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2021-08-16Zeitschriftenartikel
Factors associated with testing for HIV and hepatitis C among behaviorally vulnerable men in Germany: a cross-sectional analysis upon enrollment into an observational cohort
dc.contributor.authorCrowell, Trevor A.
dc.contributor.authorQian, Haoyu
dc.contributor.authorTiemann, Carsten
dc.contributor.authorLehmann, Clara
dc.contributor.authorBoesecke, Christoph
dc.contributor.authorStoehr, Albrecht
dc.contributor.authorHartikainen, Jukka
dc.contributor.authorBickel, Markus
dc.contributor.authorSpinner, Christoph D.
dc.contributor.authorSchneeweiß, Stephan
dc.contributor.authorCordes, Christiane
dc.contributor.authorBrockmeyer, Norbert
dc.contributor.authorJessen, Heiko
dc.contributor.authorRobb, Merlin L.
dc.contributor.authorMichael, Nelson L.
dc.contributor.authorJansen, Klaus
dc.contributor.authorStreeck, Hendrik
dc.contributor.authorBRAHMS Study Team
dc.date.accessioned2024-08-13T09:00:26Z
dc.date.available2024-08-13T09:00:26Z
dc.date.issued2021-08-16none
dc.identifier.other10.1186/s12981-021-00378-4
dc.identifier.urihttp://edoc.rki.de/176904/11896
dc.description.abstractBackground: HIV and hepatitis C virus (HCV) have shared routes of transmission among men who have sex with men (MSM). Routine testing facilitates early diagnosis and treatment, thereby preventing morbidity and onward transmission. We evaluated factors associated with HIV and HCV testing in a behaviorally vulnerable cohort of predominantly MSM. Methods: From June 2018 through June 2019, the BRAHMS study enrolled adults at ten German outpatient clinics that serve gender and sexual minority populations. Participants completed behavioral questionnaires that captured prior experience with HIV and HCV testing. Multivariable robust Poisson regression was used to evaluate factors potentially associated with testing in the previous 6 months. Results: Among 1017 participants with median age 33 (interquartile range 28–39) years, 1001 (98.4%) reported any lifetime history of HIV testing and 787 (77.4%) reported any HCV testing, including 16 (1.6%) known to be living with HCV. Testing within the last 6 months was reported by 921 (90.6%) and 513 (50.4%) for HIV and HCV, respectively. Recent HIV testing was more common among participants with higher education level and recent HCV testing. Recent HCV testing was more common among participants with non-cisgender identity, lifetime history of illicit drug use, hepatitis B immunity or infection, and recent HIV testing. Conclusion: Prior testing for HIV was common in this cohort, but interventions are needed to improve HCV risk stratification and access to testing. HIV testing infrastructure can be successfully leveraged to support HCV testing, but differentiated preventive care delivery is needed for some vulnerable populations.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectscreening practiceseng
dc.subjectsexual and gender minoritieseng
dc.subjecteuropeeng
dc.subjectvoluntary counselling and testingeng
dc.subjecthuman immunodeficiency viruseng
dc.subjecthepatitis C viruseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleFactors associated with testing for HIV and hepatitis C among behaviorally vulnerable men in Germany: a cross-sectional analysis upon enrollment into an observational cohortnone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11896-4
dc.type.versionpublishedVersionnone
local.edoc.container-titleAIDS Research and Therapynone
local.edoc.container-issn1742-6405none
local.edoc.pages10none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://aidsrestherapy.biomedcentral.com/none
local.edoc.container-publisher-nameSpringer Naturenone
local.edoc.container-volume18none
local.edoc.container-reportyear2021none
dc.description.versionPeer Reviewednone

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