Hiv home sampling
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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

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

  • Discomfort with clinical procedures (swabs, needles etc.)

  • The possibility of judgemental staff.


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.


Solution: A home sampling service for MSM.

Launched November 2012

Collaboration between:

Homerton Hospital

GMFA

DrThom

City & Hackney PCT / later HPE


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


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


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


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


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.


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


Evaluation of service

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


How easy or difficult was it ordering the test online?

Very easy70 (83.3%)

Easy12 (14.3%)

Neither easy nor difficult2 (2.4%)

Difficult0

Very difficult0

Don’t know0


When the test arrived, was it what you were expecting?

Yes77 (91.7%)

No5 (6%)

Not sure2 (2.4%)


How easy or difficult was taking the saliva sample?

Very easy63 (75%)

Easy19 (22.6%)

Neither Easy nor Difficult2 (2.4%)

Difficult0

Very Difficult0

Don’t know 0


How comfortable or uncomfortable were you with receiving your result by text?

Very comfortable65 (78.3%)

Comfortable12 (14.5%)

Neither / nor uncomfortable4 (4.8%)

Uncomfortable0

Very uncomfortable1 (1.2%)

Don’t know1 (1.2%)


Would you use the service again?

Yes81 (96.4%)

No2 (2.4%)

Not sure1 (1.2%)


How likely are you to recommend our testing service to a friend if they needed to test?

Extremely likely65 (79.3%)

Likely12 (14.6%)

Neither Likely nor unlikely1 (1.2%)

Unlikely4 (4.9%)

Extremely unlikely0

Don’t know0


Would testing at home make it more or less likely that you test for HIV at least once a year?

Extremely likely68 (81%)

Likely12 (14.3%)

Neither Likely nor unlikely2 (2.4%)

Unlikely1 (1.2%)

Extremely unlikely0

Don’t know1 (1.2%)


In the future where would you prefer to have an HIV test?

At home76 (91.6%)

At a GUM clinic6 (7.2%)

At a GP0

At a pharmacy / chemist0

In a community setting0

(e.g. a sauna, a gay club / pub, Pride etc.)

I don’t have a preference1 (1.2%)


End

Email: [email protected]

Twitter: @Matthew_Hodson

www.gmfa.org.uk


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