Banca de DEFESA: ELIS PASSOS SANTANA
Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.DISCENTE : ELIS PASSOS SANTANA
DATA : 10/07/2019
HORA: 09:00
LOCAL: Auditório do Instituto de Saúde Coletiva
TÍTULO:
KNOWLEDGE AND REFUSAL OF PURCHASE OF THE HIV SELF-TEST BY SEX WORKING WOMEN IN BRAZILPALAVRAS-CHAVES:
Female sex workers; self-tests; HIV; RDS, Brazil
PÁGINAS: 120
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:
Background: The recent launch of HIV self-testing (HIVST) policy (2019) in the Brazilian National Health System is expected to increase the uptake and frequency of HIV testing. Current estimate of HIV prevalence among FSW in Brazil is 5.3%. HIV testing becomes particularly relevant as a point of entry to health care and treatment. We aimed to investigate associated factors with acceptability of HIVST among FSW in Brazil. Methods: A cross-sectional study of 4,245 FSW recruited in 12 Brazilian capital cities by respondent driven sample (RDS) in 2016. Participants were interviewed and the associations of behavioral, sociodemographic, health service related variables, social support and history of violence and discrimination with HIVST acceptability were analyzed. For each city, participants were weighted using RDSII estimator. Combined data was analyzed by STATA 14 complex survey procedure using each city as a stratum and each group of women recruited by the same FSW as a cluster. Odds ratios and 95% CI were estimated using logistic regression.Results: Half of FSW was below 30 years of age and 48% did not complete high school. 73.9% self-identified as black; with lower socioeconomic level (56.2%), and were treated worse than other people in the health services for being a FSW (47.3%). 22.5% had never taken an HIV testing in a lifetime and only 32.4% were aware of HIVST before the study. Acceptability of HIVST upon explanation was high (85.6%). Factors associated with refusal were: older age (more than 40 years) (OR:1.26); self-identified as black (OR:0.71); work at street points (OR: 1,25) and number of clients per day (10 or more vs 1-9) (OR: 1,98). Conclusions: Awareness of HIVST is still low among FSW in Brazil. But it is reassuring that acceptability was high. This represents an opportunity to increase testing coverage among FSW in whom there is a gap in HIV diagnosis. Autonomy, privacy, rapid access to results, and convenience should be emphasized as motivations in developing programmatic strategies for scale-up of HIVST among FSW.
MEMBROS DA BANCA:
Externo à Instituição - ANA MARIA DE BRITO
Interno - 2224251 - FLORISNEIDE RODRIGUES BARRETO
Interno - 021.958.265-33 - LAIO MAGNO SANTOS DE SOUSA - UNEB
Interno - 130.340.735-34 - MARIA INES COSTA DOURADO - UFBA