A randomised controlled study of mouth swab testing versus same day blood tests for HIV infection in young people attending a community drug service

Apoola, Ade; Brunt, Lynne

doi:10.1111/j.1465-3362.2010.00208.x

Cited by 8 publications

(19 citation statements)

References 7 publications

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“…one evaluated an online web-based intervention that provided information in the form of individualized advice in personalized emails (19), one employed one-to-one counselling (14) , one used video (15) and two included home-based STI test kits (13,28). One of these studies was of notably high quality with no risk of bias and both provided information, including information about testing (13).…”

Section: Discussionmentioning

confidence: 99%

“…Interventions meeting specified inclusion criteria, evaluated among young people (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) years old) or MSM using RCTs were included. The research question addressed was:…”

Section: Review Objective and Research Questionmentioning

confidence: 99%

“…This online web-based social media intervention included provision of information about testing. One of seven interventions employing one-to-one counselling in young people increased STI test uptake (14). The intervention included an oral swab test for both HIV infection and hepatitis B and C in young people attending a community drug service.…”

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Brief interventions to prevent sexually transmitted infections suitable for in-service use: A systematic review

Long

Abraham

Paquette

et al. 2016

Preventive Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Review Objective and Research Questionmentioning

confidence: 99%

Section: Effectiveness Of Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Brief interventions to prevent sexually transmitted infections suitable for in-service use: A systematic review

Long

Abraham

Paquette

et al. 2016

Preventive Medicine

View full text Add to dashboard Cite

“…6 Despite the mandatory nature of the current screening program, NY State has not dedicated resources to support HIV screening. Third, use of rapid HIV cheek swab might be more appealing to patients, 30 and could be performed by staff dedicated for this purpose. Rapid bedside oral testing was not chosen in these two EDs primarily because of the need to train many providers, including those who rotate through the ED.…”

Section: Discussionmentioning

confidence: 99%

Providers' Perceptions of the Factors Influencing the Implementation of the New York State Mandatory HIV Testing Law in Two Urban Academic Emergency Departments

Schnall

Clark

Olender

et al. 2013

Academic Emergency Medicine

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Objectives Of the 1.1 million people in the United States infected with human immunodeficiency virus (HIV), more than 20% are unaware of their infection. To increase early diagnosis and treatment, New York State recently passed legislation mandating that HIV testing be offered to all patients, ages 13 to 64 years, receiving health care services. Implementation of this legislation is complex, especially in the emergency department (ED). This study explores ED providers' perceptions of the factors affecting the implementation of the law. Methods The authors conducted six focus group sessions and three in-depth interviews with ED health care providers from two New York City teaching hospitals. Sessions were audiotaped and transcribed. Data were coded and summarized thematically through an iterative process after each session. Results A total of 49 providers participated and data saturation was achieved. Six factors were identified that predispose a provider to offer an HIV test: 1) self-efficacy, 2) behavioral intention, 3) the testing process, 4) provider knowledge of the legislation, 5) type of HIV test, and 6) follow-up procedures. Five factors were identified that enable providers to offer an HIV test: 1) resources related to time, 2) space, 3) staff, 4) type of test, and 5) timing of the offer. Improving access to HIV testing, linkage to care, and public health were all key factors in reinforcing providers' desire to offer HIV tests. Concerns regarding overall cost saving and coverage for the test were indicated as barriers that needed to be resolved in order to reinforce the providers to offer an HIV test. Conclusions Understanding the factors influencing the practice of ED providers charged with carrying out this mandate is critical. Despite earlier research that indicated that offering HIV testing to ED patients is largely influenced by cost, this study found additional factors that are important to consider to effectively implementing HIV testing in the ED.

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“…In a small UK study, young people attending a community drug service were randomized to receive HIV, hepatitis B and C virus testing using blood tests or oral swabs; uptake rates were significantly higher in those randomized to oral swabs (HIV: 100 vs 18.5%; hepatitis C: 100 vs 7.4%; hepatitis B: 92.6 vs 7.4%) [92], suggesting that noninvasive sampling may play a role in difficult-to-test populations.…”

Section: Reducing Late Diagnosismentioning

confidence: 99%

Late HIV presentation: epidemiology, clinical implications and management

Waters

Sabin²

2011

Expert Review of Anti-infective Therapy

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Late presentation of HIV is common and is associated with several adverse outcomes including an increased risk of clinical progression, blunted immune recovery on highly active antiretroviral therapy and a greater risk of drug toxicity. Late presenters may have higher rates of poor adherence, exacerbated by the same factors that contribute to their late diagnosis, such as lack of knowledge about HIV and the benefits of highly active antiretroviral therapy. We review the definitions of, risk factors for and subsequent impact of late presentation. Evidence regarding how and when to start antiretroviral therapy, and with which agents, will be discussed, as well as issues surrounding vaccination and opportunistic infection prophylaxis for individuals with a low CD4 count. Finally, strategies to increase HIV testing uptake to reduce late presentation will be summarized.

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A randomised controlled study of mouth swab testing versus same day blood tests for HIV infection in young people attending a community drug service

Abstract: An oral swab test in the community for blood borne virus testing leads to an increase in the number of young high-risk people tested for blood borne infections and is associated with a trend towards higher rates of subsequent attendance for STI screening.

Cited by 8 publications

References 7 publications

Brief interventions to prevent sexually transmitted infections suitable for in-service use: A systematic review

Brief interventions to prevent sexually transmitted infections suitable for in-service use: A systematic review

Providers' Perceptions of the Factors Influencing the Implementation of the New York State Mandatory HIV Testing Law in Two Urban Academic Emergency Departments

Late HIV presentation: epidemiology, clinical implications and management

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