| Titre : | Implementing Rapid HIV Testing With or Without Risk-Reduction Counseling in Drug Treatment Centers : Results of a Randomized Trial. (2012) |
| Auteurs : | Lisa-R METSCH ; Bernard BRANSON ; Grant-N COLFAX ; Moupali DAS ; Antoine DOUAIHY ; Sarah ERICKSON ; Daniel-J FEASTER ; Dianne GALLUP ; Lauren GOODEN ; Louise HAYNES ; Ptodd KORTHUIS ; Andrzej-S KOSINSKI ; Tiffany KYLE ; Robert LINDBLAD ; Raul-N MANDLER ; Steve MARTINO ; Tim MATHESON ; Bruce-R SCHACKMAN ; James-L SORENSEN ; José SZAPOCZNIK ; Susan TROSS ; Rochelle WALENSKY ; University of Miami Miller School of Medicine. Miami. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 102, n° 6, 2012) |
| Pagination : | 1160-1167 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Dépistage ; Sérologie ; Diagnostic ; VIH ; Facteur risque ; Risque ; Thérapeutique médicamenteuse ; Chimiothérapie ; Résultat ; Essai thérapeutique ; Randomisation ; Virose ; Infection ; Rétrovirus ; Virus ; Thérapeutique ; Immunopathologie ; Conseil ; Centre |
| Résumé : | [BDSP. Notice produite par INIST-CNRS nHpAkR0x. Diffusion soumise à autorisation]. Objectives. We examined the effectiveness of risk reduction counseling and the role of on-site HIV testing in drug treatment. Methods. Between January and May 2009, we randomized 1281 HIV-negative (or status unknown) adults who reported no past-year HIV testing to (1) referral for off-site HIV testing, (2) HIV risk-reduction counseling with on-site rapid HIV testing, or (3) verbal information about testing only with on-site rapid HIV testing. Results. We defined 2 primary self-reported outcomes a priori : receipt of HIV test results and unprotected anal or vaginal intercourse episodes at 6-month follow-up. The combined on-site rapid testing participants received more HIV test results than off-site testing referral participants (P<. 001 ; Mantel-Haenszel risk ratio=4.52 ; 97.5% confidence interval [CI]=3.57,5.72). At 6 months, there were no significant differences in unprotected intercourse episodes between the combined on-site testing arms and the referral arm (P=39 ; incidence rate ratio [IRR]=1.04 ; 97.5% CI=0.95,1.14) or the 2 on-site testing arms (P=81 ; IRR=1.03 ; 97.5% CI=0.84,1.26). Conclusions. This study demonstrated on-site rapid HIV testing's value in drug treatment centers and found no additional benefit from HIV sexual risk-reduction counseling. |
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