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Accuracy of Self-Reported HIV Status Among African Men and Transgender Women Who Have Sex with Men Who were Screened for Participation in a Research Study: HPTN 075

2018; Springer Science+Business Media; Volume: 23; Issue: 1 Linguagem: Inglês

10.1007/s10461-018-2231-1

1573-3254

Jessica M. Fogel, Theo Sandfort, Yinfeng Zhang, Xu Guo, William Clarke, Autumn Breaud, Vanessa Cummings, Erica L. Hamilton, Arthur Ogendo, Noel Kayange, Ravindre Panchia, Karen Dominguez, Ying Qing Chen, Susan H. Eshleman,

HIV Research and Treatment

Some HIV-infected individuals in research studies may choose not to disclose knowledge of their HIV status to study staff. We evaluated the accuracy of self-reported HIV status among African men and transgender women who have sex with men and who were screened for a research study. Sixty-seven of 183 HIV-infected participants reported a prior HIV diagnosis. Samples from the remaining 116 participants were tested for antiretroviral (ARV) drugs. Thirty-six of the 116 participants had ARV drugs detected, indicating that they were on antiretroviral treatment; these participants were classified as previously diagnosed based on ARV drug testing. Among participants classified as previously diagnosed, disclosure of a prior HIV diagnosis varied among study sites (p = 0.006) and was more common among those who reported having sex with men only (p = 0.002). ARV drug testing in addition to self-report improves the accuracy for identifying individuals with a prior HIV diagnosis.