Relating HIV testing patterns in Poland to risky and protective behaviour
PBN-AR
Instytucja
Narodowy Instytut Zdrowia Publicznego - Państwowy Zakład Higieny
Informacje podstawowe
Główny język publikacji
en
Czasopismo
AIDS CARE
ISSN
0954-0121
EISSN
1360-0451
Wydawca
Taylor & Francis
DOI
URL
Rok publikacji
2016
Numer zeszytu
4
Strony od-do
423-431
Numer tomu
28
Identyfikator DOI
Liczba arkuszy
0,7
Autorzy
Pozostali autorzy
+ 3
Autorzy przekładu
(liczba autorów przekładu: 0)
Słowa kluczowe
en
HIV diagnostic tests
sexual behaviour
risk factors
men who have sex with men
drug users
Streszczenia
Język
en
Treść
The aim of the study was to understand HIV testing patterns needed to improve access to early HIV diagnosis, and to investigate the spread of the virus in different populations. We examined prior testing history of individuals presenting for an HIV test across all 30 voluntary testing and counselling sites in Poland, 2008–2010 to determine factors associated with the testing rate using zero-truncated Poisson regression. Of 2397 persons presenting for an HIV test, 25 (1%) were HIV positive and 470 (19.6%) were repeat testers. The proportion of repeat testers was higher among men who have sex with men (MSM) at 37% (90/246), and people who inject drugs (PWID) at 32% (21/65). Higher testing rate was independently associated with exposure category (testing rate ratio, RR for MSM = 2.0, 95% CI 1.6–2.6, and 1.6, 0.9–2.6 for PWID), >5 sex partners (1.9, 1.4–2.7), high-risk partner (1.3, 1.1–1.6), urban residence (2.1, 1.3–3.5) and higher education attainment (1.1, 1.0–1.5). Inconsistent condom use with casual partners and sex under the influence of alcohol were associated with lower testing rates. There is a need to increase HIV testing uptake in Poland, especially among the rural population. Despite testing rates being higher among populations with higher risk of exposure to HIV (MSM and PWID), they still remain low, indicating the existence of barriers to testing.
Cechy publikacji
ORIGINAL_ARTICLE
Inne
System-identifier
727232
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