Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre?
Abstract Background Some patients who test positive for sexually transmitted infections (STIs) fail to return for results and treatment. To target improvement actions, we need to find out who these patients are. This study aimed to explore factors associated with failure to return within 30 days (FT...
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doaj-3308011386234711b8729cfcdfa5bd802020-11-25T03:56:17ZengBMCBMC Infectious Diseases1471-23342020-10-012011910.1186/s12879-020-05520-7Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre?Camille Rolland0Elise de La Rochebrochard1Prescillia Piron2Marc Shelly3Christophe Segouin4Pénélope Troude5Department of Public Health, University Hospital Saint-Louis-Lariboisière-Fernand-Widal, AP-HPInstitut National d’Etudes Démographiques (Ined)Department of Public Health, University Hospital Saint-Louis-Lariboisière-Fernand-Widal, AP-HPDepartment of Public Health, University Hospital Saint-Louis-Lariboisière-Fernand-Widal, AP-HPDepartment of Public Health, University Hospital Saint-Louis-Lariboisière-Fernand-Widal, AP-HPDepartment of Public Health, University Hospital Saint-Louis-Lariboisière-Fernand-Widal, AP-HPAbstract Background Some patients who test positive for sexually transmitted infections (STIs) fail to return for results and treatment. To target improvement actions, we need to find out who these patients are. This study aimed to explore factors associated with failure to return within 30 days (FTR30) after testing among patients with positive results in a free STI testing centre in Paris. Methods All patients with at least one positive result between October 2016 and May 2017 and who completed a self-administered questionnaire were included in this cross-sectional study (n = 214). The questionnaire included sociodemographic factors, sexual behaviour and history of testing. Factors associated with FTR30 were assessed using logistic regression models. Results More than two-thirds of patients were men (72%), and the median age of patients was 27 years. Most patients were born in metropolitan France (56%) or in sub-Saharan Africa (22%). Men who had sex with men represented 36% of the study population. The FTR30 rate was 14% (95% CI [10–19%]). In multivariate analysis, previous HIV testing in younger persons (aOR: 3.36, 95% CI [1.27–8.84]), being accompanied by another person at the pretest consultation (aOR: 3.45, 95% CI [1.36–8.91]), and lower self-perceived risk of HIV infection (aOR: 2.79, 95% CI [1.07–7.30]) were associated with a higher FTR30. Testing for chlamydia/gonorrhoea without presumptive treatment was associated with a lower FTR30 (aOR: 0.21, 95% CI [0.07–0.59]). Conclusions These factors that affect failure to return are related to the patient’s representations and involvement in the STI screening process. Increasing health literacy and patient empowerment could help to decrease failure to return after being tested positive for HIV/STI. Trial registration Not applicable.http://link.springer.com/article/10.1186/s12879-020-05520-7HIV infectionSTIScreeningPreventive healthSexual risk behavioursPatient dropouts |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Camille Rolland Elise de La Rochebrochard Prescillia Piron Marc Shelly Christophe Segouin Pénélope Troude |
spellingShingle |
Camille Rolland Elise de La Rochebrochard Prescillia Piron Marc Shelly Christophe Segouin Pénélope Troude Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre? BMC Infectious Diseases HIV infection STI Screening Preventive health Sexual risk behaviours Patient dropouts |
author_facet |
Camille Rolland Elise de La Rochebrochard Prescillia Piron Marc Shelly Christophe Segouin Pénélope Troude |
author_sort |
Camille Rolland |
title |
Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre? |
title_short |
Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre? |
title_full |
Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre? |
title_fullStr |
Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre? |
title_full_unstemmed |
Who fails to return within 30 days after being tested positive for HIV/STI in a free testing centre? |
title_sort |
who fails to return within 30 days after being tested positive for hiv/sti in a free testing centre? |
publisher |
BMC |
series |
BMC Infectious Diseases |
issn |
1471-2334 |
publishDate |
2020-10-01 |
description |
Abstract Background Some patients who test positive for sexually transmitted infections (STIs) fail to return for results and treatment. To target improvement actions, we need to find out who these patients are. This study aimed to explore factors associated with failure to return within 30 days (FTR30) after testing among patients with positive results in a free STI testing centre in Paris. Methods All patients with at least one positive result between October 2016 and May 2017 and who completed a self-administered questionnaire were included in this cross-sectional study (n = 214). The questionnaire included sociodemographic factors, sexual behaviour and history of testing. Factors associated with FTR30 were assessed using logistic regression models. Results More than two-thirds of patients were men (72%), and the median age of patients was 27 years. Most patients were born in metropolitan France (56%) or in sub-Saharan Africa (22%). Men who had sex with men represented 36% of the study population. The FTR30 rate was 14% (95% CI [10–19%]). In multivariate analysis, previous HIV testing in younger persons (aOR: 3.36, 95% CI [1.27–8.84]), being accompanied by another person at the pretest consultation (aOR: 3.45, 95% CI [1.36–8.91]), and lower self-perceived risk of HIV infection (aOR: 2.79, 95% CI [1.07–7.30]) were associated with a higher FTR30. Testing for chlamydia/gonorrhoea without presumptive treatment was associated with a lower FTR30 (aOR: 0.21, 95% CI [0.07–0.59]). Conclusions These factors that affect failure to return are related to the patient’s representations and involvement in the STI screening process. Increasing health literacy and patient empowerment could help to decrease failure to return after being tested positive for HIV/STI. Trial registration Not applicable. |
topic |
HIV infection STI Screening Preventive health Sexual risk behaviours Patient dropouts |
url |
http://link.springer.com/article/10.1186/s12879-020-05520-7 |
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