title: Factors associated with satisfaction with community-based non-medicalized counseling and testing using HIV rapid tests among MSM in France.
abstract: The aims of the study were to determine the level of satisfaction of men who have sex with men (MSM) participating in two community-based non-medicalized counseling and testing programs (ANRS-DRAG and ANRS-COM'TEST) offering HIV rapid tests (hereafter CBOffer), and to identify factors associated with satisfaction. Between 2009 and 2011, 436 participants voluntarily benefited from a CBOffer in the two programs. They completed self-administered questionnaires before and after testing. Psychosocial scores were constructed using principal component analyses to reflect the following dimensions: post-test satisfaction, avoidance of at-risk situations as a HIV risk-reduction strategy, and attitudes towards condom use. Logarithmic regression of the post-test satisfaction score was performed on these scores and on other selected explanatory variables, including the variable "self-identification as homosexual or bisexual". Post-test satisfaction ranged between 90-99 and below 90 for 50% and 25% of the participants, respectively. Post-test satisfaction with the CBOffer was independently associated with self-defined sexuality, meeting place for sexual partners, participants' attitudes about being HIV-positive, and condom use. The very high level of satisfaction was associated with both personal and socio-behavioral factors. Vulnerable MSM could be targeted better and, accordingly, could use this offer more frequently as a combined prevention tool.
authors.affiliation: a GRePS, Lyon 2 University , Lyon , France.|b INSERM UMR912 (SESSTIM) , Marseille , France.|c ORS PACA, Health Régional Observatory Provence-Alpes-Côte-d'Azur , Marseille , France.
authors.forename: Marie
authors.initials: M
authors.lastname: Préau
authors.affiliation: b INSERM UMR912 (SESSTIM) , Marseille , France.|c ORS PACA, Health Régional Observatory Provence-Alpes-Côte-d'Azur , Marseille , France.|d Aix Marseille University, UMR-S912, IRD , Marseille , France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Lorente
authors.affiliation: b INSERM UMR912 (SESSTIM) , Marseille , France.|c ORS PACA, Health Régional Observatory Provence-Alpes-Côte-d'Azur , Marseille , France.|d Aix Marseille University, UMR-S912, IRD , Marseille , France.
authors.forename: Luis
authors.initials: L
authors.lastname: Sagaon-Teyssier
authors.affiliation: e INSERM, IAME, UMR 1137 , Paris , France.
authors.forename: Karen
authors.initials: K
authors.lastname: Champenois
authors.affiliation: f AIDES , Pantin , France.
authors.forename: Jean Marie Le
authors.initials: JM
authors.lastname: Gall
authors.affiliation: a GRePS, Lyon 2 University , Lyon , France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Mabire
authors.affiliation: b INSERM UMR912 (SESSTIM) , Marseille , France.|c ORS PACA, Health Régional Observatory Provence-Alpes-Côte-d'Azur , Marseille , France.|d Aix Marseille University, UMR-S912, IRD , Marseille , France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Spire
authors.affiliation: b INSERM UMR912 (SESSTIM) , Marseille , France.|c ORS PACA, Health Régional Observatory Provence-Alpes-Côte-d'Azur , Marseille , France.|d Aix Marseille University, UMR-S912, IRD , Marseille , France.
authors.forename: Marion
authors.initials: M
authors.lastname: Mora
authors.affiliation: g Paris Diderot University, Sorbonne Paris Cité , Paris , France.|h AP-HP, Bichat Hospital, Biostatistic Department , Paris , France.
authors.forename: Yazdan
authors.initials: Y
authors.lastname: Yazdanpanah
authors.affiliation: b INSERM UMR912 (SESSTIM) , Marseille , France.|c ORS PACA, Health Régional Observatory Provence-Alpes-Côte-d'Azur , Marseille , France.|d Aix Marseille University, UMR-S912, IRD , Marseille , France.
authors.forename: Marie
authors.initials: M
authors.lastname: Suzan
mesh_terms: D000328:Adult; D003153:Community Health Services; D017280:Condoms / Q000706:statistics & numerical data; D003376:Counseling; D005602:France; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D040242:Risk Reduction Behavior; D021841:Safe Sex; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: MSM; Rapid testing; community-based research; prevention