HIV testing week 2015: Lowering barriers for HIV testing among high-risk groups in Amsterdam

M. Bartelsman, I. K. Joore, J. E. van Bergen, A. Hogewoning, F. R. Zuure, M. G. van Veen, On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Evaluation of the HIV Testing Week (HTW) 2015 in Amsterdam: the number of (positive) tested persons, characteristics and testing history of the tested population, the differences in attendance per location and the healthcare workers' experiences and opinions concerning the HTW. Methods: The HTW took place from 28 November till 4 December 2015. Anonymous HIV rapid testing (INSTI™ HIV1/HIV2 Ab test or Determine™ HIV-1/2 Ag/Ab test) was offered free of charge at four hospitals, 12 general practitioner (GP) clinics, a sexually transmitted infections (STI) clinic, a laboratory, sites of a community-based organisation, and at outreach locations. Home-based testing (OraQuick® In-Home HIV Test) was offered online. The focus was to motivate two groups to test: men who have sex with men (MSM) and non-Western migrants. Questionnaires regarding participant's characteristics and HIV testing history were collected. Also healthcare workers were asked to complete a questionnaire evaluating the HTW. Results: In total, 1231 participants were tested. With three positive HIV tests, the detection rate was 0.3% (95%CI 0.26-0.37). Of all participants, 24.7% (304/1231) were MSM. Respectively, 22.3% (275/1231) and 15.7% (193/1231) were first- and second-generation migrants from a non-Western country. Altogether, 56.7% (698/1231) of participants belonged to one of the targeted risk groups. For 32.7% (402/1231) of participants, it was the first time they received testing, and 35.1% (432/1231) were tested more than 1 year ago. Among MSM 13.2% were tested for the first time, among first- and second-generation non-Western migrants this percentage was significantly higher at 27.2% and 33.5% respectively (p < 0.01). The number of tested participants per location varied widely, especially between GP clinics (range 3-63). Healthcare workers were positive about the HTW: about half (46.2%) stated they would more readily offer an HIV test following their experience with the HTW. Conclusions: This was the first time the Amsterdam HTW was organised on such a large scale. The majority of the tested population belonged to one of the targeted risk groups and received testing either for the first time or for the first time in over a year. It is important to further build upon the experiences of the HTW and offer free of charge low-threshold HIV testing more structurally. An evaluation of cost-effectiveness is also warranted for future editions of the HTW.

Original languageEnglish
Article number529
JournalBMC Infectious Diseases
Volume17
Issue number1
DOIs
Publication statusPublished - 1 Aug 2017

Cite this

Bartelsman, M., Joore, I. K., van Bergen, J. E., Hogewoning, A., Zuure, F. R., van Veen, M. G., & On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative (2017). HIV testing week 2015: Lowering barriers for HIV testing among high-risk groups in Amsterdam. BMC Infectious Diseases, 17(1), [529]. https://doi.org/10.1186/s12879-017-2617-0
Bartelsman, M. ; Joore, I. K. ; van Bergen, J. E. ; Hogewoning, A. ; Zuure, F. R. ; van Veen, M. G. ; On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative. / HIV testing week 2015 : Lowering barriers for HIV testing among high-risk groups in Amsterdam. In: BMC Infectious Diseases. 2017 ; Vol. 17, No. 1.
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title = "HIV testing week 2015: Lowering barriers for HIV testing among high-risk groups in Amsterdam",
abstract = "Background: Evaluation of the HIV Testing Week (HTW) 2015 in Amsterdam: the number of (positive) tested persons, characteristics and testing history of the tested population, the differences in attendance per location and the healthcare workers' experiences and opinions concerning the HTW. Methods: The HTW took place from 28 November till 4 December 2015. Anonymous HIV rapid testing (INSTI™ HIV1/HIV2 Ab test or Determine™ HIV-1/2 Ag/Ab test) was offered free of charge at four hospitals, 12 general practitioner (GP) clinics, a sexually transmitted infections (STI) clinic, a laboratory, sites of a community-based organisation, and at outreach locations. Home-based testing (OraQuick{\circledR} In-Home HIV Test) was offered online. The focus was to motivate two groups to test: men who have sex with men (MSM) and non-Western migrants. Questionnaires regarding participant's characteristics and HIV testing history were collected. Also healthcare workers were asked to complete a questionnaire evaluating the HTW. Results: In total, 1231 participants were tested. With three positive HIV tests, the detection rate was 0.3{\%} (95{\%}CI 0.26-0.37). Of all participants, 24.7{\%} (304/1231) were MSM. Respectively, 22.3{\%} (275/1231) and 15.7{\%} (193/1231) were first- and second-generation migrants from a non-Western country. Altogether, 56.7{\%} (698/1231) of participants belonged to one of the targeted risk groups. For 32.7{\%} (402/1231) of participants, it was the first time they received testing, and 35.1{\%} (432/1231) were tested more than 1 year ago. Among MSM 13.2{\%} were tested for the first time, among first- and second-generation non-Western migrants this percentage was significantly higher at 27.2{\%} and 33.5{\%} respectively (p < 0.01). The number of tested participants per location varied widely, especially between GP clinics (range 3-63). Healthcare workers were positive about the HTW: about half (46.2{\%}) stated they would more readily offer an HIV test following their experience with the HTW. Conclusions: This was the first time the Amsterdam HTW was organised on such a large scale. The majority of the tested population belonged to one of the targeted risk groups and received testing either for the first time or for the first time in over a year. It is important to further build upon the experiences of the HTW and offer free of charge low-threshold HIV testing more structurally. An evaluation of cost-effectiveness is also warranted for future editions of the HTW.",
keywords = "HIV, HIV testing week, Migrants, Msm, Point-of-care test, Rapid test",
author = "M. Bartelsman and Joore, {I. K.} and {van Bergen}, {J. E.} and A. Hogewoning and Zuure, {F. R.} and {van Veen}, {M. G.} and {de Bree}, {G. J.} and E. Hoornenborg and U. Davidovich and Geerlings, {S. E.} and A. Oomen and Prins, {J. M.} and {van Sighem}, A. and Smit, {P. J.} and W. Zuilhof and Achterbergh, {R. C.A.} and F. Deug and {van Agtmael}, M. and J. Ananworanich and {Van de Beek}, D. and {van den Berk}, {G. E.L.} and B. Berkhout and B. Berretty and D. Bezemer and Blok, {W. L.} and M. Bomers and Boucher, {C. A.B.} and W. Brokking and D. Burger and K. Brinkman and {de Bruin}, M. and {Op de Coul}, {E. L.M.} and B. O'Dell and L. Dellemann and C. Ester and {van Duijnhoven}, {Y. T.} and M. Dijkstra and {van Eeden}, A. and {van Elsen}, S. and L. Elsenburg and Frissen, {P. H.J.} and Geijtenbeek, {T. B.H.} and Godfried, {M. H.} and A. Goorhuis and M. Groot and Gruters, {R. A.} and Hankins, {C. A.} and A. Heijne and E. Peters and {de Vocht}, J. and {On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative}",
year = "2017",
month = "8",
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language = "English",
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Bartelsman, M, Joore, IK, van Bergen, JE, Hogewoning, A, Zuure, FR, van Veen, MG & On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative 2017, 'HIV testing week 2015: Lowering barriers for HIV testing among high-risk groups in Amsterdam' BMC Infectious Diseases, vol. 17, no. 1, 529. https://doi.org/10.1186/s12879-017-2617-0

HIV testing week 2015 : Lowering barriers for HIV testing among high-risk groups in Amsterdam. / Bartelsman, M.; Joore, I. K.; van Bergen, J. E.; Hogewoning, A.; Zuure, F. R.; van Veen, M. G.; On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative.

In: BMC Infectious Diseases, Vol. 17, No. 1, 529, 01.08.2017.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - HIV testing week 2015

T2 - Lowering barriers for HIV testing among high-risk groups in Amsterdam

AU - Bartelsman, M.

AU - Joore, I. K.

AU - van Bergen, J. E.

AU - Hogewoning, A.

AU - Zuure, F. R.

AU - van Veen, M. G.

AU - de Bree, G. J.

AU - Hoornenborg, E.

AU - Davidovich, U.

AU - Geerlings, S. E.

AU - Oomen, A.

AU - Prins, J. M.

AU - van Sighem, A.

AU - Smit, P. J.

AU - Zuilhof, W.

AU - Achterbergh, R. C.A.

AU - Deug, F.

AU - van Agtmael, M.

AU - Ananworanich, J.

AU - Van de Beek, D.

AU - van den Berk, G. E.L.

AU - Berkhout, B.

AU - Berretty, B.

AU - Bezemer, D.

AU - Blok, W. L.

AU - Bomers, M.

AU - Boucher, C. A.B.

AU - Brokking, W.

AU - Burger, D.

AU - Brinkman, K.

AU - de Bruin, M.

AU - Op de Coul, E. L.M.

AU - O'Dell, B.

AU - Dellemann, L.

AU - Ester, C.

AU - van Duijnhoven, Y. T.

AU - Dijkstra, M.

AU - van Eeden, A.

AU - van Elsen, S.

AU - Elsenburg, L.

AU - Frissen, P. H.J.

AU - Geijtenbeek, T. B.H.

AU - Godfried, M. H.

AU - Goorhuis, A.

AU - Groot, M.

AU - Gruters, R. A.

AU - Hankins, C. A.

AU - Heijne, A.

AU - Peters, E.

AU - de Vocht, J.

AU - On behalf of the HIV Transmission Elimination AMsterdam (H-TEAM) initiative

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Background: Evaluation of the HIV Testing Week (HTW) 2015 in Amsterdam: the number of (positive) tested persons, characteristics and testing history of the tested population, the differences in attendance per location and the healthcare workers' experiences and opinions concerning the HTW. Methods: The HTW took place from 28 November till 4 December 2015. Anonymous HIV rapid testing (INSTI™ HIV1/HIV2 Ab test or Determine™ HIV-1/2 Ag/Ab test) was offered free of charge at four hospitals, 12 general practitioner (GP) clinics, a sexually transmitted infections (STI) clinic, a laboratory, sites of a community-based organisation, and at outreach locations. Home-based testing (OraQuick® In-Home HIV Test) was offered online. The focus was to motivate two groups to test: men who have sex with men (MSM) and non-Western migrants. Questionnaires regarding participant's characteristics and HIV testing history were collected. Also healthcare workers were asked to complete a questionnaire evaluating the HTW. Results: In total, 1231 participants were tested. With three positive HIV tests, the detection rate was 0.3% (95%CI 0.26-0.37). Of all participants, 24.7% (304/1231) were MSM. Respectively, 22.3% (275/1231) and 15.7% (193/1231) were first- and second-generation migrants from a non-Western country. Altogether, 56.7% (698/1231) of participants belonged to one of the targeted risk groups. For 32.7% (402/1231) of participants, it was the first time they received testing, and 35.1% (432/1231) were tested more than 1 year ago. Among MSM 13.2% were tested for the first time, among first- and second-generation non-Western migrants this percentage was significantly higher at 27.2% and 33.5% respectively (p < 0.01). The number of tested participants per location varied widely, especially between GP clinics (range 3-63). Healthcare workers were positive about the HTW: about half (46.2%) stated they would more readily offer an HIV test following their experience with the HTW. Conclusions: This was the first time the Amsterdam HTW was organised on such a large scale. The majority of the tested population belonged to one of the targeted risk groups and received testing either for the first time or for the first time in over a year. It is important to further build upon the experiences of the HTW and offer free of charge low-threshold HIV testing more structurally. An evaluation of cost-effectiveness is also warranted for future editions of the HTW.

AB - Background: Evaluation of the HIV Testing Week (HTW) 2015 in Amsterdam: the number of (positive) tested persons, characteristics and testing history of the tested population, the differences in attendance per location and the healthcare workers' experiences and opinions concerning the HTW. Methods: The HTW took place from 28 November till 4 December 2015. Anonymous HIV rapid testing (INSTI™ HIV1/HIV2 Ab test or Determine™ HIV-1/2 Ag/Ab test) was offered free of charge at four hospitals, 12 general practitioner (GP) clinics, a sexually transmitted infections (STI) clinic, a laboratory, sites of a community-based organisation, and at outreach locations. Home-based testing (OraQuick® In-Home HIV Test) was offered online. The focus was to motivate two groups to test: men who have sex with men (MSM) and non-Western migrants. Questionnaires regarding participant's characteristics and HIV testing history were collected. Also healthcare workers were asked to complete a questionnaire evaluating the HTW. Results: In total, 1231 participants were tested. With three positive HIV tests, the detection rate was 0.3% (95%CI 0.26-0.37). Of all participants, 24.7% (304/1231) were MSM. Respectively, 22.3% (275/1231) and 15.7% (193/1231) were first- and second-generation migrants from a non-Western country. Altogether, 56.7% (698/1231) of participants belonged to one of the targeted risk groups. For 32.7% (402/1231) of participants, it was the first time they received testing, and 35.1% (432/1231) were tested more than 1 year ago. Among MSM 13.2% were tested for the first time, among first- and second-generation non-Western migrants this percentage was significantly higher at 27.2% and 33.5% respectively (p < 0.01). The number of tested participants per location varied widely, especially between GP clinics (range 3-63). Healthcare workers were positive about the HTW: about half (46.2%) stated they would more readily offer an HIV test following their experience with the HTW. Conclusions: This was the first time the Amsterdam HTW was organised on such a large scale. The majority of the tested population belonged to one of the targeted risk groups and received testing either for the first time or for the first time in over a year. It is important to further build upon the experiences of the HTW and offer free of charge low-threshold HIV testing more structurally. An evaluation of cost-effectiveness is also warranted for future editions of the HTW.

KW - HIV

KW - HIV testing week

KW - Migrants

KW - Msm

KW - Point-of-care test

KW - Rapid test

UR - http://www.scopus.com/inward/record.url?scp=85026651826&partnerID=8YFLogxK

U2 - 10.1186/s12879-017-2617-0

DO - 10.1186/s12879-017-2617-0

M3 - Article

VL - 17

JO - BMC Infectious Diseases

JF - BMC Infectious Diseases

SN - 1471-2334

IS - 1

M1 - 529

ER -

Bartelsman M, Joore IK, van Bergen JE, Hogewoning A, Zuure FR, van Veen MG et al. HIV testing week 2015: Lowering barriers for HIV testing among high-risk groups in Amsterdam. BMC Infectious Diseases. 2017 Aug 1;17(1). 529. https://doi.org/10.1186/s12879-017-2617-0