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Expanding Community-Based HIV Testing for MSM: Insights from the ANRS-DRAG Study

This study evaluates a community-based, non-medicalized HIV testing offer (CBOffer) alongside the standard medicalized HIV testing (SMOffer) in French voluntary counseling and testing centers. Conducted from March 2010 to April 2011, the research found that the CBOffer attracted men who have sex with men (MSM) who were less likely to have been tested in the previous two years and were more exposed to at-risk situations. The results indicate that non-medicalized HIV rapid testing is feasible and effective in reaching MSM with higher sexual risk attitudes, making it a public health priority.

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Expanding Community-Based HIV Testing for MSM: Insights from the ANRS-DRAG Study

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  1. MOPDC0106 Expanding access to non-medicalized community-based rapid testing to men who have sex with men: an urgent HIV prevention intervention (The ANRS-DRAG Study) Nicolas LORENTE1,2,3, M. PREAU1,3,4, C. VERNAY-VAISSE5,M. MORA1,2,3, J. BLANCHE1,2,3, J. OTIS6, A. PASSERON7, J.-M. LE GALL8, P. DHOTTE9, M.P. CARRIERI1,2,3, M. SUZAN-MONTI1,2,3, B. SPIRE1,2,3,8for the ANRS-DRAG Study Group. 1 INSERM UMR912 (SESSTIM), Marseille, France; 2 Aix Marseille Université, UMR_S912, IRD, Marseille, France; 3 ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, Marseille, France; 4 GREPS, Université Lyon 2, Lyon, France; 5 Conseil Général des Bouches du Rhône, Marseille, France; 6 UQÀM, Chaire de recherche du Canada en éducation à la santé, Montréal, Québec; 7 Conseil Général des Alpes Maritimes, Nice, France; 8 Aides, Pantin, France; 9 CMS-CIDAG-CIDDIST du Figuier, Paris, France,

  2. Objective & Methods • Objective: To evaluate a community-based, non-medicalizedHIV testing offer (CBOffer) in parallel with the standard medicalized HIV testing offer (SMOffer) among MSM in French voluntary counselling and testing (VCT) centres • The ANRS-DRAG study: • Cross-sectional study in French VCT centres (4 sites), from March 2010 to April 2011 • Two different testing offers: • Data collected through the pre-test self-administered questionnaire, and analyzed through mixed logistic regressions

  3. Findings & implications • The CBOffer attracted MSM... • ... much less likely to have been tested during the 2 previous years • ... more exposed to at-risk situations • Such non-medicalized HIV rapid testing offer performed by community members is feasible and manage to reach MSM who report more sexual risk attitudes • Increasing the implementation of such testing offer  public health priority • Providing counselling centred on sexual risk reduction strategies

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