巴西东北部医疗卫生服务提供者提供 HIV 自我检测服务的意愿。

Willingness of health care providers to offer HIV self-testing from specialized HIV care services in the northeast of Brazil.

机构信息

Departamento de Ciências da Vida, Universidade do Estado da Bahia, Rua Silveira Martins, 2555, Cabula, Salvador, 41.150-000, Brazil.

Diretoria de Vigilância Epidemiológica da Bahia, Secretaria de Saúde do Estado da Bahia, Salvador, Brazil.

出版信息

BMC Health Serv Res. 2022 May 30;22(1):713. doi: 10.1186/s12913-022-08091-2.

DOI:10.1186/s12913-022-08091-2

PMID:35637470

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9149328/

Abstract

BACKGROUND

The insufficient knowledge regarding the serological status of people affected with human immunodeficiency virus (HIV) is a concern in Brazil. HIV self-testing (HIVST) has been proved to have great potential for increasing testing, especially among vulnerable populations. The large-scale distribution of HIVST by the Brazilian public health system has increased in recent years. We aimed to investigate the awareness of HIVST among health care providers (HCP) from specialized HIV/AIDS care services in the state of Bahia, Northeast Brazil. Further we investigated HCP acceptability and willingness to offer its use.

METHODS

A cross-sectional study on HCP from 29 specialized care services (SCS) located in 21 cities in the state of Bahia. HCP working in the service for at least 6 months were included. Sociodemographic, occupational, and behavioral data were collected using a questionnaire. Descriptive statistics were carried out. Bivariate, and multivariate analyses estimating adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) using logistic regression were conducted.

RESULTS

The awareness and acceptability of HIVST and the willingness to provide it were 79.8, 55.2, and 47.1%, respectively. Few HCP reported that the SCS where they worked dispensed HIVST (3.6%), and 13.5% received some information or training on HIVST. Factors associated with willingness to offer HIVST were: HIVST acceptability (aOR = 9.45; 95% CI: 4.53-19.71), willingness to use HIVST on themselves (aOR = 4.45; 95% CI: 1.62-12.24), confidence in offering HIVST to clients (aOR = 5.73; 95% CI: 2.26-12.72), and considering everyone eligible for HIVST (aOR = 2.88; 95% CI: 1.25-6.59).

CONCLUSIONS

Although most HCP were aware of HIVST, acceptability and willingness to provide it to the clients was moderate. The scale up of HIVST as a mean for the HIV prevention and control policy in Brazil, requires further training of HCP and better implementation of this program.

摘要

背景

在巴西，人们对感染人类免疫缺陷病毒 (HIV) 人群的血清学状况的了解不足是一个令人担忧的问题。HIV 自我检测 (HIVST) 已被证明在增加检测方面具有巨大潜力，尤其是在弱势群体中。近年来，巴西公共卫生系统大规模分发 HIVST，增加了 HIVST 的使用。我们旨在调查巴伊亚州（巴西东北部的一个州）专门的艾滋病毒/艾滋病护理服务中的医疗保健提供者 (HCP) 对 HIVST 的认识。此外，我们还调查了 HCP 对 HIVST 的接受程度和提供意愿。

方法

这是一项横断面研究，对象为来自巴伊亚州 21 个城市的 29 个专门护理服务机构的 HCP。纳入在服务中工作至少 6 个月的 HCP。使用问卷收集社会人口学、职业和行为数据。进行描述性统计。使用逻辑回归进行二变量和多变量分析，估计调整后的优势比 (aOR) 和 95%置信区间 (95%CI)。

结果

HIVST 的知晓率、接受率和提供意愿分别为 79.8%、55.2%和 47.1%。少数 HCP 报告他们工作的 SCS 分发 HIVST（3.6%），13.5%的人接受过 HIVST 的一些信息或培训。与提供 HIVST 的意愿相关的因素包括：HIVST 的可接受性（aOR=9.45；95%CI：4.53-19.71）、自己使用 HIVST 的意愿（aOR=4.45；95%CI：1.62-12.24）、对向客户提供 HIVST 的信心（aOR=5.73；95%CI：2.26-12.72）和认为每个人都符合 HIVST 的条件（aOR=2.88；95%CI：1.25-6.59）。