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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

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
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
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
Solution: A home sampling service for MSM.

Launched November 2012

Collaboration between:

Homerton Hospital

GMFA

DrThom

City & Hackney PCT / later HPE


Process
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
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
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
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
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
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
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
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


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

Yes 77 (91.7%)

No 5 (6%)

Not sure 2 (2.4%)


How easy or difficult was taking the saliva sample
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


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


Would you use the service again
Would you use the service again? your result by text?

Yes 81 (96.4%)

No 2 (2.4%)

Not sure 1 (1.2%)


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


Would testing at home make it more or less likely that you test for hiv at least once a year
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%)


In the future where would you prefer to have an hiv test
In the future where would you prefer to have an HIV test? test for HIV at least once a year?

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%)


End test for HIV at least once a year?

Email: [email protected]

Twitter: @Matthew_Hodson

www.gmfa.org.uk


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