[Street outreach rapid HIV testing in university settings: a priority strategy?].
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.
CIBER de Epidemiología y Salud Pública, España. jhoyos@isciii.es
Juan
J
Hoyos
Luis
L
de la Fuente
Sonia
S
Fernández
Jorge
J
Gutiérrez
Maria Elena
ME
Rosales
Patricia
P
García de Olalla
Mónica
M
Ruiz
Maria José
MJ
Belza
D015492:AIDS Serodiagnosis; D000293:Adolescent; D000328:Adult; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D015528:HIV Seroprevalence; D006292:Health Priorities; D006801:Humans; D008297:Male; D008952:Mobile Health Units; D015397:Program Evaluation; D012309:Risk-Taking; D019529:Sexuality; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014495:Universities; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult