National Epidemiology Centre, Carlos III Health Institute, , Madrid, Spain.
Sex Transm Infect. 2014 Mar;90(2):112-8. doi: 10.1136/sextrans-2013-051234. Epub 2013 Nov 14.
Given the shortage of community-based HIV testing initiatives in resource-rich countries not targeting most-at-risk populations, we aimed to evaluate whether a highly visible mobile programme promoting and offering rapid HIV testing in the street can attract persons at risk for infection who have never been tested.
Between 2008 and 2011, the programme served 7552 persons in various Spanish cities who answered a brief questionnaire while awaiting their results. The factors associated with being tested for the first time were analysed using two logistic regression models, one for men who have sex with men (MSM) and the other for only heterosexual men (MSW) and women.
3517 participants (47%) were first-time testers (24% of MSM, 56% of MSW and 60% of women). Among them, 22 undiagnosed HIV infections were detected with a global prevalence of 0.6% and 3.1% in MSM. Undergoing a first HIV test was independently associated with age <30, being from Spain or another developed country, lack of university education, having fewer partners, having had unprotected sex with casual partners and not having been diagnosed with a sexually transmitted infection. In heterosexuals, also with never injected drugs, and in MSM, with not being involved in the gay community. Among those tested for the first time, 22% had never thought of being tested and 62% decided to be tested when they passed by and noticed the programme, regardless of their previous intentions.
This community programme attracted a substantial number of persons previously untested and particularly hard to reach, such as those with low education and MSM who were least involved in the gay community. Programme visibility was a decisive factor for almost two of every three persons who had never been tested.
在资源丰富的国家，由于缺乏针对高危人群的社区艾滋病检测服务，我们旨在评估在街头提供和推广快速艾滋病检测的高度可见的流动项目是否能够吸引从未接受过检测的感染风险人群。
2008 年至 2011 年，该项目在西班牙多个城市为 7552 人提供服务，这些人在等待检测结果时回答了一份简短的问卷。使用两个逻辑回归模型分析首次接受检测的相关因素，一个针对男男性行为者（MSM），另一个针对仅异性恋男性（MSW）和女性。
3517 名参与者（47%）是首次接受检测者（24%的 MSM、56%的 MSW 和 60%的女性）。其中，22 例未确诊的 HIV 感染被检出，全球患病率为 0.6%，MSM 为 3.1%。首次接受 HIV 检测与年龄<30 岁、来自西班牙或其他发达国家、缺乏大学教育、性伴侣较少、与偶然伴侣发生无保护性行为以及未被诊断出性传播感染有关。在异性恋者中，也没有注射过毒品，在 MSM 中，也没有参与同性恋社区。在首次接受检测的人群中，22%的人从未想过接受检测，62%的人是在路过并注意到该项目时决定接受检测的，而不管他们之前的意图如何。
该社区项目吸引了大量以前未接受过检测的人群，特别是那些教育程度较低和参与同性恋社区最少的 MSM。项目的可见性是近三分之二从未接受过检测的人的决定性因素。
