Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, RJ, Brazil.
Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, RJ, Brazil.
Braz J Infect Dis. 2021 Jan-Feb;25(1):101037. doi: 10.1016/j.bjid.2020.11.002. Epub 2020 Dec 4.
In March 2020, telemedicine and HIV self-testing were adopted by Brazilian Public Health services to minimize disruptions in pre-exposure prophylaxis (PrEP) access and delivery during the COVID-19 pandemic. To understand the acceptability of PrEP teleconsultation and HIV self-testing, we conducted a web-based study during social distancing period (April-May, 2020) among men who have sex with men and transgender/non-binary individuals using social media. Out of the 2375 HIV negative respondents, 680 reported PrEP use and were included in this analysis. Median age was 33 years (IQR: 28-40), 98% cisgender men, 56% white, 74% high education, and 68% middle/high income. Willingness to use HIVST was 79% and 32% received an HIV self-testing during social distancing period. The majority reported preference for PrEP/HIV self-testing home delivery instead of collecting at the service. PrEP teleconsultation was experienced by 21% and most reported feeling satisfied with the procedures. High acceptability of PrEP teleconsultation was reported by 70%. In ordinal logistic model, having higher education was associated with high aceptability of PrEP teleconsultation (aOR:1.62; 95%CI: 1.07-2.45). Our results point out that PrEP teleconsultation and PrEP/HIV self-testing home delivery could be implemented by PrEP services in Brazil to avoid PrEP shortage during the COVID-19 pandemic and thereafter as an option to increase retention and adherence.
2020 年 3 月，巴西公共卫生服务机构采用远程医疗和 HIV 自我检测，以尽量减少 COVID-19 大流行期间暴露前预防 (PrEP) 获取和提供的中断。为了了解 PrEP 远程咨询和 HIV 自我检测的可接受性，我们在社交隔离期间（2020 年 4 月至 5 月），通过社交媒体，对男男性行为者和跨性别/非二元个体进行了一项基于网络的研究。在 2375 名 HIV 阴性的受访者中，有 680 名报告了 PrEP 的使用情况，并纳入了这项分析。中位数年龄为 33 岁（IQR：28-40），98%为顺性别男性，56%为白人，74%为高学历，68%为中高收入。愿意使用 HIVST 的比例为 79%，在社交隔离期间有 32%的人接受了 HIV 自我检测。大多数人报告说更喜欢在家中接受 PrEP/HIV 自我检测的交付，而不是到服务点领取。有 21%的人经历过 PrEP 远程咨询，大多数人对程序感到满意。70%的人报告 PrEP 远程咨询的接受度很高。在有序逻辑模型中，接受更高教育与 PrEP 远程咨询的高接受度相关（aOR：1.62；95%CI：1.07-2.45）。我们的研究结果表明，巴西的 PrEP 服务可以实施 PrEP 远程咨询和 PrEP/HIV 自我检测的家庭交付，以避免 COVID-19 大流行期间 PrEP 的短缺，并作为增加保留率和依从性的选择。
