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Rapid HIV testing increases testing frequency among gay and bisexual men: a controlled before-after study.
Keen, Phillip; Jamil, Muhammad; Callander, Denton; Conway, Damian P; McNulty, Anna; Davies, Stephen C; Couldwell, Deborah L; Smith, Don E; Holt, Martin; Vaccher, Stefanie J; Gray, James; Cunningham, Philip; Prestage, Garrett; Guy, Rebecca.
Afiliação
  • Keen P; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia; and Corresponding author. Email: pkeen@kirby.unsw.edu.au.
  • Jamil M; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
  • Callander D; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
  • Conway DP; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
  • McNulty A; Sydney Sexual Health Centre, Sydney Hospital, Sydney, NSW 2000, Australia; and School of Public Health and Community Medicine, UNSW Sydney, Sydney, NSW 2052, Australia.
  • Davies SC; North Shore Sexual Health Service, Royal North Shore Hospital, St Leonards, NSW 2065, Australia; and Sydney Medical School, University of Sydney, NSW 2006, Australia.
  • Couldwell DL; Western Sydney Sexual Health Centre, Western Sydney Local Health District, NSW 2150, Australia; and The Marie Bashir Institute for Infectious Diseases, University of Sydney, NSW 2145, Australia.
  • Smith DE; School of Public Health and Community Medicine, UNSW Sydney, Sydney, NSW 2052, Australia; and Albion Centre, 150 Albion Street, Surry Hills, NSW 2010, Australia.
  • Holt M; Centre for Social Research in Health, UNSW Sydney, Sydney, NSW 2052, Australia.
  • Vaccher SJ; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
  • Gray J; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia; and ACON, 414 Elizabeth Street, Surry Hills, Sydney, NSW 2010, Australia.
  • Cunningham P; NSW State Reference Laboratory for HIV, St Vincent's Hospital, Darlinghurst, NSW 2010, Australia; and St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, NSW 2052, Australia.
  • Prestage G; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
  • Guy R; The Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia.
Sex Health ; 16(2): 172-179, 2019 04.
Article em En | MEDLINE | ID: mdl-30944062
ABSTRACT
Background Rapid HIV testing was introduced at 12 clinics in New South Wales (NSW) for routine testing and promoted with social marketing. The effect of the availability of rapid HIV testing on testing frequency among gay and bisexual men (GBM) was evaluated.

METHODS:

An observational design using patient data from 12 clinics was used. The primary outcome was the mean number of HIV tests in 12 months. The intervention group comprised GBM who had one or more rapid tests from October 2013 to September 2014 and this was compared with two control groups; a concurrent group (no rapid test in the same period) and a historical group (attended between July 2011 and June 2012). Independent sample t-tests were conducted to compare mean number of tests among men in the intervention, concurrent and historical groups. Multivariate logistic regression was used to assess the association between rapid HIV testing and testing frequency.

RESULTS:

Men in the intervention group (n = 3934) had a mean of 1.8 HIV tests in 12 months, compared with 1.4 in the concurrent group (n = 5063; P < 0.001) and 1.4 in the historical group (n = 5904; P < 0.001); testing frequency was higher among men at increased risk of HIV in the intervention group compared with the other two groups (mean 2.2, 1.6 and 1.5 respectively; P < 0.001). Membership of the intervention group was associated with increased odds of having two or more HIV tests in 12 months (AOR = 2.5, 95%CI 2.2-2.8; P < 0.001) compared with the concurrent group, after controlling for demographic and behavioural factors.

CONCLUSION:

Introducing and promoting rapid HIV testing in clinics in NSW was associated with increased HIV testing frequency among GBM.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Testes Sorológicos / Infecções por HIV / Minorias Sexuais e de Gênero Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans / Male País/Região como assunto: Oceania Idioma: En Revista: Sex Health Assunto da revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS Ano de publicação: 2019 Tipo de documento: Article
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Testes Sorológicos / Infecções por HIV / Minorias Sexuais e de Gênero Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans / Male País/Região como assunto: Oceania Idioma: En Revista: Sex Health Assunto da revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS Ano de publicação: 2019 Tipo de documento: Article