Public health services and their relationship with rapid HIV test utilization and access for key populations in Morelos, Mexico

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Auteur principal: Silvia Magali Cuadra-Hernández
Format: Artículo científico
Langue:en
Publié: Instituto Nacional de Salud Pública 2015
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author Silvia Magali Cuadra-Hernández
author_facet Silvia Magali Cuadra-Hernández
contents Public health services and their relationship with rapid HIV test utilization and access for key populations in Morelos, Mexico Silvia Magali Cuadra-Hernández Jesús Israel Bernabé-Aranda Carlos Jesús Conde-Glez Mario Salvador Sánchez-Domínguez Doris Verónica Ortega-Altamirano Salud HIV Mexico Diagnosis risk groups stigmatization Objective. In 2009, 4 749 rapid HIV tests were run in Morelos, Mexico, despite lacking evidence on their results. This article seeks to analyze how public health organization relates to utility of rapid HIV test among healthcare users. Materials and methods. Joint study: comparison of differences in applied test and positive results for each group with the Bonferroni statistical tool, observational study in 34 health subsystems, and 11 interviews with public healthcare users. Results. Each subsystem processes influenced the use and usefulness of screening; for instance, primary care centers test only pregnant women and exclude men who have sex with men (MSM). That group shows significant differences (p<0.007) in the HIV-positive test with respect to other groups. Conclusions. Despite the availability of rapid detection tests and epidemiological evidence, the way public health services are organized impedes an efficient diagnosis in the group with higher risk, namely MSM. The distribution of rapid HIV tests was guided by stigmatization. 2015 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10641192002 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.4 Vol.57
format Artículo científico
id redalyc_10641192002
institution Redalyc
language en
publishDate 2015
publisher Instituto Nacional de Salud Pública
spellingShingle Public health services and their relationship with rapid HIV test utilization and access for key populations in Morelos, Mexico
Silvia Magali Cuadra-Hernández
Salud
HIV
Mexico
Diagnosis
risk groups
stigmatization
Public health services and their relationship with rapid HIV test utilization and access for key populations in Morelos, Mexico Silvia Magali Cuadra-Hernández Jesús Israel Bernabé-Aranda Carlos Jesús Conde-Glez Mario Salvador Sánchez-Domínguez Doris Verónica Ortega-Altamirano Salud HIV Mexico Diagnosis risk groups stigmatization Objective. In 2009, 4 749 rapid HIV tests were run in Morelos, Mexico, despite lacking evidence on their results. This article seeks to analyze how public health organization relates to utility of rapid HIV test among healthcare users. Materials and methods. Joint study: comparison of differences in applied test and positive results for each group with the Bonferroni statistical tool, observational study in 34 health subsystems, and 11 interviews with public healthcare users. Results. Each subsystem processes influenced the use and usefulness of screening; for instance, primary care centers test only pregnant women and exclude men who have sex with men (MSM). That group shows significant differences (p<0.007) in the HIV-positive test with respect to other groups. Conclusions. Despite the availability of rapid detection tests and epidemiological evidence, the way public health services are organized impedes an efficient diagnosis in the group with higher risk, namely MSM. The distribution of rapid HIV tests was guided by stigmatization. 2015 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10641192002 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.4 Vol.57
title Public health services and their relationship with rapid HIV test utilization and access for key populations in Morelos, Mexico
topic Salud
HIV
Mexico
Diagnosis
risk groups
stigmatization
url https://www.redalyc.org/articulo.oa?id=10641192002