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Decentralized HIV testing: comparing peer and mail-based distribution strategies to improve the reach of HIV self-testing among people who use drugs in Florida. | LitMetric

AI Article Synopsis

  • People who use drugs (PWUD) are more likely to get HIV, and using self-testing (HIVST) could help detect new infections, but how to distribute these tests effectively is still being studied.
  • A study analyzed data from an HIVST program in Florida from 2022 to 2023, comparing results based on whether participants received tests from peers or via mail, focusing on various demographics and testing experiences.
  • The results showed that most participants got tests from peers, and those who received them by mail were less likely to be cisgender males or residents of high-risk counties, indicating that community-based distribution could improve HIV testing among PWUD.

Article Abstract

Introduction: People who use drugs (PWUD) are at increased risk for HIV infection. HIV self-testing (HIVST) is a promising method for identifying new infections, but optimal distribution strategies remain understudied.

Methods: To characterize PWUD by HIVST distribution strategy (peers vs. mail), we examined data from July 2022 to June 2023 collected from a real-world HIVST program led by the non-profit, Florida Harm Reduction Collective. We used descriptive statistics and Poisson regressions with robust error variance to compare those who received HIVST through peers or via mail by socio-demographics, Ending the HIV Epidemic (EHE) county designation, and HIV testing experience.

Results: Among 728 participants, 78% received HIVST from peers, 47% identified as cisgender female, 48% as heterosexual, and 45% as non-White; 66% resided in an EHE county, and 55% had no HIV testing experience. Compared to those who received an HIV self-test from peers, those who received tests via mail were less likely to be cisgender male (vs. cisgender female; prevalence ratio [PR] = 0.59, 95% confidence interval [CI]: 0.43, 0.81), non-Hispanic Black (vs. non-Hispanic White; PR = 0.57, 95% CI: 0.36, 0.89) or from EHE counties (vs. non-EHE counties; PR = 0.33, 95% CI: 0.25, 0.44). Those who received tests via mail were also more likely to identify their sexual orientation as "Other/Undisclosed" (vs. straight/heterosexual; PR = 2.00, 95% CI: 1.51, 2.66).

Conclusion: Our findings support the role of community-based HIVST distribution strategies in increasing HIV testing coverage among PWUD. Additional research could help inform the equitable reach of HIVST.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181602PMC
http://dx.doi.org/10.1186/s12954-024-01031-9DOI Listing

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