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HIV home sampling

HIV home sampling. Matthew Hodson. Aim: . To provide a method of testing for HIV that addressed some of the barriers to testing. Barriers according to LSHTM:. Expenditure of time and energy making appointments and waiting times Stigma associated with attending STI clinics

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HIV home sampling

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  1. HIV home sampling Matthew Hodson

  2. Aim: To provide a method of testing for HIV that addressed some of the barriers to testing

  3. Barriers according to LSHTM: • Expenditure of time and energy making appointments and waiting times • Stigma associated with attending STI clinics • Discomfort with clinical procedures (swabs, needles etc.) • The possibility of judgemental staff.

  4. Reasons for not testing(GMFA survey) • 62.3% I didn’t think I had put myself at risk of HIV • 24.6% I was too busy / it wasn’t convenient • 21.3% I was scared I might find out I had HIV • 9.8% I didn’t think about it • 9.8% No reason, I just didn’t.

  5. Solution: A home sampling service for MSM. Launched November 2012 Collaboration between: Homerton Hospital GMFA DrThom City & Hackney PCT / later HPE

  6. Process: • MSM complete an online sexual risk assessment • MSM order a test from Dr Thom site • Testing kits usually sent out the next day • MSM take a saliva sample and post the sample back • Get a text if the sample is non-reactive • Get a call from Homerton if the sample is reactive

  7. Risk Assessment • 2,034 logged onto the survey • 950 people excluded (not MSM / London resident) • 1,354 began actual risk assessment • 1,328 finished risk assessment

  8. Risk Assessment results • 45.5% of respondents < 30 • 58.5% white British • 40% tested in the last year • 5.7% last tested more than 5 years ago • 21.1% never tested

  9. Reasons for ordering a test • 37.6% I haven’t tested in a while & feel I should • 22% I test on a regular basis • 22% I’ve had anal sex without a condom • 6.3% I have a partner & we want to stop using condoms • 5.6% I’ve had a condom break or slip off

  10. Last UAI • 6.8% within the last 72 hours • 33.2% 0-14 weeks • 29% 14 weeks + (beyond window period) • 11% Before my last HIV test • 20.1% No UAI or condom failure.

  11. Ordering kits • 897 people ordered kits (67% of those who finished the risk assessment) • 153 (17%) orders unconfirmed • 743 kits dispatched • 72.7% of kits returned for analysis • 8 samples reactive

  12. Evaluation of service • MSM who completed the process and received a negative result were asked to complete an evaluation.

  13. How easy or difficult was it ordering the test online? Very easy 70 (83.3%) Easy 12 (14.3%) Neither easy nor difficult 2 (2.4%) Difficult 0 Very difficult 0 Don’t know 0

  14. When the test arrived, was it what you were expecting? Yes 77 (91.7%) No 5 (6%) Not sure 2 (2.4%)

  15. How easy or difficult was taking the saliva sample? Very easy 63 (75%) Easy 19 (22.6%) Neither Easy nor Difficult 2 (2.4%) Difficult 0 Very Difficult 0 Don’t know 0

  16. How comfortable or uncomfortable were you with receiving your result by text? Very comfortable 65 (78.3%) Comfortable 12 (14.5%) Neither / nor uncomfortable 4 (4.8%) Uncomfortable 0 Very uncomfortable 1 (1.2%) Don’t know 1 (1.2%)

  17. Would you use the service again? Yes 81 (96.4%) No 2 (2.4%) Not sure 1 (1.2%)

  18. How likely are you to recommend our testing service to a friend if they needed to test? Extremely likely 65 (79.3%) Likely 12 (14.6%) Neither Likely nor unlikely 1 (1.2%) Unlikely 4 (4.9%) Extremely unlikely 0 Don’t know 0

  19. Would testing at home make it more or less likely that you test for HIV at least once a year? Extremely likely 68 (81%) Likely 12 (14.3%) Neither Likely nor unlikely 2 (2.4%) Unlikely 1 (1.2%) Extremely unlikely 0 Don’t know 1 (1.2%)

  20. In the future where would you prefer to have an HIV test? At home 76 (91.6%) At a GUM clinic 6 (7.2%) At a GP 0 At a pharmacy / chemist 0 In a community setting 0 (e.g. a sauna, a gay club / pub, Pride etc.) I don’t have a preference 1 (1.2%)

  21. End Email: Matthew.hodson@gmfa.org.uk Twitter: @Matthew_Hodson www.gmfa.org.uk

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