Document Detail


Overview of a gay men's STI/HIV testing clinic in Ottawa: Clinical operations and outcomes.
MedLine Citation:
PMID:  25365275     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To 1) create a space where men who have sex with men (MSM) feel comfortable accessing sexually transmitted infection/human immunodeficiency virus (STI/HIV) testing, and 2) reduce STI/HIV incidence.
PARTICIPANTS: Gay men in Ottawa and its surrounding regions.
SETTING: A preponderance of diagnoses of sexually transmitted infections and HIV continue to occur among MSM. Meanwhile, other literature identifies that many MSM are reluctant to access STI/HIV testing services or to disclose their sexual practices to primary care practitioners.
INTERVENTION: In Ottawa, in an effort to surmount these issues and decrease STI/HIV incidence among MSM, the local public health unit in collaboration with community partners created "GayZone", a three-hour-per-week STI/HIV testing and STI treatment clinic for gay men. In this paper, we report on the uptake and STI/HIV diagnosis outcomes for this clinic from January 2010 through December 2013.
OUTCOMES: GayZone is a well-utilized clinic that yields a number of STI/HIV diagnoses per year. Overall, the positivity rates of the STI/HIV tests at this clinic are above-average, although lower than what might be expected by local epidemiological data. While the results of this clinic validate anonymous HIV testing, they bring into question the utility of pharyngeal swabs to test for gonorrhea and chlamydia.
CONCLUSION: The results of our study demonstrate the utility of a gay men's STI/HIV testing clinic and highlight some areas for improvement. Public health practitioners, frontline clinicians, and community workers in other regions who wish to implement such an STI/HIV clinic would do well to consider our results beforehand.
Authors:
Patrick O'Byrne; Paul MacPherson; Andrew Ember; Marie-Odile Grayson; Andree Bourgault
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Publication Detail:
Type:  Journal Article     Date:  2014-09-15
Journal Detail:
Title:  Canadian journal of public health = Revue canadienne de santé publique     Volume:  105     ISSN:  1920-7476     ISO Abbreviation:  Can J Public Health     Publication Date:  2014  
Date Detail:
Created Date:  2014-11-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372714     Medline TA:  Can J Public Health     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e389-94     Citation Subset:  IM    
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