P166 “if you build it, they will come”: how the targeted location of a sexual health clinic within the social heart of an at risk community can significantly increase the detection and management of infections: Abstract P166 Table 1

Kershaw, Elizabeth

doi:10.1136/sextrans-2015-052126.209

Cited by 1 publication

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“…The searches yielded 15 004 records after de‐duplication; after full‐text review, 368 studies were included in the overall systematic review (Figure ). Of the 368 studies, 130 are described in this paper, exploring interventions and feasibility of HIV testing in health care settings in Europe, including 84 peer‐reviewed articles and 46 conference proceedings (Table ) .…”

Section: Resultsmentioning

confidence: 99%

“…One of these examined whether computer‐assisted self‐interviewing resulted in increased HIV testing when compared to interviews with clinicians and found significantly less testing in the self‐interviewing population (63% versus 69%, respectively). Finally, in one study, the STI clinic moved location to be in a higher MSM density area, which resulted in a large increase in the number of HIV diagnoses from 175 in 2008 to 381 in 2013 after relocation .…”

Section: Resultsmentioning

confidence: 99%

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HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

et al. 2019

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Objectives Despite the availability of HIV testing guidelines to facilitate prompt diagnosis, late HIV diagnosis remains high across Europe. The study synthesizes recent evidence on HIV testing strategies adopted in health care settings in the European Union/European Economic Area (EU/EEA). Methods Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed and systematic searches were run in five databases (2010–2017) to identify studies describing HIV testing interventions in health care settings in the EU/EEA. The grey literature was searched for unpublished studies (2014–2017). Two reviewers independently performed study selection, data extraction and critical appraisal. Results One hundred and thirty intervention and/or feasibility studies on HIV testing in health care settings were identified. Interventions included testing provision (n = 94), campaigns (n = 14) and education and training for staff and patients (n = 20). HIV test coverage achieved through testing provision varied: 2.9–94% in primary care compared to 3.9–66% in emergency departments. HIV test positivity was lower in emergency departments (0–1.3%) and antenatal services (0–0.05%) than in other hospital departments (e.g. inpatients: 0–5.3%). Indicator condition testing programmes increased HIV test coverage from 3.9–72% before to 12–85% after their implementation, with most studies reporting a 10–20% increase. There were 51 feasibility and/or acceptability studies that demonstrated that HIV testing interventions were generally acceptable to patients and providers in health care settings (e.g. general practitioner testing acceptable: 77–93%). Conclusions This review has identified several strategies that could be adopted to achieve high HIV testing coverage across a variety of health care settings and populations in the EU/EEA. Very few studies compared the intervention under investigation to a baseline, but, where this was assessed, data suggested increases in testing.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%