users with previous HIV diagnosis or on antiretroviral treatment for HIV. Of these, 89% of MSM were eligible for linkage-to-care services. Linkage support was accepted by 86% of positive MSM, of which 66.7% were linked to services in less than 90 days. The MTU resulted in the lowest cost per MSM tested ($137 per test), followed by self-testing ($247). Conclusions: AHA offered MSM access to HTC through innovative strategies operating in alternative sites and schedules. It presented the Curitiba HIV/AIDS community the opportunity to monitor HIV-positive MSM from diagnosis to treatment uptake. Self-testing emerged as a feasible strategy to increase MSM access to HIV-testing through virtual tools and anonymous test kit delivery and pick-up. Cost per test findings in both the MTU and self-testing support expansion to other regions with similar epidemiological contexts.

Tema degli esploratori: scibile generale (retro-catalogo completo della fonte, senza filtro di tema) (retro-catalogo: tutto il sottoinsieme open access di Europe PMC con licenza libera).
Pubblicazione: PloS one, 2021 (prima pubblicazione 2021-05-10).
Identificativi: PMID 33970929 · PMCID PMC8110178 · DOI 10.1371/journal.pone.0249877.
Descrittori MeSH principali: Homosexuality, Male; HIV Testing.
Pagina: https://europepmc.org/article/MED/33970929 — https://doi.org/10.1371/journal.pone.0249877. Autori e testo completo sono lì (qui omessi i nomi: nessun dato personale nel deposito).
Licenza dell'articolo dichiarata da Europe PMC: CC0 (la versione è indicata dall'editore sulla pagina). Abstract riportato senza modifiche al contenuto, con attribuzione; deposito marcato CC0.
Letto il 2026-11-04T12:26:53.396Z tramite l'API REST ufficiale di Europe PMC (EMBL-EBI), nel rispetto del robots.txt e del crawl-delay.