OBJECTIVES: To estimate HIV prevalence and the distribution of high risk sexual behaviours, sexual health service use, and HIV testing among black Africans aged 16 years or over in England. To determine demographic, behavioural and service use factors associated with HIV prevalence. METHODS: A cross-sectional community-based survey (Mayisha II) in London, Luton and the West Midlands. A short (24-item) anonymous self-completion questionnaire with linked voluntary anonymous oral fluid sampling, using an Orasure device for HIV testing. RESULTS: A total of 1359 eligible black African men (51.9%) and women (48.1%) were recruited, of whom 74% (1006) provided a sufficient oral fluid sample for HIV testing. 42.9% of men and 50.9% of women reported ever having had an HIV test. Overall, 14.0% (141, 95% CI 11.9 to 16.3) of respondents tested HIV positive (13.1% of men and 15.0% of women); 9.2% (93) had undiagnosed HIV infection, while 4.8% (48) had a diagnosed HIV infection. HIV prevalence was significantly higher in men: born in East Africa; who had had a previous STI diagnosis; or who were recruited in bars and clubs; and in women: born in East or Southern Africa; aged 25 years and over; who had had two new sexual partners in the past 12 months; or who had had a previous STI diagnosis. CONCLUSIONS: Despite about half the sample having had an HIV test at some time in the past, 9.2% of respondents had an undiagnosed HIV infection. This study supports current policy efforts to further promote HIV testing and serostatus awareness.
OBJECTIVES: To estimate HIV prevalence and the distribution of high risk sexual behaviours, sexual health service use, and HIV testing among black Africans aged 16 years or over in England. To determine demographic, behavioural and service use factors associated with HIV prevalence. METHODS: A cross-sectional community-based survey (Mayisha II) in London, Luton and the West Midlands. A short (24-item) anonymous self-completion questionnaire with linked voluntary anonymous oral fluid sampling, using an Orasure device for HIV testing. RESULTS: A total of 1359 eligible black African men (51.9%) and women (48.1%) were recruited, of whom 74% (1006) provided a sufficient oral fluid sample for HIV testing. 42.9% of men and 50.9% of women reported ever having had an HIV test. Overall, 14.0% (141, 95% CI 11.9 to 16.3) of respondents tested HIV positive (13.1% of men and 15.0% of women); 9.2% (93) had undiagnosed HIV infection, while 4.8% (48) had a diagnosed HIV infection. HIV prevalence was significantly higher in men: born in East Africa; who had had a previous STI diagnosis; or who were recruited in bars and clubs; and in women: born in East or Southern Africa; aged 25 years and over; who had had two new sexual partners in the past 12 months; or who had had a previous STI diagnosis. CONCLUSIONS: Despite about half the sample having had an HIV test at some time in the past, 9.2% of respondents had an undiagnosed HIV infection. This study supports current policy efforts to further promote HIV testing and serostatus awareness.
Authors: Elisa F Long; Roshni Mandalia; Sundhiya Mandalia; Sabina S Alistar; Eduard J Beck; Margaret L Brandeau Journal: PLoS One Date: 2014-04-24 Impact factor: 3.240
Authors: Jasna Loos; Lazare Manirankunda; Tom Platteau; Laura Albers; Katrien Fransen; Tine Vermoesen; Fiona Namanya; Christiana Nöstlinger Journal: JMIR Public Health Surveill Date: 2016-08-04
Authors: Andrew Speakman; Alison Rodger; Andrew N Phillips; Richard Gilson; Margaret Johnson; Martin Fisher; Jane Anderson; Rebecca O'Connell; Monica Lascar; Kazeem Aderogba; Simon Edwards; Jeffrey McDonnell; Nicky Perry; Lorraine Sherr; Simon Collins; Graham Hart; Anne M Johnson; Alec Miners; Jonathan Elford; Anna-Maria Geretti; William J Burman; Fiona C Lampe Journal: PLoS One Date: 2013-10-15 Impact factor: 3.240
Authors: Ibidun Fakoya; Débora Álvarez-Del Arco; Andrew J Copas; Bryan Teixeira; Koen Block; Anne-Francoise Gennotte; Alain Volny-Anne; Janneke P Bil; Giota Touloumi; Julia Del Amo; Fiona M Burns Journal: JMIR Public Health Surveill Date: 2017-11-06