Clients of sex workers in Switzerland: it makes sense to counsel and propose rapid test for HIV on the street, a preliminary report.

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Serval ID
serval:BIB_6F836EA2169C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clients of sex workers in Switzerland: it makes sense to counsel and propose rapid test for HIV on the street, a preliminary report.
Journal
Bmc Infectious Diseases
Author(s)
Diserens E.A., Bodenmann P., N'Garambe C., Ansermet-Pagot A., Vannotti M., Masserey E., Cavassini M.
ISSN
1471-2334[electronic], 1471-2334[linking]
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
10
Number
1
Pages
74
Language
english
Notes
Publication types: Journal Article Publication Status: epublish
Abstract
BACKGROUND: Clients of street sex workers may be at higher risk for HIV infection than the general population. Furthermore, there is a lack of knowledge regarding HIV testing of clients of sex workers in developed countries. METHOD: This pilot study assessed the feasibility and acceptance of rapid HIV testing by the clients of street-based sex workers in Lausanne, Switzerland. For 5 evenings, clients in cars were stopped by trained field staff for face-to-face interviews focusing on sex-related HIV risk behaviors and HIV testing history. The clients were then offered a free anonymous rapid HIV test in a bus parked nearby. Rapid HIV testing and counselling were performed by experienced nurse practitioners. Clients with reactive tests were offered confirmatory testing, medical evaluation, and care in our HIV clinic. RESULT: We intercepted 144 men, 112 (77.8%) agreed to be interviewed. Among them, 50 (46.6%) had never been tested for HIV. A total of 31 (27.7%) rapid HIV tests were performed, 16 (51.6%) in clients who had not previously been tested. None were reactive. Initially, 19 (16.9%) additional clients agreed to HIV testing but later declined due to the 40-minute queue for testing. CONCLUSION: This pilot study showed that rapid HIV testing in the red light district of Lausanne was feasible, and that the clients of sex workers accepted testing at an unexpectedly high rate. This setting seems particularly appropriate for targeted HIV screening, since more than 40% of the clients had not previously been tested for HIV even though they engaged in sex-related HIV risk behaviour.
Keywords
HIV Infections/diagnosis, HIV Infections/epidemiology, Health Knowledge, Attitudes, Practice, Patient Acceptance of Health Care/statistics & numerical data, Prostitution, Risk-Taking, Sexual Behavior, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
06/05/2010 15:00
Last modification date
20/08/2019 14:28
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