Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011

We assess the added value of a multisite, street-based HIV rapid testing programme by comparing its results to pre-existing services and assessing its potential to reduce ongoing transmission. Between 2008 and 2011, 8,923 individuals underwent testing. We compare outcomes with those of a network of...

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Detalhes bibliográficos
Autores: Belza Egozcue, Maria Jose, Hoyos, Juan, Fernandez-Balbuena, Sonia, Diaz Franco, Asuncion, Bravo, Maria Jose, Fuente, Luis de la
Tipo de documento: artigo
Data de publicação:2015
País:España
Recursos:Instituto de Salud Carlos III (ISCIII)
Repositório:Repisalud
Idioma:inglês
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/9000
Acesso em linha:http://hdl.handle.net/20.500.12105/9000
Access Level:Acceso aberto
Palavra-chave:Adult
Early Diagnosis
Female
HIV Infections
Homosexuality, Male
Humans
Male
Mass Screening
Population Surveillance
Prevalence
Program Evaluation
Risk-Taking
Sexual Behavior
Spain
Mobile Health Units
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spelling Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011Belza Egozcue, Maria JoseHoyos, JuanFernandez-Balbuena, SoniaDiaz Franco, AsuncionBravo, Maria JoseFuente, Luis de laAdultEarly DiagnosisFemaleHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningPopulation SurveillancePrevalenceProgram EvaluationRisk-TakingSexual BehaviorSpainMobile Health UnitsWe assess the added value of a multisite, street-based HIV rapid testing programme by comparing its results to pre-existing services and assessing its potential to reduce ongoing transmission. Between 2008 and 2011, 8,923 individuals underwent testing. We compare outcomes with those of a network of 20 sexually transmitted infections (STI)/HIV clinics (EPI-VIH) and the Spanish National HIV Surveillance System (SNHSS); evaluate whether good visibility prompts testing and assess whether it reaches under-tested populations. 89.2% of the new infections were in men who have sex with men (MSM) vs 78.0% in EPI-VIH and 56.0% in SNHSS. 83.6% of the MSM were linked to care and 20.9% had <350 CD4 HIV prevalence was substantially lower than in EPI-VIH. 56.5% of the HIV-positive MSM tested because they happened to see the programme, 18.4% were previously untested and 26.3% had their last test ≥2 years ago. The programme provided linkage to care and early diagnosis mainly to MSM but attendees presented a lower HIV prevalence than EPI-VIH. From a cost perspective it would benefit from being implemented in locations highly frequented by MSM. Conversely, its good visibility led to reduced periods of undiagnosed infection in a high proportion of MSM who were not testing with the recommended frequency.European Centre for Disease Prevention and Control (ECDC)Instituto de Salud Carlos IIIFundación para la Investigación y la Prevención del Sida en España20202020-02-0320152015-04-0920152015-04-09research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/9000reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)InglésengES FIPSE-240961 10ES PI09 1706open accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/90002026-06-12T12:43:37Z
dc.title.none.fl_str_mv Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
title Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
spellingShingle Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
Belza Egozcue, Maria Jose
Adult
Early Diagnosis
Female
HIV Infections
Homosexuality, Male
Humans
Male
Mass Screening
Population Surveillance
Prevalence
Program Evaluation
Risk-Taking
Sexual Behavior
Spain
Mobile Health Units
title_short Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
title_full Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
title_fullStr Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
title_full_unstemmed Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
title_sort Assessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011
dc.creator.none.fl_str_mv Belza Egozcue, Maria Jose
Hoyos, Juan
Fernandez-Balbuena, Sonia
Diaz Franco, Asuncion
Bravo, Maria Jose
Fuente, Luis de la
author Belza Egozcue, Maria Jose
author_facet Belza Egozcue, Maria Jose
Hoyos, Juan
Fernandez-Balbuena, Sonia
Diaz Franco, Asuncion
Bravo, Maria Jose
Fuente, Luis de la
author_role author
author2 Hoyos, Juan
Fernandez-Balbuena, Sonia
Diaz Franco, Asuncion
Bravo, Maria Jose
Fuente, Luis de la
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
Fundación para la Investigación y la Prevención del Sida en España
dc.subject.none.fl_str_mv Adult
Early Diagnosis
Female
HIV Infections
Homosexuality, Male
Humans
Male
Mass Screening
Population Surveillance
Prevalence
Program Evaluation
Risk-Taking
Sexual Behavior
Spain
Mobile Health Units
topic Adult
Early Diagnosis
Female
HIV Infections
Homosexuality, Male
Humans
Male
Mass Screening
Population Surveillance
Prevalence
Program Evaluation
Risk-Taking
Sexual Behavior
Spain
Mobile Health Units
description We assess the added value of a multisite, street-based HIV rapid testing programme by comparing its results to pre-existing services and assessing its potential to reduce ongoing transmission. Between 2008 and 2011, 8,923 individuals underwent testing. We compare outcomes with those of a network of 20 sexually transmitted infections (STI)/HIV clinics (EPI-VIH) and the Spanish National HIV Surveillance System (SNHSS); evaluate whether good visibility prompts testing and assess whether it reaches under-tested populations. 89.2% of the new infections were in men who have sex with men (MSM) vs 78.0% in EPI-VIH and 56.0% in SNHSS. 83.6% of the MSM were linked to care and 20.9% had <350 CD4 HIV prevalence was substantially lower than in EPI-VIH. 56.5% of the HIV-positive MSM tested because they happened to see the programme, 18.4% were previously untested and 26.3% had their last test ≥2 years ago. The programme provided linkage to care and early diagnosis mainly to MSM but attendees presented a lower HIV prevalence than EPI-VIH. From a cost perspective it would benefit from being implemented in locations highly frequented by MSM. Conversely, its good visibility led to reduced periods of undiagnosed infection in a high proportion of MSM who were not testing with the recommended frequency.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-04-09
2015
2015-04-09
2020
2020-02-03
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/9000
url http://hdl.handle.net/20.500.12105/9000
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv ES FIPSE-240961 10
ES PI09 1706
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-CompartirIgual 4.0 Internacional
http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-CompartirIgual 4.0 Internacional
http://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv European Centre for Disease Prevention and Control (ECDC)
publisher.none.fl_str_mv European Centre for Disease Prevention and Control (ECDC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869414985288908801
score 15.812429

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