Universität zu Köln

Crowell, Trevor A. ORCID: 0000-0001-5947-265X, Qian, Haoyu, Tiemann, Carsten, Lehmann, Clara, Boesecke, Christoph, Stoehr, Albrecht, Hartikainen, Jukka, Esser, Stefan, Bickel, Markus, Spinner, Christoph D., Schneeweiss, Stephan, Cordes, Christiane, Brockmeyer, Norbert, Jessen, Heiko, Robb, Merlin L., Michael, Nelson L., Jansen, Klaus and Streeck, Hendrik (2021). 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. Aids Res. Ther., 18 (1). LONDON: BMC. ISSN 1742-6405

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Abstract

Background 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Crowell, Trevor A. UNSPECIFIED orcid.org/0000-0001-5947-265X UNSPECIFIED Qian, Haoyu UNSPECIFIED UNSPECIFIED UNSPECIFIED Tiemann, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehmann, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Boesecke, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Stoehr, Albrecht UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartikainen, Jukka UNSPECIFIED UNSPECIFIED UNSPECIFIED Esser, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Bickel, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Spinner, Christoph D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneeweiss, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Cordes, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Brockmeyer, Norbert UNSPECIFIED UNSPECIFIED UNSPECIFIED Jessen, Heiko UNSPECIFIED UNSPECIFIED UNSPECIFIED Robb, Merlin L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Michael, Nelson L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jansen, Klaus UNSPECIFIED UNSPECIFIED UNSPECIFIED Streeck, Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-602144
DOI:	10.1186/s12981-021-00378-4
Journal or Publication Title:	Aids Res. Ther.
Volume:	18
Number:	1
Date:	2021
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1742-6405
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language UNITED-STATES; INFECTED MEN; SEX; HEALTH; RISK; COINFECTION; PREVENTION; EPIDEMIC; THERAPY; DISEASE Multiple languages Infectious Diseases Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/60214