Acceptability and feasibility of HIV testing in general medicine by ELISA or rapid test from finger-stick whole blood

Demorat, Hubert; Lopes, Amanda Oliveira Lima; Delcey, Véronique; Clevenbergh, Philippe; Simoneau, Guy G.; Evans, John; Mouly, Stéphane; Bergmann, Jean‐François; Sellier, Pierre

doi:10.1016/j.lpm.2017.11.022

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…< 0.001 Incarcerated persons 5 (7) 7 53) -(64%) [40]. Studies report that patients prefer to receive their results quickly and would recommend rapid testing to their peers [41,42].…”

Section: Discussionmentioning

confidence: 99%

“…For example, a 2013 systematic review on rapid point-of-care HIV testing found that youth preferred rapid point-of-care tests compared to traditional testing methods [ 39 ]. Similarly, a study of adults attending general practices in France reported higher acceptability of a rapid test (92%) compared with venepuncture (64%) [ 40 ]. Studies report that patients prefer to receive their results quickly and would recommend rapid testing to their peers [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

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HIV Testing Uptake According to Opt-In, Opt-Out or Risk-Based Testing Approaches: a Systematic Review and Meta-Analysis

Soh

Chow

et al. 2022

Curr HIV/AIDS Rep

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Purpose of Review Improving HIV testing uptake is essential to ending the HIV pandemic. HIV testing approaches can be opt-in, opt-out or risk-based. This systematic review examines and compares the uptake of HIV testing in opt-in, opt-out and risk-based testing approaches. Recent Findings There remain missed opportunities for HIV testing in a variety of settings using different approaches: opt-in (a person actively accepts to be tested for HIV), opt-out (a person is informed that HIV testing is routine/standard of care, and they actively decline if they do not wish to be tested for HIV) or risk-based (using risk-based screening tools to focus testing on certain individuals or sub-populations at greater risk of HIV). It is not clear how the approach could impact HIV test uptake when adjusted for other factors (e.g. rapid testing, country-income level, test setting and population tested). Summary We searched four databases for studies reporting on HIV test uptake. In total, 18,238 records were screened, and 150 studies were included in the review. Most studies described an opt-in approach (87 estimates), followed by opt-out (76) and risk-based (19). Opt-out testing was associated with 64.3% test uptake (I2 = 99.9%), opt-in testing with 59.8% (I2 = 99.9%) and risk-based testing with 54.4% (I2 = 99.9%). When adjusted for settings that offered rapid testing, country income level, setting and population tested, opt-out testing had a significantly higher uptake (+ 12% (95% confidence intervals: 3–21), p = 0.007) than opt-in testing. We also found that emergency department patients and hospital outpatients had significantly lower HIV test uptake than other populations.

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“…< 0.001 Incarcerated persons 5 (7) 7 53) -(64%) [40]. Studies report that patients prefer to receive their results quickly and would recommend rapid testing to their peers [41,42].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

HIV Testing Uptake According to Opt-In, Opt-Out or Risk-Based Testing Approaches: a Systematic Review and Meta-Analysis

Soh

Chow

et al. 2022

Curr HIV/AIDS Rep

View full text Add to dashboard Cite

show abstract

“…(39) Similarly, a study of adults attending general practices in France reported higher acceptability of a rapid test (92%) compared with venepuncture (64%). (40) Studies report that patients prefer to receive their results quickly and would recommend rapid testing to their peers. (41, 42) Rapid testing can reach high-risk populations in clinical and community settings, which is critical in testing untested individuals.…”

Section: Discussionmentioning

confidence: 99%

HIV testing uptake according to opt-in, opt-out or risk-based testing approaches: a systematic review and meta-analysis

Soh

Chow

et al. 2022

Preprint

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Purpose of review Improving HIV testing uptake is essential to ending the HIV pandemic. HIV testing approaches can be opt-in, opt-out or risk-based. This systematic review examines and compares the uptake of HIV testing in opt-in, opt-out and risk-based testing approaches. Recent findings There remains missed opportunities for HIV testing in a variety of settings using different approaches: opt-in (a person actively accepts to be tested for HIV), opt-out (a person is informed that HIV testing is routine/standard of care, and they actively decline if they do not wish to be tested for HIV) or risk-based (using risk-based screening tools to focus testing on certain individuals or sub-populations at greater risk of HIV). It is not clear how the approach could impact HIV test uptake when adjusted for other factors (e.g. rapid testing, country-income level, test setting and population tested). Summary We searched four databases for studies reporting on HIV test uptake. In total, 18,238 records were screened, and 150 studies were included in the review. Most studies described an opt-in approach (87 estimates), followed by opt-out (76) and risk-based (19). Opt-out testing was associated with 64.3% test uptake (I2=99.9%), opt-in testing with 59.8% (I2=99.9%), and risk-based testing with 54.4% (I2=99.9%). When adjusted for settings that offered rapid testing, country income level, setting and population tested, opt-out testing had a significantly higher uptake (+12% (95% confidence intervals: 3-21), p=0.007) than opt-in testing. We also found that emergency department patients and hospital outpatients had significantly lower HIV test uptake than other populations.

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“…A literatura enfatiza a importância de serem observados, no decorrer do aconselhamento, o caráter voluntário e confidencial da testagem, respeitado as trocas de informações sobre os sistemas de testagem e a janela imunológica, o significado e impacto dos possíveis resultados, de modo a enfatizar a diferença entre a infecção pelo HIV e aids, além de reforçar a necessidade da adoção de práticas sexuais seguras, como uso de preservativo nas relações sexuais (19) .…”

Section: Discussionunclassified

Nurses’ perceptions of counseling and rapid testing for sexually transmitted infections

et al. 2022

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Objective: to understand Family Health Strategy nurses’ perceptions on counseling and rapid testing for sexually transmitted infections. Methods: this is a qualitative study, with data triangulation. Data collection was conducted through a semi-structured interview with seven nurses from Family Health Strategy. For systematization and data processing, content analysis was adopted in the thematic modality. Results: after analysis, four categories emerged: Rapid test training; Counseling conduction; Ease in rapid testing offer; and Challenges offering rapid testing. Conclusion: nurses’ perceptions were related to difficulties in the face of pre and posttest counseling, requiring improvement, permanent education and training for professional preparation, and the logistics of inputs and materials, in addition to changes in the physical structure of the units.

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Acceptability and feasibility of HIV testing in general medicine by ELISA or rapid test from finger-stick whole blood

Cited by 9 publications

References 23 publications

HIV Testing Uptake According to Opt-In, Opt-Out or Risk-Based Testing Approaches: a Systematic Review and Meta-Analysis

HIV Testing Uptake According to Opt-In, Opt-Out or Risk-Based Testing Approaches: a Systematic Review and Meta-Analysis

HIV testing uptake according to opt-in, opt-out or risk-based testing approaches: a systematic review and meta-analysis

Nurses’ perceptions of counseling and rapid testing for sexually transmitted infections

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