Value of targeting at-risk populations at outreach venues: findings from a local sauna

Arumainayagam, Joseph; Grimshaw, Robert; Acharya, Sashi; Chandramani, S; Morrall, I A; Pugh, R. N. H.

doi:10.1258/ijsa.2008.008424

Cited by 10 publications

(8 citation statements)

References 4 publications

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“…Eleven studies investigated HIV testing in multiple high‐risk groups . The most commonly targeted group for testing was MSM (17 studies, including two that specifically targeted BME MSM) . Other groups included IDUs, youth, homeless individuals and individuals from Black and minority ethnic groups.…”

Section: Resultsmentioning

confidence: 99%

HIV testing in community settings in resource‐rich countries: a systematic review of the evidence

Thornton¹,

Delpech²,

Kall³

et al. 2012

HIV Medicine

105

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ObjectivesCommunity HIV testing represents an opportunity for diagnosing HIV infection among individuals who may not have contact with health services, especially in hard-to-reach groups. The aim of this review was to assess the evidence for feasibility, acceptability and effectiveness of HIV testing strategies in community settings in resource-rich countries. MethodsThe PubMed database was searched for English language studies of outreach HIV testing in resource-rich countries. Studies were included if they reported one of the following outcome measures: uptake of testing; seropositivity; client acceptability; or provider acceptability. ResultsForty-four studies were identified; the majority took place in the USA and targeted men who have sex with men. Uptake of HIV testing varied between 9 and 95% (in 14 studies). Seropositivity was Ն 1% in 30 of 34 studies. In 16 studies the proportion of patients who received their test results varied from 29 to 100% and rapid testing resulted in a higher proportion of clients receiving their results. Overall, client satisfaction with community HIV testing was high. However, concern remained over confidentiality, professional standards and the need for post-test counselling. Staff reported positive attitudes towards community testing. ConclusionsIn the majority of studies, the reported seropositivity was higher than 1/1000, the threshold deemed to be cost-effective for routinely offering testing. Rapid testing improved the return of HIV test results to clients. HIV testing in outreach settings may be important in identifying undiagnosed infections in at-risk populations, but appropriate data to evaluate these initiatives must be collected.

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Section: Resultsmentioning

confidence: 99%

HIV testing in community settings in resource‐rich countries: a systematic review of the evidence

Thornton¹,

Delpech²,

Kall³

et al. 2012

HIV Medicine

105

View full text Add to dashboard Cite

show abstract

“…Few studies have evaluated screening tools for estimating risk for HCV infection to support efficient screening of the hidden population of HCV–infected individuals [11, 12]. Further research is needed to understand the effects of different strategies on clinical outcomes and to customize the tool to the target population.…”

Section: Introductionmentioning

confidence: 99%

Validation of EGCRISC for Chronic Hepatitis C Infection Screening and Risk Assessment in the Egyptian Population

et al. 2016

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Chronic HCV infection, a highly endemic disease in Egypt, is usually asymptomatic for decades after infection. Prediction questionnaire tool was proofed to be a valuable, feasible and efficient instrument for the screening of several diseases. We previously developed an Egyptian HCV risk screening tool (EGCRISC). This study aims to validate/modify EGCRISC. A cross-sectional study testing 4579 individuals by EGCRISC as well as ELISA/PCR was performed. The sample was a stratified cluster sampling from urban and rural areas in Upper and Lower Egypt using a proportional allocation technique. The degree of agreement and positive and negative posttest probabilities were calculated. ROC curve was done and the cutoff points were customized for best performance. The total score was further classified into three levels according to the risk load. The mean age of the participants was 41.1±12.2 in whom HCV prevalence was 8.6%. EGCRISC, particularly after modifying the cutoff points, has a good discriminating ability. The degree of agreement was at least 68.1% and the positive posttest probability ranged from 5% to 37.2% whereas the negative posttest probability was in the range 1% to 17%. We conclude that EGCRISC is a valid tool that can potentially screen for HCV infection risk in Egypt and could diminish the demand for mass serologic screening in those apparently at minimal risk. Extensive use of electronic and self- or interviewer-administered risk-based screening strategy may simplify and promote overall screening and detection of HCV dissimilar communities.

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“…Venues where MSM gather continue to serve as key locations where health and community service providers engage MSM for HIV testing, education, and prevention (Arumainayagam et al, 2009; Daskalakis et al, 2009; Mullens, Staunton, Debattista, Hamernik, & Gill, 2009; Raymond, Bingham, & McFarland, 2008; Reisner et al, 2009). Meanwhile, the growth of the Internet as a virtual space where MSM meet partners has presented new challenges for venue-based HIV prevention and education (Liau, Millett, & Marks, 2006; Moskowitz, Melton, & Owczarzak, 2009).…”

Section: Introductionmentioning

confidence: 99%

HIV Status Differences in Venues Where Highly Sexually Active Gay and Bisexual Men Meet Sex Partners: Results from a Pilot Study

Grov

Golub²,

Parsons³

2010

AIDS Education and Prevention

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Highly sexually active men who have sex with men (MSM) are a critical population in which to provide HIV prevention and education. To inform the tailoring and placement of such services, this study reports on HIV status differences in nine venues where 50 highly sexually active MSM (defined as those who had nine or more male partners in the past 90 days) met recent male sex partners. HIV-positive men (95%) were significantly more likely than HIV-negative/unknown status men (68%) to have used the Internet to meet partners but were less likely to meet partners in bars/clubs (37% vs. 71%). Although both HIV-positive and HIV-negative/unknown status men reported a sizable portion of their total partners from the Internet (55% and 29%, respectively), HIV-positive MSM also gravitated toward meeting partners through sexual networks (private sex parties and via other sex partners), whereas HIV-negative/unknown status also gravitated toward gay bars/clubs and public cruising. Overall, HIV-positive men were more likely to report unprotected anal sex than to HIV-negative/unknown status men. Among HIV-negative/unknown status men, the highest rates of unprotected sex were with men they met online (20% of online partners) and through other sex partners (25% of these partners). Efforts targeted toward highly sexually active HIV-negative/unknown status men might be best positioned online and in gay bars/clubs, whereas those tailored for highly sexually active HIV-positive men may consider targeting the Internet and peers/sexual networks.

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Value of targeting at-risk populations at outreach venues: findings from a local sauna

Cited by 10 publications

References 4 publications

HIV testing in community settings in resource‐rich countries: a systematic review of the evidence

HIV testing in community settings in resource‐rich countries: a systematic review of the evidence

Validation of EGCRISC for Chronic Hepatitis C Infection Screening and Risk Assessment in the Egyptian Population

HIV Status Differences in Venues Where Highly Sexually Active Gay and Bisexual Men Meet Sex Partners: Results from a Pilot Study

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