The longer-term effects of access to HIV self-tests on HIV testing frequency in high-risk gay and bisexual men: follow-up data from a randomised controlled trial
| Autor: | Garrett Prestage, Marcus Y Chen, Muhammad S Jamil, Darren Russell, Damian P. Conway, Anna McNulty, Rebecca Guy, John M. Kaldor, Matthew Vaughan, Handan Wand, Andrew E. Grulich, Virginia Wiseman, Phillip Keen, Benjamin R Bavinton, Kirsty S Smith, Tanya L. Applegate, Colin Batrouney, Matthew Law, Martin Holt, Christopher K Fairley, Ye Zhang |
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| Rok vydání: | 2021 |
| Předmět: |
Gay and bisexual men
HIV self-testing Human immunodeficiency virus (HIV) Hiv testing medicine.disease_cause law.invention symbols.namesake Randomized controlled trial law Internal Medicine Medicine Poisson regression Uncategorized Randomised controlled trial National health business.industry Health Policy Public Health Environmental and Occupational Health HIV Obstetrics and Gynecology Guideline Random effects model Test (assessment) Psychiatry and Mental health Infectious Diseases Pediatrics Perinatology and Child Health symbols Public aspects of medicine RA1-1270 Geriatrics and Gerontology business Research Paper Demography |
| Zdroj: | The Lancet Regional Health. Western Pacific, Vol 14, Iss, Pp 100214-(2021) The Lancet Regional Health: Western Pacific |
| ISSN: | 2666-6065 |
| DOI: | 10.1016/j.lanwpc.2021.100214 |
| Popis: | Background: A wait-list randomised controlled trial in Australia (FORTH) in high-risk gay and bisexual men (GBM) showed access to free HIV self-tests (HIVSTs) doubled the frequency of HIV testing in year 1 to reach guideline recommended levels of 4 tests per year, compared to two tests per year in the standard-care arm (facility-based testing). In year 2, men in both arms had access to HIVSTs. We assessed if the effect was maintained for a further 12 months. Methods:: Participants included GBM reporting condomless anal intercourse or > 5 male partners in the past 3 months. We included men who had completed at least one survey in both year 1 and 2 and calculated the mean tests per person, based on the validated self-report and clinic records. We used Poisson regression and random effects Poisson regression models to compare the overall testing frequency by study arm, year and testing modality (HIVST/facility-based test). Findings:: Overall, 362 men completed at least one survey in year 1 and 343 in year 2. Among men in the intervention arm (access to HIVSTs in both years), the mean number of HIV tests in year 2 (3⋅7 overall, 2⋅3 facility-based tests, 1⋅4 HIVSTs) was lower compared to year 1 (4⋅1 overall, 1⋅7 facility-based tests, 2⋅4 HIVSTs) (RR:0⋅84, 95% CI:0⋅75-0⋅95, p=0⋅002), but higher than the standard-care arm in year 1 (2⋅0 overall, RR:1⋅71, 95% CI:1⋅48-1.97, p |
| Databáze: | OpenAIRE |
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