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- Title
HIV Testing Strategies, Types of Tests, and Uptake by Men Who have Sex with Men and Transgender Women: A Systematic Review and Meta-analysis.
- Authors
Magno, Laio; Pereira, Marcos; de Castro, Caroline Tianeze; Rossi, Thais Aranha; Azevedo, Laylla Mirella Galvão; Guimarães, Nathalia Sernizon; Dourado, Ines
- Abstract
This systematic review and meta-analysis investigated the effectiveness of strategies and types of tests on HIV testing uptake by men who have sex with men (MSM) and transgender women (TGW), and in reaching PLWH. Articles published up to July 2020 were identified from major electronic databases and grey literature. Data were extracted and assessed for risk of bias. Estimates were pooled using random-effect meta-analysis while heterogeneity was evaluated by Cochran's Q test and I2. This study is registered with PROSPERO (CRD42020192740). Of 6820 titles, 263 studies (n = 67,288 participants) were included. The testing strategies reported in most studies were community- (71.2%) and facility-based (28.8%). Highest uptake, with facility-based testing, occurred and reached more PLWH while with standard laboratory tests, it occurred with the highest HIV prevalence among MSM. However, urine test showed a highest rate of new HIV infection. Multiple test combinations had the highest uptake and reached more PLWH among TGW. Various testing strategies, considering barriers and regional differences, and different test types, need be considered, to increase uptake among MSM and TGW.
- Subjects
HIV infection epidemiology; DIAGNOSIS of HIV infections; ONLINE information services; INFERENTIAL statistics; HIV infections; HEALTH services accessibility; META-analysis; TRANS women; SYSTEMATIC reviews; MEDICAL screening; AIDS serodiagnosis; SEXUAL minorities; DESCRIPTIVE statistics; DISEASE prevalence; RESEARCH funding; MEN who have sex with men; MEDLINE; URINALYSIS
- Publication
AIDS & Behavior, 2023, Vol 27, Issue 2, p678
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-022-03803-5