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Yet, no data is available on the HIV care cascade for this population. A cross-sectional HIV care cascade was built using this data. The relative risks of achieving each cascade-stage were estimated using generalized linear models according to age, self-declared skin-color, education, history of sexually transmitted diseases STDdrug use and prior HIV testing.

As of January95 A higher linkage 2.

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Using community-based testing strategies, we were able to access a high-risk MSM population and a small sample of transwomen. Despite universal care coverage and the test-and-treat policy adopted in Brazil, the MSM cascade of care indicates that strategies to increase linkage to care and prompt cART initiation targeted to these populations are critically needed.

Interventions targeting non-white and young MSM should be prioritized. This is an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted gay, distribution, and reproduction in any medium, provided the original author derrico source are credited.

Data Availability: Data cannot be made publicly available for ethical reasons, public availability would compromise patient confidentiality or participant privacy. Competing interests: The authors have declared that no competing interests exist. In Brazil, while the HIV prevalence in the general population is 0.

A meta-analysis of data from 15 countries estimated an HIV prevalence of In Brazil, HIV testing at no cost is available in public health care centers as well as in voluntary counseling and testing VCT units across the country. Nevertheless, access to testing and services is markedly insufficient, especially for the most vulnerable population groups [ 89 ].

Infrequent testing remains a barrier for maintaining accurate HIV serostatus awareness even among those who have gay been tested [ 13 ]. Routine HIV testing is critical for timely HIV diagnosis derrico it triggers the cascade gay care for those who are HIV-positive while also providing an unique opportunity for risk management counseling for those who are HIV-negative, including referral for pre-exposure prophylaxis PrEP for those at higher risk of HIV acquisition [ 14 ].

In this scenario, community-based testing using HIV rapid tests has been shown to be a valuable option [ 15 ]. Differently from the regular health services in Rio de Janeiro, these units operated after regular working hours. Potential participants were offered voluntary counseling and testing through trained peers and counselors.

All MSM and transwomen tested at both derrico during the study period from January to January were included in the analysis. Data collected at HIV testing sites included: date and venue of the test; date of birth; age; city of residence; state of residence; gender; sexual orientation; skin color; level of education; history of sexually transmitted diseases STD in the prior 12 months; substance use in the prior 12 months; prior HIV testing; if previously test in NGO; date of receipt of the test result; and HIV test result.

We used generalized linear models with logit link function in R software version 3. The final model included all variables found to independently predict each of the outcomes. Adjusted risk ratios were given for each covariate while adjusting for the variables found to independently predict each outcome.

Overall, Forty-three Being non-white 1.