1299. Attitudes and preferences regarding the use of Point-of-Care and Near-Care STD and HIV tests in San Diego area men who have sex with men
Session: Poster Abstract Session: Clinical Infectious Diseases: Sexually Transmitted Infections
Friday, October 28, 2016
Room: Poster Hall

Background:  Sexually transmitted infections (STIs) increase the risk of HIV transmission and are present at high rates among men who have sex with men (MSM). Adherence to HIV/STI testing guidelines is low.

Objective: Assess preferences and barriers to HIV and STI point-of-care and near-care tests in a high-risk population.

Methods: 137 participants (23% HIV+) were recruited at a UCSD HIV/STI testing and treatment program in 2014.  Demographics, risk behaviors, HIV/STI test preferences and barriers were collected via online questionnaire. High risk behavior was defined as ≥2 of the following in the last 12 months: unprotected sex, >5 partners, sex in exchange for money/drugs, self-reported STI or use of drugs/alcohol during sex. Comparisons of testing preferences and barriers were made based on age, risk and HIV serostatus using Fisher’s Exact Test.

Results: Participants were 82% MSM, 72% White, 35% age >45, and 62% high risk. HIV testing preferences and perceived barriers are shown in the Table. Those under 45 were more likely to cite inconvenience as a barrier (p=0.023). For STI (3 site) testing, 58% preferred home self-collection and results were otherwise similar to HIV testing preferences and barriers.  For notification of negative HIV and STI results, 76% preferred electronic media. For positive results, a provider call or clinic visit was preferred by 70% (HIV) and 59% (STI). There were no significant differences in testing preferences or barriers between HIV serostatus or risk groups.

Conclusion: Home testing with electronic delivery of results was overwhelmingly preferred. Convenience, anxiety and low perceived risk were barriers. The goal of achieving high-impact HIV/STI testing programs should focus on risk education and convenient home testing with an option for electronic delivery of negative results.

Table 1:

HIV Test Preference

Low Risk           n (%)

High Risk           n (%)

p

Test type

 

 

 

Rapid Oral

24 (75)

42 (68.9)

0.63

Rapid Finger Stick

4 (12.5)

6 (9.8)

0.73

Clinic Test

4 (12.5)

13 (21.3)

0.40

 

 

 

 

Test Location

 

 

 

Home

24 (75)

47 (82.5)

0.42

Clinic

5 (15.6)

8 (14)

1.00

Community Health

3 (9.4)

2 (3.5)

0.35

 

 

 

 

 

Age ≤45

Age ≥46  

p

Barriers

 

 

 

    No Exposure

28 (47.5)

20 (64.5)

0.18

Fear/Anxiety

28 (47.5)

16 (51.6)

0.82

Privacy

7 (11.9)

4 (13.3)

1.00

Cost

3 (5.1)

0

0.55

Convenience

29 (49.2)

7 (22.6)

0.02

 

Teresa Cushman, MD, University of California San Diego, San Diego, CA, Susannah K. Graves, MD, Infectious Disease, University of California, San Diego, San Diego, CA and Susan Little, MD, University of California, San Diego, CA

Disclosures:

T. Cushman, None

S. K. Graves, None

S. Little, None

Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.