期刊论文详细信息
BMC Public Health
Preferred HIV testing services and programme characteristics among clients of a rapid HIV testing programme
Luis de la Fuente1  José Pulido1  María Elena Rosales-Statkus3  Sonia Fernández-Balbuena2  María José Belza4  Juan Hoyos1 
[1] CIBER Epidemiology and Public Health (CIBERESP), C/Monforte de Lemos, nº 35, 28029 Madrid, Spain;Carlos III Health Institute, National Epidemiology Centre, C/ Monforte de Lemos, nº5, 28029 Madrid, Spain;Service of Preventive Medicine. Hospital Central de la Cruz Roja San José y Santa Adela, Madrid, Spain;Carlos III Health Institute, National School of Health, C/Sinesio Delgado, nº8, 28029 Madrid, Spain
关键词: Testing services;    Preferences;    HIV testing;   
Others  :  1161869
DOI  :  10.1186/1471-2458-13-791
 received in 2012-12-20, accepted in 2013-08-21,  发布年份 2013
PDF
【 摘 要 】

Background

In the current context of diversity and coexistence of HIV testing approaches, limited information exists on test recipient’s views of HIV testing services and programme attributes that could ease the testing process and make it more appealing for at risk individuals who don’t know their HIV status. This study analyzed ratings given to different testing sites and programme characteristics that might facilitate testing.

Methods

We analyzed data from 3120 persons attending a mobile HIV testing programme located on a central street in the gay district of Madrid.

Results

64% were men (of which, 55% had had sex with other men), 59.5% were <30 years, 35.4% foreigners, 50.6% had a university degree,71.7% a regular employment, 59.3% reported multiple partners and inconsistent condom use and 56.5% had been tested for HIV. Non Governmental Organizations and specific HIV/STI centres received the maximum rating from over 60% of participants, followed by self-testing (38.9%). Pharmacies (20.8%) and hospital emergency departments (14.2%) were the worst valued testing sites. Over 80% gave the highest rating to having immediate test results, not needing a previous appointment, and free testing, while less than 50% gave the maximum rating to privacy and anonymity.

Conclusions

HIV testing services that don’t require an appointment, based on free tests with rapid results are most valued by a young, not socially marginalized but high risk sexual exposure population. On the contrary, issues traditionally highly valued by health care providers or AIDS social organizations (privacy and anonymity) are much less valued.

【 授权许可】

   
2013 Hoyos et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413043723584.pdf 194KB PDF download
【 参考文献 】
  • [1]Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, Clark JE: Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep 2006, 55:1-17.
  • [2]Coenen T, Lundgren J, Lazarus JV, Matic S: Optimal HIV testing and earlier care: the way forward in Europe. HIV Med 2008, 9(Suppl 2):1-5.
  • [3]Sanchez TH, Sullivan PS: Expanding the horizons: new approaches to providing HIV testing services in the United States. Public Health Rep 2008, 123(Suppl 3):1-4.
  • [4]WHO Regional Office for Europe: Scaling up HIV testing and counselling in the WHO European region as an essential component of efforts to achieve universal access to HIV prevention, treatment, care and support. [http://www.euro.who.int/__data/assets/pdf_file/0007/85489/E93715.pdf webcite]
  • [5]Spielberg F, Kurth A, Gorbach PM, Goldbaum GM: Moving from apprehension to action: HIV counseling and testing preferences in three at-risk populations. AIDS Educ Prev 2001, 13:524-540.
  • [6]de Wit JB, Adam PC: To test or not to test: psychosocial barriers to HIV testing in high-income countries. HIV Med 2008, 9(Suppl 2):20-22.
  • [7]Deblonde J, De Koker P, Hamers FF, Fontaine J, Luchters S, Temmerman M: Barriers to HIV testing in Europe: a systematic review. Eur J Public Health 2010, 20:422-432.
  • [8]Obermeyer CM, Osborn M: The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. Am J Public Health 2007, 97:1762-1774.
  • [9]Bowles KE, Clark HA, Tai E, Sullivan PS, Song B, Tsang J, Dietz CA, Mir J, Mares-DelGrasso A, Calhoun C, et al.: Implementing rapid HIV testing in outreach and community settings: results from an advancing HIV prevention demonstration project conducted in seven U.S. Cities. Public Health Rep 2008, 123(3):78-85.
  • [10]Fernandez-Lopez L, Rifa B, Pujol F, Becerra J, Perez M, Merono M, Zaragoza K, Rafel A, Diaz O, Avellaneda A, et al.: Impact of the introduction of rapid HIV testing in the voluntary counselling and testing sites network of Catalonia, Spain. Int J STD AIDS 2010, 21:388-391.
  • [11]Mounier-Jack S, Nielsen S, Coker RJ: HIV testing strategies acrossEuropean countries. HIV Med 2008, 9(Suppl 2):13-19.
  • [12]Cohall A, Dini S, Nye A, Dye B, Neu N, Hyden C: HIV testing preferences among young Men of color Who have Sex with Men. Am J Public Health 2010, 100:1961-1966.
  • [13]Merchant RC, Clark MA, Seage GR, Mayer KH, DeGruttola VG, Becker BM: Emergency department patient perceptions and preferences on opt-in rapid HIV screening program components. AIDS Care 2009, 21:490-500.
  • [14]Skolnik HS, Phillips KA, Binson D, Dilley JW: Deciding where and how to be tested for HIV: what matters most? J Acquir Immune Defic Syndr 2001, 27:292-300.
  • [15]Spielberg F, Branson BM, Goldbaum GM, Lockhart D, Kurth A, Celum CL, Rossini A, Critchlow CW, Wood RW: Overcoming barriers to HIV testing: preferences for new strategies among clients of a needle exchange, a sexually transmitted disease clinic, and sex venues for men who have sex with men. J Acquir Immune Defic Syndr 2003, 32:318-327.
  • [16]Gorostiza I, Lopez dL I, Braceras IL: [HIV/AIDS screening program in community pharmacies in the Basque Country (Spain)]. Gac Sanit 2013, 27:164-166.
  • [17]Rifá B, Guayta R, Barau M, Giménez A: Early HIV detection through rapid tests in pharmacies. Viena: XVIII International AIDS Conference.2010; July 2010;
  • [18]Liang TS, Erbelding E, Jacob CA, Wicker H, Christmyer C, Brunson S, Richardson D, Ellen JM: Rapid HIV testing of clients of a mobile STD/HIV clinic. AIDS Patient Care STDS 2005, 19:253-257.
  • [19]Centre for Disease Control and Prevention: Advancing HIV prevention: new strategies for a changing epidemic--United States, 2003. MMWR Morb Mortal Wkly Rep 2003, 52:329-332.
  • [20]British HIV Association, British Association of Sexual Health and HIV, British Infection Society: British infection society: UK national guidelines for HIV testing 2008. 2008.
  • [21]Service Evaluation Economique et Santé Publique: Dépistage de l‘infection par le VIH en france. Stratégies et dispositif de dépistage. http://www.has-sante.fr/portail/upload/docs/application/pdf/2009-10/argumentaire_depistage_vih_volet_2_vfv_2009-10-21_16-49-13_375.pdf webcite
  • [22]Yazdanpanah Y, Lange J, Gerstoft J, Cairns G: Earlier testing for HIV–how do we prevent late presentation? Antivir Ther 2010, 15(Suppl 1):17-24.
  • [23]Spielberg F, Levine RO, Weaver M: Self-testing for HIV: a new option for HIV prevention? Lancet Infect Dis 2004, 4:640-646.
  • [24]D’Almeida KW, Kierzek G, De Truchis P, Le Vu S, Pateron D, Renaud B, Semaille C, Bousquet V, Simon F, Guillemot D, et al.: Modest public health impact of nontargeted human immunodeficiency virus screening in 29 emergency departments. Arch Intern Med 2012, 172:12-20.
  • [25]Haukoos JS: The impact of nontargeted HIV screening in emergency departments and the ongoing need for targeted strategies. Arch Intern Med 2012, 172:20-22.
  • [26]Lorenc T, Marrero-Guillamon I, Llewellyn A, Aggleton P, Cooper C, Lehmann A, Lindsay C: HIV testing among men who have sex with men (MSM): systematic review of qualitative evidence. Health Educ Res 2011, 26:834-846.
  • [27]Thornton AC, Delpech V, Kall MM, Nardone A: HIV testing in community settings in resource-rich countries: a systematic review of the evidence. HIV Med 2012, 13:416-426.
  • [28]Gray RT, Prestage GP, Down I, Ghaus MH, Hoare A, Bradley J, Wilson DP: Increased HIV testing will modestly reduce HIV incidence among gay men in NSW and would be acceptable if HIV testing becomes convenient. PLoS ONE 2013, 8:e55449.
  • [29]Burns FM, Imrie JY, Nazroo J, Johnson AM, Fenton KA: Why the(y) wait? Key informant understandings of factors contributing to late presentation and poor utilization of HIV health and social care services byAfrican migrants in Britain. AIDS Care 2007, 19:102-108.
  • [30]Fakoya I, Reynolds R, Caswell G, Shiripinda I: Barriers to HIV testing for migrant black Africans in Western Europe. HIV Med 2008, 9(Suppl 2):23-25.
  • [31]Prost A, Chopin M, Mcowan A, Elam G, Dodds J, MacDonald N, Lmrie J: “There is such a thing as asking for trouble”: taking rapid HIV testing to gay venues is fraught with challenges. Sex Transm Infect 2007, 83:185-188.
  • [32]Thomas F, Aggleton P, Anderson J: “If I cannot access services, then there is no reason for me to test”: the impacts of health service charges on HIV testing and treatment amongst migrants in England. AIDS Care 2010, 22:526-531.
  • [33]de la Fuente L, Rosales-Statkus ME, Hoyos J, Pulido J, Santos S, Bravo MJ, Barrio G, Fernandez-Balbuena S, Belza MJ: Are participants in a street-based HIV testing program able to perform their Own rapid test and interpret the results? PLoS ONE 2012, 7:e46555.
  文献评价指标  
  下载次数:1次 浏览次数:4次