Universidad Peruana Cayetano Heredia

Individual-level characteristics associated with oral HIV test acceptability among Peruvian men who have sex with men and transgender women: a cross-sectional study

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dc.contributor.author Flores, Juan A.
dc.contributor.author Brown, Brandon
dc.contributor.author León Sandoval, Segundo Ramos
dc.contributor.author Sánchez, Hugo
dc.contributor.author Galea, Jerome T.
dc.date.accessioned 2019-03-05T15:24:21Z
dc.date.available 2019-03-05T15:24:21Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/5919
dc.description.abstract OBJECTIVES: Peruvian men who have sex with men (MSM) and transgender women (TGW) are highly vulnerable to HIV infection (HIV), but stigma, access issues and fear of venipuncture hamper testing. The oral HIV test-which uses oral fluids and provides results in 20 minutes-could reduce these barriers. The objective of this study was to determine the acceptability of the oral HIV test and the individual-level factors associated with its acceptability among MSM and TGW. METHODS: We conducted a cross-sectional secondary analysis among Peruvian MSM and TGW attending a community-based health centre between February 2012 and February 2013 to determine the individual-level factors associated with oral HIV test acceptability. RESULTS: Of 334 participants, 88% were MSM and 12% TGW. Overall, 85% of participants indicated their acceptability of the oral HIV test. Acceptability was higher in MSM than TGW (85.7% vs 80.0%) but this difference was not significant. Factors associated with acceptability in MSM were: tertiary or higher education (prevalence ratio (PR)=1.18, 95% CI 1.06 to 1.32 and PR=1.16, 95% CI 1.03 to 1.30, respectively); sex with drug use (PR=1.19, 95% CI 1.05 to 1.36); believing that HIV is transmitted by saliva (PR=1.20, 95% CI 1.08 to 1.33); and potential use of the oral test at home (PR=1.56, 95% CI 1.32 to 1.85). The only factor associated with lower acceptability was having had first anal intercourse between 14 and 19 years of age (PR=0.89, 95% CI 0.80 to 0.98). CONCLUSIONS: We identified the individual factors associated with oral HIV test acceptability among Peruvian MSM and TGW. Expanded use of the oral HIV test to increase testing rates among Peruvian MSM and TGW is recommended. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries Sexually Transmitted Infections
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Peru/epidemiology en_US
dc.subject Prevalence en_US
dc.subject HIV en_US
dc.subject Sexual Behavior en_US
dc.subject Unsafe Sex en_US
dc.subject Patient Acceptance of Health Care/psychology/statistics & numerical data en_US
dc.subject Transgender Persons/psychology en_US
dc.subject Mass Screening/methods en_US
dc.subject Reagent Kits, Diagnostic en_US
dc.subject Mouth/virology en_US
dc.subject Homosexuality, Male/psychology en_US
dc.subject Social Stigma en_US
dc.subject men who have sex with men en_US
dc.subject point-of-careTesting en_US
dc.subject primary prevention en_US
dc.subject saliva en_US
dc.subject transgender en_US
dc.subject HIV Infections/diagnosis/epidemiology en_US
dc.subject HIV/isolation & purification en_US
dc.title Individual-level characteristics associated with oral HIV test acceptability among Peruvian men who have sex with men and transgender women: a cross-sectional study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/sextrans-2017-053388
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.15
dc.relation.issn 1472-3263


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