[Street outreach rapid HIV testing in university settings: a priority strategy?]

Gac Sanit. 2012 Mar-Apr;26(2):131-7. doi: 10.1016/j.gaceta.2011.07.009. Epub 2011 Oct 24.
[Article in Spanish]

Abstract

Objective: To evaluate an HIV testing program in the university environment by analyzing the prevalence of infection, risk behaviors and history of sexually transmitted infections and by performing HIV tests.

Methods: During October-November of 2008 and November-December of 2009, 1668 persons received rapid HIV testing in a mobile unit located in university campuses in the cities of Madrid, Málaga and Salamanca (Spain). While waiting for the test results, participants completed a brief questionnaire.

Results: A total of 15.7% were men who had sex with men (MSM), 28.6% were exclusively heterosexual men (HTX), and 55.7% were women. Nearly three-quarters (73.3%) were under 25 years of age, 8.5% were born abroad and only 4% had no secondary education. Fifty-one percent of HTX, 42% of women and 6.3% of MSM had casual sexual partners in the past 12 months without always using a condom. This behavior was also reported by 41.5% of MSM with same sex partners. A sexually transmitted infection had previously been diagnosed in 24.7% of MSMs, 14.7% of women and 5.6% of HTX. Four positive results were found, all in MSM who had been tested in the previous 2 years. The prevalence was 1.6% (95% CI: 0.43-3.95) within this group, and 0.2% overall (95% CI: 0.07-0.62).

Conclusions: Despite the high frequency of risk behaviors, the low prevalence of HIV infection and the history of HIV testing suggest that university campuses are not a priority location to develop these programs, which would achieve greater impact and efficiency in more vulnerable populations.

Publication types

  • Evaluation Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • AIDS Serodiagnosis*
  • Adolescent
  • Adult
  • Emigrants and Immigrants / statistics & numerical data
  • Female
  • HIV Seroprevalence
  • Health Priorities*
  • Humans
  • Male
  • Mobile Health Units*
  • Program Evaluation
  • Risk-Taking
  • Sexuality
  • Sexually Transmitted Diseases / epidemiology
  • Students* / psychology
  • Students* / statistics & numerical data
  • Substance Abuse, Intravenous / epidemiology
  • Surveys and Questionnaires
  • Universities*
  • Unsafe Sex / statistics & numerical data
  • Young Adult