Rev Rene (Oct 2024)

Distribution and spatial autocorrelation of HIV self-tests

  • Juliane Petenuci Vieira,
  • Camila Moraes Garollo Piran,
  • Natan Nascimento de Oliveira,
  • Marcela Demitto Furtado,
  • Rosana Rosseto de Oliveira,
  • Ieda Harumi Higarashi

DOI
https://doi.org/10.15253/2175-6783.20242593704
Journal volume & issue
Vol. 25
p. e93704

Abstract

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Objective: to analyze the distribution and spatial autocorrelation of HIV self-testing rates. Methods: this is an ecological study of distributed HIV self-tests. The records were obtained from secondary data from the Medicines Logistics Control System. Moran's autocorrelation coefficient was used for statistical analysis of spatial dependence. Results: 622,822 HIV self-test records made available in Brazil were analyzed, showing positive spatial autocorrelation with a Global Moran's Index of 0.199 (p=0.046) over the period. There has been an increase in HIV self-testing rates over the years, with the highest rates concentrated in the South and North of Brazil, with a higher concentration of distribution in the 25-29 age group. Conclusion: despite the increase in HIV self-testing rates, there are still significant disparities between states, indicating that strategies for HIV self-test distribution and use are needed in the country. Contributions to practice: this work contributes to the improvement of strategies and the (re)formulation of new health policies aimed at expanding the diagnosis of individuals who have HIV and don't know it.

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