Evidence map›Paper›PMID 29914449›Full record

ArticleBMC public health2018

HIV rapid testing in community and outreach sites: results of a nationwide demonstration project in Italy.

Paola Scognamiglio, Giacomina Chiaradia, Marta Giovanetti, Emidio Albertini, Antonella Camposeragna, Massimo Farinella, Daniela Lorenzetti, Massimo Oldrini, Laura Rancilio, Anna Caraglia and 3 more

Abstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Paola ScognamiglioClinical Epidemiology Unit - Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases "L. Spallanzani", IRCCS, Via Portuense 292, 00149, Rome, Italy.
Giacomina ChiaradiaClinical Epidemiology Unit - Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases "L. Spallanzani", IRCCS, Via Portuense 292, 00149, Rome, Italy. giacomina.chiaradia@inmi.it.ORCID 0000-0001-6968-7419
Marta GiovanettiClinical Epidemiology Unit - Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases "L. Spallanzani", IRCCS, Via Portuense 292, 00149, Rome, Italy.
Emidio AlbertiniOnphalos LGBTI (Lesbian, Gay, Bisexual, Transgender/Transsexual and Intersexed), Perugia, Italy.
Antonella CamposeragnaCNCA - National Coordination of Care Communities, Rome, Italy.
Massimo Farinella"Mario Mieli" Homosexual Cultural Circle, Rome, Italy.
Daniela LorenzettiANLAIDS Onlus - Italian National Association for the fight against Aids, Rome, Italy.
Massimo OldriniLila Onlus - Italian League for the Fight against AIDS, Milan, Italy.
Laura RancilioCaritas Ambrosiana, AIDS, Addictions and Mental Health Area, Milan, Italy.
Anna CaragliaDirectorate-general for Health Prevention, Infectious Diseases Office, Ministry of Health, Rome, Italy.
Francesco Paolo MaraglinoDirectorate-general for Health Prevention, Infectious Diseases Office, Ministry of Health, Rome, Italy.
Giuseppe IppolitoClinical Epidemiology Unit - Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases "L. Spallanzani", IRCCS, Via Portuense 292, 00149, Rome, Italy.
Enrico GirardiClinical Epidemiology Unit - Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases "L. Spallanzani", IRCCS, Via Portuense 292, 00149, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally the access to HIV testing has greatly increased over the past 30 years. Nonetheless, a high proportion of people living with HIV remains undiagnosed, even in resource rich countries. To increase the proportion of people aware of their HIV serostatus and their access to medical care, several strategies have been proposed including HIV rapid test programs offered outside health facilities. The aim of this project was to evaluate the feasibility and efficacy of the HIV rapid testing offered in community and outreach settings in Italy.

methodsWe conducted a national demonstration project on HIV rapid tests offered in community and outreach settings, including nongovernmental organization (NGO) facilities, primary care services for migrants and low-threshold services or mobile units for drug users (DU services). HIV rapid test on oral fluid (OraQuick®; Orasure Technologies) was anonymously offered to eligible people who presented themselves at the selected sites. Those with reactive results were referred to a specialized outpatient unit for confirmatory testing and medical care.

resultsOver a period of six months a total of 2949 tests were performed and 45.2% of individuals tested had not been previously tested. Overall 0.9% (27/2949) of tested people had a preliminary positive test. In NGO facilities the positivity rate was 1%. All subjects who performed their confirmatory test were confirmed as positive. In services for migrants the positivity rate was 0.5 and 80% were referred to care (with 1 false positive test). In DU services we observed the highest positivity rate (1.4%) but the lowest linkage to care (67%), with 1 false positive test.

conclusionOur project showed that the offering of an HIV rapid testing program in community and outreach settings in Italy is feasible and that it may reach people who have never been tested before, while having a significant yield in terms of new HIV diagnoses as well.

Indexed as

Community Health CentersCommunity-Institutional RelationsAdultFeasibility StudiesFemaleHIV InfectionsHumansItalyMaleMass ScreeningMiddle AgedAcceptabilityCommunity-based servicesCounseling and testingHIV rapid test

Identifiers

PMID29914449
PMCPMC6006581

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.