Feasibility and acceptability of rapid HIV test screening (DEPIVIH) by French family physicians

Gauthier, R.; Livrozet, Jean-Michel; Clary, Françoise; Tauléra, Olivier; Bouée, S.; Aubert, Jean‐Pierre; Py, A.M.; Peter, J.-M.; Majerholc, C.; Suffrin, S. Héber; Compagnon, C.; Wajsbrot, A.

doi:10.1016/j.medmal.2012.08.005

Cited by 9 publications

(18 citation statements)

References 7 publications

(7 reference statements)

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“…Novel HIV testing technologies were employed by 40 studies in a wide range of clinical settings to increase testing coverage; the majority utilized rapid testing (n = 36) [18,19,22,24,25,34,36,45,46,[48][49][50]56,57,59,65,75,77,81,83,85,88,89,[99][100][101]107,113,117,129,132,134,137,139,141] while four utilized self-sampling (n = 3) [44,52,102] and self-testing strategies (n = 1) [108]. Two of the four self-sampling studies used oral fluid sampling while the self-test required a blood sample.…”

Section: Testing Provision Strategiesmentioning

confidence: 99%

“…Results also suggest that rapid testing is acceptable to both groups (patient studies, n = 5; provider studies, n = 6), with providers willing to use rapid tests [24,53,56,57,107] and finding their interpretation easy [50]. Some feasibility studies highlighted that nontraditional health care settings can target populations not previously tested for HIV (n = 4) [18,85,132,145], with the reported percentage of first-time testers in such settings ranging from 51 to 75%.…”

Section: Feasibility and Acceptabilitymentioning

confidence: 99%

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HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

et al. 2019

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Objectives Despite the availability of HIV testing guidelines to facilitate prompt diagnosis, late HIV diagnosis remains high across Europe. The study synthesizes recent evidence on HIV testing strategies adopted in health care settings in the European Union/European Economic Area (EU/EEA). Methods Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed and systematic searches were run in five databases (2010–2017) to identify studies describing HIV testing interventions in health care settings in the EU/EEA. The grey literature was searched for unpublished studies (2014–2017). Two reviewers independently performed study selection, data extraction and critical appraisal. Results One hundred and thirty intervention and/or feasibility studies on HIV testing in health care settings were identified. Interventions included testing provision (n = 94), campaigns (n = 14) and education and training for staff and patients (n = 20). HIV test coverage achieved through testing provision varied: 2.9–94% in primary care compared to 3.9–66% in emergency departments. HIV test positivity was lower in emergency departments (0–1.3%) and antenatal services (0–0.05%) than in other hospital departments (e.g. inpatients: 0–5.3%). Indicator condition testing programmes increased HIV test coverage from 3.9–72% before to 12–85% after their implementation, with most studies reporting a 10–20% increase. There were 51 feasibility and/or acceptability studies that demonstrated that HIV testing interventions were generally acceptable to patients and providers in health care settings (e.g. general practitioner testing acceptable: 77–93%). Conclusions This review has identified several strategies that could be adopted to achieve high HIV testing coverage across a variety of health care settings and populations in the EU/EEA. Very few studies compared the intervention under investigation to a baseline, but, where this was assessed, data suggested increases in testing.

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Section: Testing Provision Strategiesmentioning

confidence: 99%

Section: Feasibility and Acceptabilitymentioning

confidence: 99%

HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

et al. 2019

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“…However, only three rapid HIV tests were used. The authors of two other studies, conducted with French FPS, reported an even lower implementation rate at 1.5% [9,10]. The authors of a study conducted in 27 emergency services offering rapid HIV test systematically to all consultants, reported a higher completion rate of 17.3%.…”

Section: Discussionmentioning

confidence: 98%

“…The difficulty to assess whether the patient is mentally apt to hearing the diagnosis and the fear of triggering anxiety are stress factors mentioned by FPs [16,40]. Finally, the difficulty to adequately perform the test was also mentioned in other studies [9,10].…”

Section: Discussionmentioning

confidence: 99%