Show simple item record

dc.contributor.authorBelza Egozcue, Maria Jose 
dc.contributor.authorHoyos, Juan
dc.contributor.authorFernández-Balbuena, S 
dc.contributor.authorDiaz, Asunción 
dc.contributor.authorBravo, María J 
dc.contributor.authorFuente, Luis de la
dc.identifier.citationEuro Surveill. 2015 Apr 9;20(14). pii: 21089.es_ES
dc.description.abstractWe 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.es_ES
dc.description.sponsorshipThis study was funded by Fundación para la investigación y la prevención del SIDA en España (FIPSE-240961/10) and by the Fondo de Investigación Sanitaria (FIS-PI09/1706)es_ES
dc.publisherEuropean Centre for Disease Prevention and Controles_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAdult es_ES
dc.subject.meshEarly Diagnosis es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHIV Infections es_ES
dc.subject.meshHomosexuality, Male es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMass Screening es_ES
dc.subject.meshPopulation Surveillance es_ES
dc.subject.meshPrevalence es_ES
dc.subject.meshProgram Evaluation es_ES
dc.subject.meshRisk-Taking es_ES
dc.subject.meshSexual Behavior es_ES
dc.subject.meshSpain es_ES
dc.subject.meshMobile Health Units es_ES
dc.titleAssessment of an outreach street-based HIV rapid testing programme as a strategy to promote early diagnosis: a comparison with two surveillance systems in Spain, 2008-2011es_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.contributor.funderFundación para la Investigación y la Prevención del Sida en Españaes_ES
dc.contributor.funderFondo de Investigaciones Sanitariases_ES
dc.identifier.journalEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletines_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES

Files in this item

Acceso Abierto

This item appears in the following Collection(s)

Show simple item record

Atribución-NoComercial-CompartirIgual 4.0 Internacional
This item is licensed under a: Atribución-NoComercial-CompartirIgual 4.0 Internacional