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HIV rapid testing in community and outreach sites: results of a nationwide demonstration project in Italy

Overview of attention for article published in BMC Public Health, June 2018
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Title
HIV rapid testing in community and outreach sites: results of a nationwide demonstration project in Italy
Published in
BMC Public Health, June 2018
DOI 10.1186/s12889-018-5680-6
Pubmed ID
Authors

Paola Scognamiglio, Giacomina Chiaradia, Marta Giovanetti, Emidio Albertini, Antonella Camposeragna, Massimo Farinella, Daniela Lorenzetti, Massimo Oldrini, Laura Rancilio, Anna Caraglia, Francesco Paolo Maraglino, Giuseppe Ippolito, Enrico Girardi

Abstract

Globally the access to HIV testing has greatly increased over the past 30 years. Nonetheless, a high proportion of people living with HIV remains undiagnosed, even in resource rich countries. To increase the proportion of people aware of their HIV serostatus and their access to medical care, several strategies have been proposed including HIV rapid test programs offered outside health facilities. The aim of this project was to evaluate the feasibility and efficacy of the HIV rapid testing offered in community and outreach settings in Italy. We conducted a national demonstration project on HIV rapid tests offered in community and outreach settings, including nongovernmental organization (NGO) facilities, primary care services for migrants and low-threshold services or mobile units for drug users (DU services). HIV rapid test on oral fluid (OraQuick®; Orasure Technologies) was anonymously offered to eligible people who presented themselves at the selected sites. Those with reactive results were referred to a specialized outpatient unit for confirmatory testing and medical care. Over a period of six months a total of 2949 tests were performed and 45.2% of individuals tested had not been previously tested. Overall 0.9% (27/2949) of tested people had a preliminary positive test. In NGO facilities the positivity rate was 1%. All subjects who performed their confirmatory test were confirmed as positive. In services for migrants the positivity rate was 0.5 and 80% were referred to care (with 1 false positive test). In DU services we observed the highest positivity rate (1.4%) but the lowest linkage to care (67%), with 1 false positive test. Our project showed that the offering of an HIV rapid testing program in community and outreach settings in Italy is feasible and that it may reach people who have never been tested before, while having a significant yield in terms of new HIV diagnoses as well.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 25%
Researcher 5 18%
Student > Bachelor 3 11%
Student > Ph. D. Student 3 11%
Other 2 7%
Other 2 7%
Unknown 6 21%
Readers by discipline Count As %
Medicine and Dentistry 9 32%
Nursing and Health Professions 3 11%
Psychology 2 7%
Social Sciences 2 7%
Business, Management and Accounting 1 4%
Other 2 7%
Unknown 9 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 September 2018.
All research outputs
#10,360,504
of 13,576,937 outputs
Outputs from BMC Public Health
#7,716
of 9,359 outputs
Outputs of similar age
#185,185
of 267,590 outputs
Outputs of similar age from BMC Public Health
#5
of 5 outputs
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