title: Targeted rapid HIV testing in public primary care services in Madrid. Are we reaching the vulnerable populations?
abstract: OBJECTIVE
  To describe the population targeted for the rapid HIV testing program delivered via socio-culturally adapted services in primary care centers and to assess factors associated with uptake of first-time testing.
  
  
  METHODS
  This was a descriptive cross-sectional study. We analyzed consultations between April 29, 2010 and May 31, 2012. We assessed the differences in age, origin, education, and sexual history between men who have sex with men (MSM), heterosexual men (HM), and women, using a two-sided independent t-test and Chi-square statistics. Factors associated with first-time testing were analyzed by logistic regression.
  
  
  RESULTS
  Of 1940 consultations, 45.1% were HM, 25.4% MSM, and 29.5% women; 35.4% were immigrants, 2.5% were or had been sex workers, and 15.4% had visited one. The test was reactive in 2.1%. Up to 44.2% had never been tested. The probability of being tested for the first time increased in HM, women, populations from the Indian Subcontinent, those with no casual sexual partners, those whose partner's serostatus was unknown, and those with no history of other sexually transmitted infections.
  
  
  CONCLUSIONS
  This program managed to reach a high proportion of vulnerable people. First time HIV testing rates were high.
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain. Electronic address: maria.estebanv@salud.madrid.org.
authors.forename: María D
authors.initials: MD
authors.lastname: Esteban-Vasallo
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Morán-Arribas
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: García-Riolobos
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
authors.forename: M Felicitas
authors.initials: MF
authors.lastname: Domínguez-Berjón
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Rico-Bermejo
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
authors.forename: Sara
authors.initials: S
authors.lastname: Collado-González
authors.affiliation: Preventive Medicine Unit, Rey Juan Carlos University, Madrid, Spain.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Jiménez-García
authors.affiliation: Unit of Tropical Medicine, Ramón y Cajal Hospital, Madrid, Spain.
authors.forename: Anne
authors.initials: A
authors.lastname: Guionnet
authors.affiliation: Unit of Tropical Medicine, Ramón y Cajal Hospital, Madrid, Spain.
authors.forename: Belén Pizarro
authors.initials: BP
authors.lastname: de la Fuente
authors.affiliation: Unit of Tropical Medicine, Ramón y Cajal Hospital, Madrid, Spain.
authors.forename: Rajae
authors.initials: R
authors.lastname: El Kertat
authors.affiliation: Unit of Tropical Medicine, Ramón y Cajal Hospital, Madrid, Spain.
authors.forename: Ada
authors.initials: A
authors.lastname: Coundoul
authors.affiliation: Subdirectorate for Health Promotion and Prevention, Madrid Regional Health Authority, C/San Martín de Porres, 6, 28035, Madrid, Spain.
authors.forename: Ramón Aguirre
authors.initials: RA
authors.lastname: Martín-Gil
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000821:virology; D020010:Heterosexuality; D018451:Homosexuality, Male; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012307:Risk Factors; D012309:Risk-Taking; D060386:Sex Workers; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000821:virology; D013030:Spain / Q000453:epidemiology; D013997:Time Factors; D035862:Vulnerable Populations
keywords: HIV; Immigrants; Men who have sex with men; Rapid HIV test; Risk behavior; Screening