CROI 2016 Abstract eBook

Abstract Listing

Poster Abstracts

968 Implementation of a Rapid HIV Testing Program in Psychiatric Inpatient Wards Maryann J. Popiel;Vikram Duvvi; AlbertTurkieh; Ethan Cowan;Yvette Calderon; Anuj Rao; Jennifer Zahn ; Uttara Gadde; Stephanie Haimowitz; Jason Leider Jacobi Med Cntr, Bronx, NY, USA Background: New York State lawmandates the offer of HIV testing to every patient aged 13-64. However, acute mental health admittances into the psychiatric emergency room can be difficult settings in which to conduct HIV screening. Because individuals with mental illness have higher rates of HIV infection, routine testing of stabilized patients in psychiatric inpatient wards could be beneficial. This study sought to assess the implementation of a rapid HIV testing program in this nontraditional setting. Methods: This prospective, descriptive study was conducted in a psychiatric inpatient ward over 23 days. Public Health Advocates (PHAs) recruited a convenience sample of patients, deemed to have capacity to consent by a team of physicians, for HIV testing. PHAs collected demographic characteristics and risk factors during counseling sessions. Chart reviews were conducted to assess psychiatric diagnoses and sexual/drug abuse history. Rates of test acceptances were tracked during the last nine days of the study. Results: 405 patients were tested for HIV. Demographic characteristics of the participants were: 59.5%male, 43.0% Hispanic, and 40.2% Black. Mean age was 37.9 ± 13.0 years. 38.0% did not engage in regular medical care. As per CDC criterion, 26.4% of participants were high-risk for acquiring HIV. Risk factors were: multiple sex partners (22.2%), injection drug use (4.9%), sex for commodities (4.9%), sex with an injection drug user (3.2%), or sex with an HIV-positive partner (1.5%). Psychiatric diagnoses were: Schizophrenic/Psychotic/Affective (65.2%), Depression (15.6%), and Bipolar (13.8%). Drug abuse was noted in 33.1% of cases, and 7.4% reported sexual abuse history. One patient was confirmed HIV positive and linked to outpatient HIV care. In the last nine days of study, 294 of 394 patients able to consent were offered the HIV test (74.6%), of which 185 accepted (62.9%). Conclusions: A rapid HIV testing programwith multidisciplinary staff buy-in can test a large number of patients in a psychiatric inpatient ward. Expansion of HIV screening initiatives to nontraditional settings can increase access to testing for high-risk populations that may not otherwise engage in primary care, especially those that cannot consent while admitted in a psychiatric emergency room. 969 Tailoring Mass Media MSM HIV Test Interventions to Reach High-Risk Men Ngai SzeWong 1 ;WeimingTang 2 ; Larry Han 3 ; John Best 4 ;Ye Zhang 2 ; Shujie Huang 5 ; BinYang 5 ; Lai SzeTso 2 ; ChongyiWei 4 ; Joseph D.Tucker 6 1 South China-UNC STI Rsr Training Cntr, Guangzhou, China; 2 Univ of North Carolina Proj China, Guangzhou, China; 3 Univ of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 4 Univ of California San Francisco, San Francisco, CA, USA; 5 Guangdong Provincial Cntr for Skin Diseases and STI Control, Guangzhou, China; 6 Univ of North Carolina at Chapel Hill Inst for Global Hlth & Infectious Diseases, Chapel Hill, NC, USA Background: Mass media interventions have been shown to be effective in promoting HIV testing, yet their effectiveness may be attenuated among subgroups. We examined correlates of HIV testing among MSM immediately following a brief mass media intervention in order to identify gaps in intervention effectiveness and inform subsequent interventions. Methods: MSM individuals in China were recruited online in 2014. MSM who were 16 years or older and had never received HIV testing viewed a one minute mass media video promoting HIV test uptake. Participants self-reported HIV testing behavior in the three weeks following the intervention. Odds ratios (OR) were used to identify factors associated with post-intervention HIV testing. Results: In the study, 5339 online users clicked the banner on webpage and 721 eligible respondents completed the online questionnaire and watched HIV testing video. A total of 593 (82%) were followed up successfully and 215 (36%) reported HIV testing. The median age was 22 years old (interquartile range: 20-26 years old). Ethnic minorities and other non-Han individuals (proportion of HIV testing=22% vs 37%, OR=0.48, p=0.05) and students (32% vs 40%, OR=0.71, p=0.05) were less likely to be tested for HIV following the mass media intervention compared to their counterparts. No significant association was found between post-intervention HIV testing and age, education level, income level and residence status. Men who reported riskier behaviors had greater post-intervention HIV testing. Unprotected sex with female (61% vs 40%, OR=2.35, 95%CI=1.22-4.51) and drunk before having sex in the past 3 months (63% vs 43%, OR=2.19, 95%CI=1.13-4.24) were associated with post-intervention HIV testing. Men who had group sex (54% vs 35%, OR=2.16, 95%CI=1.13-4.16) and sex for money (63% vs 35%, OR=3.13, 95%CI=1.5-6.53) in the past 12 months were also more likely to have post-intervention HIV testing. Conclusions: After an online mass media intervention, men with higher risk behaviors, who probably had higher perceived risk, were more likely to be tested for HIV. This suggests that subsets of high risk MSM can be effectively reached through online mass media interventions. 970 Feasibility of a Social-Entrepreneurship Model to Promote HIV Self-Testing Among MSM Fei Zhong 1 ; Weiming Tang 2 ;Weibin Cheng 1 ; Peng Lin 3 ; QiongmiaoWu 3 ;Yanshan Cai 1 ; Lili Fan 1 ;Yuteng Zhao 1 ; Xi Chen 1 ; Joseph D.Tucker 4 ; Gang Meng 1 ; Huifang Xu 1 1 Guangzhou Cntr for Disease Control and Prevention, Guangzhou, China; 2 Univ of North Carolina Proj China, Guangzhou, China; 3 Guangdong CDC, Guangzhou, China; 4 Univ of North Carolina at Chapel Hill Inst for Global Hlth & Infectious Diseases, Chapel Hill, NC, USA Background: HIV testing is critical to the surveillance and control of the HIV pandemic, and HIV self-testing (HIVST) offers an opportunity to increase HIV testing among people not reached by facility-based services. However, the promotion and implementation of HIVST is limited by insufficient community engagement. To fill this gap and to promote HIVST among MSM, we built a Social Entrepreneurship Model (SET) to promote HIVST and syphilis self-testing (SST) among Chinese MSM. Methods: The Guangzhou Center for Disease Control (CDC) built an online SET model in cooperation with a local CBO (Guangzhou Tongzhi, GZTZ) using an online-mobile model. This model includes few key steps: First, participants that clicked on the link completed an online survey, including an informed consent. Participants then deposited $23 USD (refundable) in exchange for a HIVST kit and a SST kit. After the participants performed HIVST and SST, the results were sent to the GZTZ which recorded testing results. The staff of the Guangzhou CDC then interpreted the results and gave feedback to the participants. Meanwhile, the deposit was automatically returned to the participants. Finally, the GZTZ contacted the individuals testing positive for HIV or syphilis to provide counseling services, confirmation testing and linkage to care. Results: During April - June of 2015, a total of 380 participants finished the online survey, and 198 (52.1%) purchased self-testing kits online. Among those who purchased self- testing kits, the majority were aged under 30 (69.5%), received at least a college education (88.9%), and met their sexual partners online (93.1%). In addition, 72.2% of participants reported that they ever tested for HIV, and 20.2% had ever performed HIVST. Overall, feedback was received from 192 (97.0%) participants. Among these, 14 people did not use self-testing kits, and the HIV and syphilis prevalence among these users were of 4.5% (8/178) and 3.7% (6/178), respectively. All of the eight screened HIV positive sought further confirmation testing and were confirmed to be HIV positive, and all were linked to care. Conclusions: Using an online SET model to promote HIV and syphilis among Chinese MSM is feasible, and an online SET model could be a good option to promote HIV and syphilis testing among MSM, particular in countries with good MSM online service targeting. 971 HIV Self-Testing in the Seattle Transgender Community: A Mixed-Methods Evaluation Julia E. Hood 1 ; ElizabethW. Forsyth 2 ; Jillian Neary 3 ; Susan Buskin 4 ; Mathew R. Golden 5 ; David A. Katz 5 1 PH, Seattle & King County, Seattle, WA, USA; 2 Evergreen State Coll, Seattle, WA, USA; 3 Univ of Washington, Seattle, WA, USA; 4 Seattle King County PH, Seattle, WA, USA; 5 Univ of Washington Sch of Med, Seattle, WA, USA Background: Transgender communities are disproportionately affected by HIV. HIV prevention efforts that target cisgender men who have sex with men (cis MSM) may not reach or resonate with transgender communities. Several studies suggest HIV self-testing (HIVST) is acceptable in key populations, though information about uptake of HIVST outside research settings is limited, especially among transgender people. We evaluated reported uptake and perceptions of HIVST in the Seattle-area transgender community. Methods: We analyzed cross-sectional Pride Survey data from 2014-15 to evaluate HIV testing behavior reported by cis MSM (collected at the Seattle Parade) and non-binary people, trans women, and trans men (collected at Seattle Trans* Pride Festival; hereafter trans*respondents) . The analysis excluded known HIV-positive respondents; parade

Poster Abstracts

412

CROI 2016