HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
Abstract Objective To examine HIV prevalence among primary care service users and to investigate factors associated with positive HIV test results among Black people. Methods This was a cross-sectional study with data from rapid HIV testing performed in health centers in Porto Alegre-RS, Brazil....
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministério da Saúde do Brasil
2025-05-01
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| Series: | Epidemiologia e Serviços de Saúde |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222025000100225&lng=en&tlng=en |
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| Summary: | Abstract Objective To examine HIV prevalence among primary care service users and to investigate factors associated with positive HIV test results among Black people. Methods This was a cross-sectional study with data from rapid HIV testing performed in health centers in Porto Alegre-RS, Brazil. Sociodemographic differences according to race/skin color and HIV test result were analyzed using the Chi-square test and Poisson regression with robust variance. Results Out of 92,345 people tested, 38% were Black, with 3.4% HIV prevalence. Among Black people the following were associated with higher HIV prevalence ratios (PR): being male (PR 1.62; 95% confidence interval [95%CI] 1.41; 1.85), having elementary education (PR 1.69; 95%CI 1.27; 2.24), having tuberculosis (PR 1.76; 95%CI 1.22; 2.54) and being a street dweller (PR 1.75; 95%CI 1.41; 2.18). Conclusion Black people, especially Black men with lower education levels, tuberculosis and street dwellers, have higher HIV prevalence, requiring greater attention from prevention strategies and testing for sexually transmitted infections. |
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| ISSN: | 2237-9622 |