Ability of a rapid HIV testing site to attract and test vulnerable populations: a cross-sectional study on Actuel sur Rue
Quebec’s HIV epidemic persists, particularly among men who have sex with men (MSM) and in Montreal. Increasing access to HIV testing is necessary and community-based rapid testing offers one strategy. This paper examines the clienteles and activities of a rapid HIV testing site in Montreal, the pilo...
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Veröffentlicht in: | International journal of STD & AIDS 2016-10, Vol.27 (11), p.973-977 |
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creator | Engler, Kim Rollet, Kathleen Lessard, David Thomas, Réjean Lebouché, Bertrand |
description | Quebec’s HIV epidemic persists, particularly among men who have sex with men (MSM) and in Montreal. Increasing access to HIV testing is necessary and community-based rapid testing offers one strategy. This paper examines the clienteles and activities of a rapid HIV testing site in Montreal, the pilot project Actuel sur Rue. Comparative analyses were conducted with 1357 MSM, 147 heterosexual men and 64 women who visited Actuel sur Rue between July 2012 and November 2013 on socio-demographics, health, drug use, sexual practices/infection and HIV testing/prevention. Significant group differences were observed in each category. Actuel sur Rue received 1901 clients, conducted 1417 rapid HIV tests and tested 77 never-tested individuals. Rapid testing produced a high reactive rate (2%). Only 1/28 of those with reactive tests had no previous HIV testing, and 36% had used post-exposure prophylaxis, suggesting missed opportunities for prevention. Findings highlight diverse client vulnerability profiles and the relevance of checkpoints and further prevention efforts. |
doi_str_mv | 10.1177/0956462415602420 |
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Increasing access to HIV testing is necessary and community-based rapid testing offers one strategy. This paper examines the clienteles and activities of a rapid HIV testing site in Montreal, the pilot project Actuel sur Rue. Comparative analyses were conducted with 1357 MSM, 147 heterosexual men and 64 women who visited Actuel sur Rue between July 2012 and November 2013 on socio-demographics, health, drug use, sexual practices/infection and HIV testing/prevention. Significant group differences were observed in each category. Actuel sur Rue received 1901 clients, conducted 1417 rapid HIV tests and tested 77 never-tested individuals. Rapid testing produced a high reactive rate (2%). Only 1/28 of those with reactive tests had no previous HIV testing, and 36% had used post-exposure prophylaxis, suggesting missed opportunities for prevention. 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Increasing access to HIV testing is necessary and community-based rapid testing offers one strategy. This paper examines the clienteles and activities of a rapid HIV testing site in Montreal, the pilot project Actuel sur Rue. Comparative analyses were conducted with 1357 MSM, 147 heterosexual men and 64 women who visited Actuel sur Rue between July 2012 and November 2013 on socio-demographics, health, drug use, sexual practices/infection and HIV testing/prevention. Significant group differences were observed in each category. Actuel sur Rue received 1901 clients, conducted 1417 rapid HIV tests and tested 77 never-tested individuals. Rapid testing produced a high reactive rate (2%). Only 1/28 of those with reactive tests had no previous HIV testing, and 36% had used post-exposure prophylaxis, suggesting missed opportunities for prevention. 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Rollet, Kathleen ; Lessard, David ; Thomas, Réjean ; Lebouché, Bertrand</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-33222a4b819064ec05a08437f949010e4c832fd072df9d642746e33f3b6874673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>AIDS/HIV</topic><topic>Canada - epidemiology</topic><topic>Community Health Services - organization & administration</topic><topic>Cross-Sectional Studies</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heterosexuality - psychology</topic><topic>Heterosexuality - statistics & numerical data</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention & control</topic><topic>Homosexuality, Male - psychology</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Humans</topic><topic>Lentivirus</topic><topic>Male</topic><topic>Mass Screening - statistics & numerical data</topic><topic>Mass Screening - utilization</topic><topic>Pilot Projects</topic><topic>Post-Exposure Prophylaxis</topic><topic>Retroviridae</topic><topic>Risk-Taking</topic><topic>Sexual Behavior</topic><topic>Vulnerable Populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Engler, Kim</creatorcontrib><creatorcontrib>Rollet, Kathleen</creatorcontrib><creatorcontrib>Lessard, David</creatorcontrib><creatorcontrib>Thomas, Réjean</creatorcontrib><creatorcontrib>Lebouché, Bertrand</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>International journal of STD & AIDS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Engler, Kim</au><au>Rollet, Kathleen</au><au>Lessard, David</au><au>Thomas, Réjean</au><au>Lebouché, Bertrand</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ability of a rapid HIV testing site to attract and test vulnerable populations: a cross-sectional study on Actuel sur Rue</atitle><jtitle>International journal of STD & AIDS</jtitle><addtitle>Int J STD AIDS</addtitle><date>2016-10</date><risdate>2016</risdate><volume>27</volume><issue>11</issue><spage>973</spage><epage>977</epage><pages>973-977</pages><issn>0956-4624</issn><eissn>1758-1052</eissn><abstract>Quebec’s HIV epidemic persists, particularly among men who have sex with men (MSM) and in Montreal. Increasing access to HIV testing is necessary and community-based rapid testing offers one strategy. This paper examines the clienteles and activities of a rapid HIV testing site in Montreal, the pilot project Actuel sur Rue. Comparative analyses were conducted with 1357 MSM, 147 heterosexual men and 64 women who visited Actuel sur Rue between July 2012 and November 2013 on socio-demographics, health, drug use, sexual practices/infection and HIV testing/prevention. Significant group differences were observed in each category. Actuel sur Rue received 1901 clients, conducted 1417 rapid HIV tests and tested 77 never-tested individuals. Rapid testing produced a high reactive rate (2%). Only 1/28 of those with reactive tests had no previous HIV testing, and 36% had used post-exposure prophylaxis, suggesting missed opportunities for prevention. Findings highlight diverse client vulnerability profiles and the relevance of checkpoints and further prevention efforts.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26384948</pmid><doi>10.1177/0956462415602420</doi><tpages>5</tpages></addata></record> |
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subjects | AIDS/HIV Canada - epidemiology Community Health Services - organization & administration Cross-Sectional Studies Health Knowledge, Attitudes, Practice Heterosexuality - psychology Heterosexuality - statistics & numerical data HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - prevention & control Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Humans Lentivirus Male Mass Screening - statistics & numerical data Mass Screening - utilization Pilot Projects Post-Exposure Prophylaxis Retroviridae Risk-Taking Sexual Behavior Vulnerable Populations |
title | Ability of a rapid HIV testing site to attract and test vulnerable populations: a cross-sectional study on Actuel sur Rue |
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