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: Emerson Silveira de Brito, Marsam Alves de Teixeira, Rafael Steffens Martins, Ben Hur Graboski Pinheiro, Ana Carolina Monteiro da Rocha, Cáren Nunes de Oliveira, Thayane Fraga de Paula, Thayane Martins Dornelles
Format: Article
Language:English
Published: Ministério da Saúde do Brasil 2025-05-01
Series:Epidemiologia e Serviços de Saúde
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222025000100225&lng=en&tlng=en
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author Emerson Silveira de Brito
Marsam Alves de Teixeira
Rafael Steffens Martins
Ben Hur Graboski Pinheiro
Ana Carolina Monteiro da Rocha
Cáren Nunes de Oliveira
Thayane Fraga de Paula
Thayane Martins Dornelles
author_facet Emerson Silveira de Brito
Marsam Alves de Teixeira
Rafael Steffens Martins
Ben Hur Graboski Pinheiro
Ana Carolina Monteiro da Rocha
Cáren Nunes de Oliveira
Thayane Fraga de Paula
Thayane Martins Dornelles
author_sort Emerson Silveira de Brito
collection DOAJ
description 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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spelling doaj-art-16d447875c114d07b66c2e34a2d0eb3f2025-08-20T02:33:12ZengMinistério da Saúde do BrasilEpidemiologia e Serviços de Saúde2237-96222025-05-013410.1590/s2237-96222025v34e20240014.enHIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional studyEmerson Silveira de Britohttps://orcid.org/0000-0002-6153-2970Marsam Alves de Teixeirahttps://orcid.org/0000-0002-8318-7362Rafael Steffens Martinshttps://orcid.org/0000-0002-4817-9789Ben Hur Graboski Pinheirohttps://orcid.org/0000-0003-2414-8846Ana Carolina Monteiro da Rochahttps://orcid.org/0009-0007-2768-9230Cáren Nunes de Oliveirahttps://orcid.org/0000-0001-6691-2844Thayane Fraga de Paulahttps://orcid.org/0000-0003-1428-3104Thayane Martins Dornelleshttps://orcid.org/0000-0001-7377-7054Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222025000100225&lng=en&tlng=enSexually Transmitted DiseasesHIV InfectionsBlack PeopleHealth of Ethnic MinoritiesCross-Sectional Studies
spellingShingle Emerson Silveira de Brito
Marsam Alves de Teixeira
Rafael Steffens Martins
Ben Hur Graboski Pinheiro
Ana Carolina Monteiro da Rocha
Cáren Nunes de Oliveira
Thayane Fraga de Paula
Thayane Martins Dornelles
HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
Epidemiologia e Serviços de Saúde
Sexually Transmitted Diseases
HIV Infections
Black People
Health of Ethnic Minorities
Cross-Sectional Studies
title HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
title_full HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
title_fullStr HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
title_full_unstemmed HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
title_short HIV prevalence and factors associated with HIV positivity among Black people in primary care in Porto Alegre, Brazil, 2020-2022: a cross-sectional study
title_sort hiv prevalence and factors associated with hiv positivity among black people in primary care in porto alegre brazil 2020 2022 a cross sectional study
topic Sexually Transmitted Diseases
HIV Infections
Black People
Health of Ethnic Minorities
Cross-Sectional Studies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222025000100225&lng=en&tlng=en
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