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P3.440 HIV Rapid Testing in the Framework of a STI Prevention Project For Vulnerable Populations

2013· article· en· W1977219684 on OpenAlexaboutno aff
Ilaria Uccella, M Cammilli, Sonia Viale, Cecilia Fazioli, Rylan J. Testa, Concetta Mirisola

Bibliographic record

VenueSexually Transmitted Infections · 2013
Typearticle
Languageen
FieldPsychology
TopicMigration, Health and Trauma
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineTest (biology)Hiv testHuman immunodeficiency virus (HIV)Family medicineStigma (botany)SyphilisReproductive healthPopulationPsychiatryEnvironmental healthHealth servicesHealth facility

Abstract

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<h3>Background</h3> Despite ongoing prevention and educational efforts, the incidence of new HIV infections in 2011 in Italy is estimated at 3.9 per 100,000 and 21.0 per 100,000 among foreigners. Many new infections, more than half in AIDS stage (sex risk 78.8%), are caused by persons unaware of their HIV infection. <h3>Methods</h3> On February 2012, the NIHMP (National Institute for Health, Migration and Poverty, Rome) started a project aimed at promoting access of vulnerable people to HIV testing and at disseminating knowledge about STIs. A Rapid HIV-1 Antibody Test (MedMira, Halifax, Nova Scotia) is offered to patients of the infectious diseases unit together with STI counselling involving doctor, nurse, transcultural mediator and psychologist. The test is also proposed to people who had never performed it before. If the test is positive, a confirmatory venous test is required. Multilingual written consent and pre-counselling questionnaire about HIV/STI-related knowledge and stigma and sexual behaviours are provided. After 3–6 months, post-counselling questionnaire is administered. <h3>Results</h3> At November 2012, 121 people were enrolled: 72 males (59.5%), 1 transgender, 103 migrants (85.1%), 9 homeless people (7.4%), 4 Roma (3.3%). 118 people accepted to undergo the test. 61 migrants (59.8%) performed it for the first time. The test was offered for screening (54), past STI (22), including two cases of HIV positivity, new STI (21) and STI risk (13). Two AIDS cases were reported (1.6%). Two tests (1.69%) were false positive. 8 tests (6.7%) were not defined because of previous positive laboratory HIV test/negative WB, co-occurrence of hepatitis, syphilis and scabies or aspirin treatment. 85 questionnaires (70.2%) were filled in. Couple counselling was conducted in 4 cases. <h3>Conclusions</h3> Preliminary data show that rapid testing is accepted and effective as well as laboratory test. The experimental counselling approach for mobile populations involving transcultural mediators will be evaluated.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.490
Threshold uncertainty score0.696

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.073
GPT teacher head0.372
Teacher spread0.300 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2013
Admission routes1
Has abstractyes

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