Web-Based HIV Testing in Abruzzo, Italy

Analysis of 15-Month Activity Results

Ennio Polilli, Federica Sozio, Paola Di Stefano, Antonina Sciacca, Tamara Ursini, Maurizio Paoloni, Jacopo Vecchiet, Dante Di Giammartino, Maria Pina Sciotti, Alessandro Grimaldi, Valerio Cortesi, Paolo Fazii, Elena Ricci, Claudio D'Amario, Giuseppe Ippolito, Lucio Pippa, Giustino Parruti

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Undiagnosed cases of HIV infection in developed countries are estimated at 20-30% of individuals living with HIV. Web-based strategies may represent a new approach to easier, wider, and unrestricted access to early testing. The Abruzzo Region, Italy, developed a Web-based tool to recruit persons at high risk of HIV and other sexually transmitted infections (STIs). At the Website www.failtestanchetu.it, browsers found information on STIs (HIV, hepatitis B and C, and syphilis), a structured questionnaire called "risk calculator" to assess one's own risk behaviors and direct booking of their test at one of six sites throughout the region. The Website was advertised on local media and in pharmacies, high schools, sports facilities, and factories. Between February 1, 2014, and May 31, 2015, about 6000 users visited the Website; 3046 people attended a visit for counseling on risk behaviors, signs, or symptoms of STIs and accepted blood drawing for HIV, hepatitis B Virus (HBV), hepatitis C Virus (HCV), and syphilis tests. Fifty-eight (1.90%) subjects were positive for HCV, 56 (1.84%) for HBsAg, 90 (2.95%) for Treponema pallidum antibodies, and 28 (0.92%) for HIV. Ninety-two percent of HIV-positive patients were successfully linked to care. Late presenters were less frequent in this sample than in the population diagnosed with HIV in Italy in 2014. An overall 7% proportion of HIV, HBV, HCV, and syphilis-unaware cases were all transferred to care, with the exception of three people. HIV seropositivity among testers was higher than 2/1000, the cost-effectiveness threshold suggested for effective testing. Therefore, our Web-based unrestricted and free access methodology appears worth further and wider evaluation.

Original languageEnglish
Pages (from-to)471-475
Number of pages5
JournalAIDS Patient Care and STDs
Volume30
Issue number10
DOIs
Publication statusPublished - Oct 1 2016

Fingerprint

Italy
HIV
Syphilis
Sexually Transmitted Diseases
Hepacivirus
Risk-Taking
Hepatitis B virus
Pharmacy Schools
HIV Seropositivity
Treponema pallidum
Hepatitis C
Hepatitis B Surface Antigens
Hepatitis B
Developed Countries
Signs and Symptoms
HIV Infections
Cost-Benefit Analysis
Sports
Counseling
Antibodies

Keywords

  • AIDS
  • HIV
  • late presentation
  • STIs testing
  • web testing

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Polilli, E., Sozio, F., Di Stefano, P., Sciacca, A., Ursini, T., Paoloni, M., ... Parruti, G. (2016). Web-Based HIV Testing in Abruzzo, Italy: Analysis of 15-Month Activity Results. AIDS Patient Care and STDs, 30(10), 471-475. https://doi.org/10.1089/apc.2016.0082

Web-Based HIV Testing in Abruzzo, Italy : Analysis of 15-Month Activity Results. / Polilli, Ennio; Sozio, Federica; Di Stefano, Paola; Sciacca, Antonina; Ursini, Tamara; Paoloni, Maurizio; Vecchiet, Jacopo; Di Giammartino, Dante; Sciotti, Maria Pina; Grimaldi, Alessandro; Cortesi, Valerio; Fazii, Paolo; Ricci, Elena; D'Amario, Claudio; Ippolito, Giuseppe; Pippa, Lucio; Parruti, Giustino.

In: AIDS Patient Care and STDs, Vol. 30, No. 10, 01.10.2016, p. 471-475.

Research output: Contribution to journalArticle

Polilli, E, Sozio, F, Di Stefano, P, Sciacca, A, Ursini, T, Paoloni, M, Vecchiet, J, Di Giammartino, D, Sciotti, MP, Grimaldi, A, Cortesi, V, Fazii, P, Ricci, E, D'Amario, C, Ippolito, G, Pippa, L & Parruti, G 2016, 'Web-Based HIV Testing in Abruzzo, Italy: Analysis of 15-Month Activity Results', AIDS Patient Care and STDs, vol. 30, no. 10, pp. 471-475. https://doi.org/10.1089/apc.2016.0082
Polilli E, Sozio F, Di Stefano P, Sciacca A, Ursini T, Paoloni M et al. Web-Based HIV Testing in Abruzzo, Italy: Analysis of 15-Month Activity Results. AIDS Patient Care and STDs. 2016 Oct 1;30(10):471-475. https://doi.org/10.1089/apc.2016.0082
Polilli, Ennio ; Sozio, Federica ; Di Stefano, Paola ; Sciacca, Antonina ; Ursini, Tamara ; Paoloni, Maurizio ; Vecchiet, Jacopo ; Di Giammartino, Dante ; Sciotti, Maria Pina ; Grimaldi, Alessandro ; Cortesi, Valerio ; Fazii, Paolo ; Ricci, Elena ; D'Amario, Claudio ; Ippolito, Giuseppe ; Pippa, Lucio ; Parruti, Giustino. / Web-Based HIV Testing in Abruzzo, Italy : Analysis of 15-Month Activity Results. In: AIDS Patient Care and STDs. 2016 ; Vol. 30, No. 10. pp. 471-475.
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