Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008–2011

Belza, María-José; Hoyos, Juan; Fernández-Balbuena, Sonia; Díaz, Asunción; Bravo, María J.; Fuente, Luis de la; group, collective the Madrid HIV rapid testing

doi:10.2807/1560-7917.es2015.20.14.21089

Cited by 15 publications

(19 citation statements)

References 22 publications

(26 reference statements)

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“…This rate is consistent with another study completed in Guangzhou, 3 and is higher than studies completed in other cities in China (42–82.5%). 20,21,27 The rates of linkage to care from 2008–2014 were also higher than or equal to those from overseas regions such as Philadelphia in the United States (62%), 28 Canada (>90%), 29 Europe (84%), 30 and Sub-Saharan Africa (80.1%) 31 despite our stricter definition criteria.…”

Section: Discussionmentioning

confidence: 81%

HIV Linkage to Care and Retention in Care Rate Among MSM in Guangzhou, China

et al. 2017

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Quantifying HIV service provision along the HIV care continuum is increasingly important for monitoring and evaluating HIV interventions. We examined factors associated with linkage and retention in care longitudinally among MSM (n = 1974, 4933 person-years) diagnosed and living in Guangzhou, China, in 2008-2014. We measured longitudinal change of retention in care (≥2 CD4 tests per year) from linkage and antiretroviral therapy initiation (ART). We examined factors associated with linkage using logistic regression and with retention using generalized estimating equations. The rate of linkage to care was 89% in 2014. ART retention rate dropped from 71% (year 1) to 46% (year 2), suggesting that first-year retention measures likely overestimate retention over longer periods. Lower CD4 levels and older age predicted retention in ART care. These data can inform interventions to improve retention about some subgroups.

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Section: Discussionmentioning

confidence: 81%

HIV Linkage to Care and Retention in Care Rate Among MSM in Guangzhou, China

et al. 2017

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“…Twenty studies provided non‐targeted testing to the general population, while 44 studies provided testing to one or more groups at higher risk of HIV infection. MSM were the group most frequently targeted ( n = 31) , followed by: migrants ( n = 10) , people who use/inject drugs (PWUD/PWID) ( n = 8) , SWs ( n = 7) , black and minority ethnic groups (BME) ( n = 5) , young people ( n = 4) , homeless people ( n = 3) , and other key risk populations not specified ( n = 3) .…”

Section: Resultsmentioning

confidence: 99%

“…Of the 65 studies that introduced HIV testing, 56 studies utilized novel HIV testing technologies to improve testing uptake [18,19,[21][22][23][25][26][27]29,[31][32][33][34][35][36][37][38][39][41][42][43]46,47,[50][51][52]54,[58][59][60][61][62][64][65][66][67][68][69][72][73][74][75][76][77][78]81,83,84,[86][87][88][89]…”

Section: Testing Provision Outside Of Health Care Settingsmentioning

confidence: 99%

HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance

et al. 2019

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Objectives In recent years, new technologies and new approaches to scale up HIV testing have emerged. The objective of this paper was to synthesize the body of recent evidence on strategies aimed at increasing the uptake and coverage of HIV testing outside of health care settings in the European Union (EU)/European Economic Area (EEA). Methods Systematic searches to identify studies describing effective HIV testing interventions and barriers to testing were run in five databases (2010–2017) with no language restrictions; the grey literature was searched for similar unpublished studies (2014–2017). Study selection, data extraction and critical appraisal were performed by two independent reviewers following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Results Eighty studies on HIV testing in non‐health care settings were identified, the majority set in Northern Europe. Testing was implemented in 65 studies, with men who have sex with men the risk group most often targeted. Testing coverage and positivity/reactivity rates varied widely by setting and population group. However, testing in community and outreach settings was effective at reaching people who had never previously been tested and acceptability of HIV testing, particularly rapid testing, outside of health care settings was found to be high. Other interventions aimed to increase HIV testing identified were: campaigns (n = 8), communication technologies (n = 2), education (n = 3) and community networking (n = 1). Conclusions This review has identified several strategies with potential to achieve high HIV testing coverage outside of health care settings. However, the geographical spread of studies was limited, and few intervention studies reported before and after data, making it difficult to evaluate the impact of interventions on test coverage.

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“…Sin embargo, se obtuvieron menores porcentajes de mujeres y extranjeros, y mayores porcentajes de HSH [21][22] . Estas diferencias podrían explicarse por el gran número de pruebas realizadas por entidades especializadas en VIH/sida de nuestro estudio por el tipo de población atendida.…”

Section: Discussionunclassified

Characterising people who demanded the rapid HIV test in Andalusia between 2013 and 2014

Lorusso

Lozano

Zamora

2017

An Sist Sanit Navar

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Fundamento. El objetivo del estudio fue caracterizar a las personas que demandaron la prueba rápida VIH en Andalucía.métodos. Estudio trasversal realizado por las entidades sociales colaboradoras del Programa de diagnóstico precoz del VIH en Andalucía. Los participantes fueron personas que demandaron la prueba en fluido oral y que contestaron una encuesta previa a la misma entre septiembre de 2013 y agosto de 2014. Se realizó un análisis descriptivo y de regresión logística para determinar los factores de riesgo asociados a un resultado reactivo. Se analizaron variables relacionadas con: entidad que realizó la prueba, características sociodemográficas, exposición de riesgo, antecedentes de realización de la prueba VIH, antecedentes de infecciones de transmisión sexual (variables predictivas) y resultado de la prueba (variable dependiente).resultados. Las personas caracterizadas fueron 1.844 (48%), en su mayoría hombres (70%) que practicaron sexo con otros hombres (HSH) en los últimos 12 meses (59%). El 53% se había realizado la prueba anteriormente y acudieron tras una exposición de riesgo, principalmente de sexo desprotegido oral (75%), vaginal (50%) y/o anal (38%). El 23% fueron extranjeros. Los factores asociados a un resultado reactivo fueron: entidades especializadas en VIH, sexo masculino, HSH, realización de sexo desprotegido (anal, con persona VIH+ y/o con trabajador/a del sexo) y tener antecedente de prueba (p<0,05). La significación estadística del sexo masculino y de las prácticas desprotegidas se mantuvo en el estudio multivariante.conclusiones. Se ha logrado caracterizar a un elevado nú-mero de personas (alrededor del 50%), lo que favorecerá la adecuación de la recogida de información y la mejora del Programa. Design. Cross-sectional study carried out by social organisation collaborating with the Program for early diagnosis of HIV in Andalusia. Participants underwent an oral HIV test and answered a survey beforehand, from September 2013 to August 2014. The study included a descriptive analysis of data and a logistic regression in order to determine the risk factors associated with a reactive test result. We analysed variables related to: social organisation, sociodemographic characteristics, risk exposure that caused the test, previous test history, history of sexually transmitted infections (predictive variables) and test result (dependent variable).results. It was possible to characterise 1,844 people (48%). They were mostly men (70%) who had sex with men (MSM) in the last 12 months (59%). The 53% had a previous HIV test and came to social organisations after an exposure to risk, especially unprotected oral sex (75%), vaginal (50%) and/or anal (38%). Twenty-three percent was foreigners. A positive result was associated to: HIV work area, male sex, MSM, unprotected sex (anal, with HIV+ person or with sex worker) and test antecedent (p<0.05). These unprotected practices and male sex were also significant in the multivariate analysis.conclusions. This approach of the study made it possible to charac...

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Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008–2011

Cited by 15 publications

References 22 publications

HIV Linkage to Care and Retention in Care Rate Among MSM in Guangzhou, China

HIV Linkage to Care and Retention in Care Rate Among MSM in Guangzhou, China

HIV testing strategies outside of health care settings in the European Union (EU)/European Economic Area (EEA): a systematic review to inform European Centre for Disease Prevention and Control guidance

Characterising people who demanded the rapid HIV test in Andalusia between 2013 and 2014

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