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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.

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Presentation on theme: "HIV home sampling Matthew Hodson. Aim: To provide a method of testing for HIV that addressed some of the barriers to testing."— Presentation transcript:

1 HIV home sampling Matthew Hodson

2 Aim: To provide a method of testing for HIV that addressed some of the barriers to testing

3 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.

4 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.

5 Solution: A home sampling service for MSM. Launched November 2012 Collaboration between: Homerton Hospital GMFA DrThom City & Hackney PCT / later HPE

6 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

7 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

8 Risk Assessment results 45.5% of respondents < % white British 40% tested in the last year 5.7% last tested more than 5 years ago 21.1% never tested

9 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

10 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.

11 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

12 Evaluation of service MSM who completed the process and received a negative result were asked to complete an evaluation.

13 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

14 When the test arrived, was it what you were expecting? Yes77 (91.7%) No5 (6%) Not sure2 (2.4%)

15 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

16 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%)

17 Would you use the service again? Yes81 (96.4%) No2 (2.4%) Not sure1 (1.2%)

18 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

19 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%)

20 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%)

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