Factors associated with testing for HIV and hepatitis C among behaviorally vulnerable men in Germany : A cross-sectional analysis upon enrollment into an observational cohort
| Autor: | Clara Lehmann, Norbert H. Brockmeyer, Stephan Schneeweiß, Christoph Boesecke, Haoyu Qian, Christiane Cordes, Heiko Jessen, Merlin L. Robb, Klaus Jansen, Albrecht Stoehr, Stefan Esser, Nelson L. Michael, Trevor A Crowell, Markus Bickel, Jukka Hartikainen, Christoph D. Spinner, Carsten Tiemann, Hendrik Streeck |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Voluntary counseling and testing Short Report Medizin HIV Infections Hepacivirus Men who have sex with men Cohort Studies Risk Factors Germany Virology Internal medicine medicine Humans Outpatient clinic Pharmacology (medical) Homosexuality Male Human immunodeficiency virus Hepatitis C virus Transmission (medicine) business.industry virus diseases Hepatitis C RC581-607 Hepatitis B medicine.disease ddc Europe Cross-Sectional Studies Cohort Screening practices Molecular Medicine Sexual and gender minorities Immunologic diseases. Allergy business |
| Zdroj: | AIDS Research and Therapy, Vol 18, Iss 1, Pp 1-10 (2021) AIDS Research and Therapy |
| Popis: | Background HIV and hepatitis C virus (HCV) have shared routes of transmission among men who have sex with men (MSM). Routine testing facilitates early diagnosis and treatment, thereby preventing morbidity and onward transmission. We evaluated factors associated with HIV and HCV testing in a behaviorally vulnerable cohort of predominantly MSM. Methods From June 2018 through June 2019, the BRAHMS study enrolled adults at ten German outpatient clinics that serve gender and sexual minority populations. Participants completed behavioral questionnaires that captured prior experience with HIV and HCV testing. Multivariable robust Poisson regression was used to evaluate factors potentially associated with testing in the previous 6 months. Results Among 1017 participants with median age 33 (interquartile range 28–39) years, 1001 (98.4%) reported any lifetime history of HIV testing and 787 (77.4%) reported any HCV testing, including 16 (1.6%) known to be living with HCV. Testing within the last 6 months was reported by 921 (90.6%) and 513 (50.4%) for HIV and HCV, respectively. Recent HIV testing was more common among participants with higher education level and recent HCV testing. Recent HCV testing was more common among participants with non-cisgender identity, lifetime history of illicit drug use, hepatitis B immunity or infection, and recent HIV testing. Conclusion Prior testing for HIV was common in this cohort, but interventions are needed to improve HCV risk stratification and access to testing. HIV testing infrastructure can be successfully leveraged to support HCV testing, but differentiated preventive care delivery is needed for some vulnerable populations. |
| Databáze: | OpenAIRE |
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