HIV rapid testing in the framework of an STI prevention project on a cohort of vulnerable Italians and immigrants

Uccella, Ilaria; Petrelli, Alessio; Vescio, Maria Fenicia; Carolis, Silvia De; Fazioli, Cecilia; Pezzotti, Patrizio; Rezza, Giovanni

doi:10.1080/09540121.2017.1281876

Cited by 12 publications

(29 citation statements)

References 24 publications

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“…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 and finding their interpretation easy . Some feasibility studies highlighted that nontraditional health care settings can target populations not previously tested for HIV ( n = 4) , with the reported percentage of first‐time testers in such settings ranging from 51 to 75%. One study suggested that provider‐initiated testing is unlikely to be acceptable when specific populations are targeted (in this case, sub‐Saharan African patients) .…”

Section: Resultsmentioning

confidence: 99%

“…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%

“…Two of the four self-sampling studies used oral fluid sampling while the self-test required a blood sample. Novel testing approaches were particularly applied to improve testing coverage in HIV risk groups including MSM (n = 9) [44][45][46]52,57,81,85,129,134], migrants (n = 7) [22,45,46,57,85,129,132], and people who use/inject drugs (PWUD/ PWID) (n = 5) [50,57,85,89,129].…”

Section: Testing Provision Strategiesmentioning

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: Resultsmentioning

confidence: 99%

Section: Testing Provision Strategiesmentioning

confidence: 99%

Section: Testing Provision Strategiesmentioning

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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“…In 2015, despite a decline during the past decade, migrants still constitute an important proportion (37%) of new HIV cases in the European Union and the European Economic Area. 14,15 Interestingly, there is an increasing evidence that some migrants acquire HIV after their arrival in Europe. 16 An Italian study demonstrated that a lower educational level and immigrant status are associated with poor knowledge about HIV, other STIs and prevention methods.…”

Section: Discussionmentioning

confidence: 99%

“…16 An Italian study demonstrated that a lower educational level and immigrant status are associated with poor knowledge about HIV, other STIs and prevention methods. 15 Moreover, it revealed that immigrants have lower perception of sexual risk and higher prejudice than Italians. The risk of STIs and other infections is aggravated by the harsh or chaotic living conditions that many immigrants experience before emigration.…”

Section: Discussionmentioning

confidence: 99%

Optimization strategies for HIV, hepatitis and syphilis testing in Infectious Disease Clinic and Dermatology Unit of Modena: 7‐year results of collaboration experience

Mandel

Tullio

Rugge

et al. 2019

Acad Dermatol Venereol

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Background Screening tests for human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis infections performed in at-risk population show a higher number of positive tests compared to those carried out in the general population. 'Test & Counselling' Ambulatory of Infectious Disease Clinic (T&C-IDC) and Sexually Transmitted Diseases Ambulatory of Dermatology Unit (STDs-DU) of Modena began collaboration in 2010 and adopted a common diagnostic serological profile since 2013.Objectives The main objective was to analyse the number of screening tests performed in the T&C-IDC and STDs-DU, comparing the results obtained after the adoption of the shared protocol with the previous period. The secondary aim was to evaluate the linkage to care of newly diagnosed patients.Methods Consecutive patients referred to the T&C-IDC and STDs-DU from January 2010 to December 2016, with at least one performed screening test for HIV, HBV, HCV and syphilis were enrolled. Referral of patients with a new infection was obtained by capture-recapture methods in hospital databases. Results During the 7-year observation, we collected 13 117 admittances for 9154 patients. A significant increase in the number of screening tests (P < 0.001) and ratio between tests and admissions (P = 0.002) was observed. A total of 644 (7.0%) people with at least one infection were diagnosed. Among these, the most common was syphilis (41.9%), followed by HBV (25.7%), HCV (21.4%) and HIV (10.9%). Syphilis occurred predominantly in Italians (72.5%) and males (75.7%), as like as HCV, while foreign-born (85.5%) mainly harboured HBV infection. HIV diagnosis was detected more frequently among males (67.1%) with a similar proportion between Italians and foreign-born. Five hundred and fortythree out of 644 (84.3%) patients were linked to care. ConclusionThe collaboration between T&C-IDC and STDs-DU has proven to work well increasing the diagnosis over the time and obtaining good results in linkage to care.

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Important Gaps in HIV Knowledge, Attitudes and Practices Among Young Asylum Seekers in Comparison to the General Population

Tiittala

Kivelä

Liitsola

et al. 2018

J Immigrant Minority Health

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Migrants are disproportionately affected by HIV in many European countries, including Finland. We aimed to compare the HIV-related knowledge, attitudes and practices (KAP) of young asylum seekers to those of the general young adult population. Two cross-sectional surveys were conducted among 20- to 25-year-old young adults: The TIE study among asylum seekers (n = 47) and the World AIDS Day 2014 study among the general population (n = 485). Important gaps in HIV KAP were identified especially among the young asylum seekers. For the general young adult population, previous HIV testing was associated with female gender, better HIV knowledge and increased sexual activity. Health education concerning HIV needs to be further enforced among young adults in Finland. Due to poorer HIV knowledge, young asylum seekers might be especially vulnerable to HIV. The asylum process is a window of opportunity for health education and HIV testing.

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HIV rapid testing in the framework of an STI prevention project on a cohort of vulnerable Italians and immigrants

Cited by 12 publications

References 24 publications

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

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

Optimization strategies for HIV, hepatitis and syphilis testing in Infectious Disease Clinic and Dermatology Unit of Modena: 7‐year results of collaboration experience

Important Gaps in HIV Knowledge, Attitudes and Practices Among Young Asylum Seekers in Comparison to the General Population

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