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P3.182 Sexually Transmitted Infection Screening Among HIV-Negative Men and Women Seeking HIV-Testing Only: Missed Opportunity For HIV Prevention?
  1. R C Perkins1,
  2. G Douglass2,
  3. V Ta2,
  4. A Dright1,
  5. M Fomundam2,
  6. Y Li3,
  7. M Plankey3
  1. 1Whitman-Walker Health, Washington, DC, United States
  2. 2George Washington Unviersity School of Public Health, Washington, DC, United States
  3. 3Georgetown University Medical Center, Department of Medicine Division of Infectious Diseases, Washington, DC, United States

Abstract

Background Sexually transmitted infections (STIs) increase the risk of HIV infection; however concurrent HIV and STI testing may not be available in all clinical settings. In previous work, we showed a high concordance of self vs. provider STI testing. In this study, we evaluated the implementation of STI self-testing among HIV-negative, asymptomatic adults.

Methods Self collected urine, throat and/or rectal swabs for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC), without physical examination, were completed by 514 HIV-negative (rapid HIV test performed on same day), asymptomatic adults at a walk-in clinic in Washington, DC. Sociodemographic and sexual risk behaviour data were collected, and a post-testing satisfaction survey was completed by each individual.

Results The sample included: 413 (80.4%) men and 101(19.6%) women. The median age was 30 (range 15–72) years. Among the men: 135 (32.7%) African-American; 211 (51.1%) White; 262 (63.4%) men who have sex with men only; 34 (8.2%) men who have sex with both men and women. Among the women: 74 (73.3%) African-American; 18 (17.8%) White; 6 (5.9%) women who have sex with women only; 8 (7.9%) women who have sex with women and men. Among men, the prevalence of CT was 10.7% (2.7% throat, 5.8% rectal and 3.4% urine); for GC 8.5% (6.5% throat, 3.4% rectal and 1.2% urine). Among women, the prevalence of CT 12.9% (4.9% throat, 8.9% rectal and 8.9% urine); GC 3.0% (1.0% throat, 3.0% rectal and 1.0% urine). 95.9% of the individuals reported high acceptance of self-testing with 97.6% willing to do repeat testing and 96.7% to recommend self-testing to someone else.

Conclusion HIV-negative, asymptomatic adults testing for HIV are infected with other STIs. Self-testing for CT and GC was implemented successfully among men and women. Self-testing can mitigate HIV infection by increasing detection and treatment of STIs amongst those seeking HIV testing only.

  • asymptomatic
  • HIV-negative
  • self-testing

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