Acceptability of dual HIV/syphilis rapid test in community- and home-based testing strategy among transgender women in Buenos Aires, Argentina

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dc.contributor.authorZalazar, Virginia
dc.contributor.authorFrola, Claudia
dc.contributor.authorGun, Ana
dc.contributor.authorRadusky, Pablo
dc.contributor.authorPanis, Natalia k
dc.contributor.authorCardozo, Nadir F
dc.contributor.authorFabian, Solange
dc.contributor.authorDuarte, Mariana I
dc.contributor.authorAristegui, Ines
dc.contributor.authorCahn, Pedro
dc.contributor.authorSued, Omar
dc.date.accessioned2024-05-23T23:49:15Z
dc.date.available2024-05-23T23:49:15Z
dc.date.issued2021-02-03
dc.descriptionFil: Zalazar V. Research Department, Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.description.abstractBackground: Little is known of acceptability and feasibility of dual HIV and syphilis rapid tests in community- and home-based provider-initiated strategies among transgender women (TGW), in Latin America. Objectives were (1) to assess the acceptability of this strategy and, (2) to determine the percentage of positive results of HIV and syphilis, analyze the correlates of HIV or syphilis positive results, and measure the rates of effective referral and treatment completion among TGW. Methods: A multidisciplinary team tested 89 TGW in Buenos Aires. An acceptability survey was administered after the HIV/syphilis Duo test was used. All confirmed cases were referred for treatment initiation. Results: We found high levels of acceptability (98.8%) of this strategy among TGW. However, only 60.7% preferred simultaneous HIV and syphilis diagnosis test. Moreover, we found 9% of positive results of HIV, 51.7% of syphilis, and 3.4% of positive results for both infections. Only not being tested before was associated with an HIV positive result, and only low level of education was associated with a positive syphilis result. Among 8 TGW who tested positive for HIV, 37.5% (n = 3) started antiretroviral therapy. Of 46 who tested positive for syphilis, only 73.9% (n = 34) were effectively referred and from 23 who started treatment, only 39.1% completed it. Conclusions: Community- and home-based dual HIV and syphilis rapid test is a feasible and highly acceptable approach for this hard-to-reach population. Implementing similar strategies could improve screening uptake and accessibility. However, these results highlight the need to improve strategies for treatment uptake, in order to reduce morbidity and risk of onward transmission.es_ES
dc.formatapplication/pdfes_ES
dc.identifier.doihttps://doi.org/10.1177/0956462420979852
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/1332
dc.languageENGes_ES
dc.provenancePublishedes_ES
dc.relation.ispartofseriesInternational Journal of STD & AIDS;2021 May;32(6):501-509
dc.rightsRestrictedAccesses_ES
dc.subjectHIVes_ES
dc.subjectSexually Transmitted Diseaseses_ES
dc.subjectArgentinaes_ES
dc.titleAcceptability of dual HIV/syphilis rapid test in community- and home-based testing strategy among transgender women in Buenos Aires, Argentinaes_ES
dc.typeArticuloes_ES

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