Heterogeneity of HIV testing practices in free healthcare centers in France: A national demonstration study.

Infect Dis Now

Service de Maladies Infectieuses, Centre Hospitalier Universitaire de Nantes, Hôtel Dieu 1, Place Alexis Ricordeau, 44000 Nantes, France. Electronic address:

Published: October 2023

Objectives: This nationwide survey aimed to establish an overview of HIV testing practices in French free healthcare centers (Permanences d'Accès aux Soins de Santé - PASS) and to identify potential obstacles encountered by their staff.

Methods: A questionnaire was distributed between January and July 2020 to all French PASS units, with a total of 97 respondents.

Results: Fifty-six percent of responding PASS units did not have a systematic screening protocol. Obstacles cited by respondents in their daily practice included a need for more information on HIV and sexually transmitted disease testing (26%) and the fact that the coordinating physician did not always possess specific HIV-related qualifications (74%).

Conclusion: This study confirmed the essential role of PASS units in providing access to health care and treatment for people in precarious situations and demonstrated that medical staff training in the field of sexual health is essential to the improvement of HIV testing in France.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.idnow.2023.104726DOI Listing

Publication Analysis

Top Keywords

hiv testing
12
pass units
12
testing practices
8
free healthcare
8
healthcare centers
8
heterogeneity hiv
4
testing
4
practices free
4
centers france
4
france national
4

Similar Publications

Background: Integrated Counselling and Testing Centre (ICTC) diagnose HIV and STIs early, modifies behavior, reduces vulnerability, and data helps in understanding transmission. Despite having low HIV prevalence, Jharkhand is vulnerable. Post Covid19, HIV has increased.

View Article and Find Full Text PDF

Background: Risk of anal cancer is high in certain populations and screening involves collection of anal swabs for HPV DNA and/or cytology testing. However, barriers exist, such as the need for an intimate examination, and stigma around HIV status, sexual orientation, and sexual practices. Self-collected anal swabs (SCA) are a proposed alternative to clinician-collected swabs (CCA) to overcome these barriers.

View Article and Find Full Text PDF

Public Health.

Alzheimers Dement

December 2024

King's College London, Strand, London, United Kingdom.

Background: The prevalence of dementia in low- and middle-income countries is increasing, yet epidemiological data from African populations remains scarce. Crucial risk factors differ in Africa from more intensively studied global areas, including a high burden of cerebrovascular disease (evidenced by high stroke incidence) and HIV, but lower rates of other risk factors such as physical inactivity. In the pre-antiretroviral therapy era, dementia was a common consequence of HIV infection.

View Article and Find Full Text PDF

Biomarkers.

Alzheimers Dement

December 2024

UAB, Birmingham, AL, USA.

Background: Individual plasma protein biomarkers have been shown to correlate with cognitive performance in people with HIV. This study aimed to investigate the association between plasma proteomic signatures and cognition in virologically well-controlled women with HIV.

Method: 77 women with HIV from three Women's Interagency Study (WIHS) sites completed neuropsychological testing and a blood draw.

View Article and Find Full Text PDF

Background: In Zambia, dementia prevalence is unknown due to limited community awareness and a lack of providers skilled in recognizing and diagnosing this disease. Community healthcare workers (CHWs) are widely utilized across sub-Saharan Africa to improve health care access, particularly HIV services. CHWs may be an untapped resource to raise awareness, screen for dementia, and support dementia care in the community.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!