Amsterdam 2015
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| Abstract #2164 - Men and Sex | ||||
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Session: 31.1: Men and Sex (Oral Poster discussion) on Thursday @ 13.30-14.30 in Poster room 2 Chaired by Dana Rosenfeld, Jack Tocco Authors: Presenting Author: Ms Susanne Drückler - GGD Amsterdam, Netherlands |
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| Additional Authors: | ||||
| Aim: In 2011 the Public Health Service of Amsterdam re-started STI and HIV outreach screening for MSM in public sex venues. By testing at outreach locations we aimed to reach MSM that would otherwise not present for testing at the Amsterdam STI clinic. The main objective of this study was to explore differences in risk profile between MSM tested at outreach and those tested at the clinic. | ||||
| Method / Issue: Outreach testing was conducted at least once per month in 8 public sex venues in Amsterdam, such as bathhouses, clubs with darkrooms or cruising areas. All consultations are registered in the electronic patient dossier system (EPD) of the Amsterdam STI clinic. To assess the differences between outreach consultations and clinic consultations we analyzed anonymized data from the EPD collected between 2011-2014. First, we looked at the difference in HIV and STI prevalence (diagnosis of gonorrhea, chlamydia, infectious syphilis, infectious hepatitis B and HIV) between 2011 and 2014. In addition, differences in number of sex partners in the past 6 months, age and ethnicity were analyzed. To identify differences, the Chi-square and Mann–Whitney U test were used. Lastly, we examined whether MSM who were tested at outreach had been tested earlier at the STI clinic. | ||||
| Results / Comments: Between 2011 and 2014 519 consultations were performed at outreach and 37.985 consultations at the STI clinic. The median age of MSM tested at outreach (49.5 years, IQR 37-58 years) differed significant from MSM tested at the clinic (38.1 years, IQR 30-47 years, p<0.001). Likewise we found differences in ethnicity between the outreach and the STI clinic consultations (e.g. more non-Western MSM were tested during outreach). Significantly more new HIV infections were found during outreach testing (3.0%) than during standard screening at the STI clinic (1.7%, p=0.04). Also, the STI prevalence was higher during outreach (28.3%) in comparison with clinic consultations (24.7%, p=0.06). Furthermore, MSM who were tested at outreach reported a median of 10 sex partners (IQR 3-20) and MSM who were tested at the STI clinic reported a median of 6 sex partners (IQR 3-12, p<0.001) in the last six months. Additionally, we found that 56.5% of the MSM who were tested at outreach never had been tested before (between 2004-2014) at the STI clinic in Amsterdam. | ||||
| Discussion: Significantly more HIV and more STI’s were found at outreach than in standard STI clinic care. Moreover, 56.5% of the MSM tested at outreach had not been tested at the clinic earlier. It can be concluded that MSM who were tested at outreach are a higher risk group which in some cases might not be screened and treated through standard care options. To reach MSM at high risk for STI, outreach testing is a valuable addition to the standard care offered at the STI clinic of Amsterdam. | ||||
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