title: Case finding advantage of HIV rapid tests in community settings: men who have sex with men in 12 programme areas in China, 2011.
abstract: We sought to describe the advantage of rapid tests over ELISA tests in community-based screening for HIV among men who have sex with men (MSM) in urban areas of China. Data of 31,406 screening tests conducted over six months in 2011 among MSM across 12 areas were analyzed to compare the differences between those receiving rapid testing and ELISA. Rapid tests accounted for 45.8% of these screening tests. The rate of being screened positive was 7.2% among rapid tests and 5.3% for ELISA tests (χ(2 )= 49.161, p < 0.001). This advantage of rapid test in HIV case finding persisted even when socio-demographic, behavioural, screening recruitment channel and city were controlled for in logistic regression (exp[beta] = 1.42, p < 0.001, 95% CI = 1.27,1.59). MSM who received rapid tests, compared with those tested by ELISA, were less likely to use condoms during last anal sex (50.8% vs. 72.3%, χ(2 )= 1706.146, p < 0.001), more likely to have multiple sex partners (55.7% vs. 49.5%, χ(2 )= 238.188, p < 0.001) and less likely to have previously undergone HIV testing (38.8% vs. 54.7%, χ(2 )= 798.476, p < 0.001). These results demonstrate the robustness of the advantage of rapid tests over traditional ELISA tests in screening for MSM with HIV infection in cooperation with community-based organizations in urban settings in China.
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
authors.forename: Dapeng
authors.initials: D
authors.lastname: Zhang
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
authors.forename: Jinlei
authors.initials: J
authors.lastname: Qi
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
authors.forename: Xiaojing
authors.initials: X
authors.lastname: Fu
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
authors.forename: Sining
authors.initials: S
authors.lastname: Meng
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
authors.forename: Chengmei
authors.initials: C
authors.lastname: Li
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China jpsun@chinaaids.cn.
authors.forename: Jiangping
authors.initials: J
authors.lastname: Sun
mesh_terms: D044466:Asian People / Q000706:statistics & numerical data*; D002681:China / Q000453:epidemiology; D003153:Community Health Services; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006679:HIV Seropositivity; D006293:Health Promotion; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care; D019095:Point-of-Care Systems; D015397:Program Evaluation / Q000379:methods*; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population
keywords: AIDS; China; HIV; MSM; diagnosis; homosexual; men; men who have sex with men; point-of-care test; rapid test; screening