eprintid: 1410642 rev_number: 26 eprint_status: archive userid: 608 dir: disk0/01/41/06/42 datestamp: 2013-10-21 19:17:47 lastmod: 2021-10-05 00:46:50 status_changed: 2013-10-21 19:17:47 type: article metadata_visibility: show item_issues_count: 0 creators_name: Lorenc, T creators_name: Marrero-Guillamon, I creators_name: Aggleton, P creators_name: Cooper, C creators_name: Llewellyn, A creators_name: Lehmann, A creators_name: Lindsay, C title: Promoting the uptake of HIV testing among men who have sex with men: systematic review of effectiveness and cost-effectiveness ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D05 divisions: F66 divisions: B04 divisions: C05 note: © 2011 by the BMJ Publishing Group Ltd. All rights reserved. abstract: What interventions are effective and cost-effective in increasing the uptake of HIV testing among men who have sex with men (MSM)? A systematic review was conducted of the following databases: AEGIS, ASSIA, BL Direct, BNI, Centre for Reviews and Dissemination, Cochrane Database of Systematic Reviews, CINAHL, Current Contents Connect, EconLit, EMBASE, ERIC, HMIC, Medline, Medline In-Process, NRR, PsychINFO, Scopus, SIGLE, Social Policy and Practice, Web of Science, websites, journal hand-searching, citation chasing and expert recommendations. Prospective studies of the effectiveness or cost-effectiveness of interventions (randomised controlled trial (RCT), controlled trial, one-group or any economic analysis) were included if the intervention aimed to increase the uptake of HIV testing among MSM in a high-income (Organization for Economic Co-operation and Development) country. Quality was assessed and data were extracted using standardised tools. Results were synthesised narratively. Twelve effectiveness studies and one cost-effectiveness study were located, covering a range of intervention types. There is evidence that rapid testing and counselling in community settings (one RCT), and intensive peer counselling (one RCT), can increase the uptake of HIV testing among MSM. There are promising results regarding the introduction of opt-out testing in sexually transmitted infection clinics (two one-group studies). Findings regarding other interventions, including bundling HIV tests with other tests, peer outreach in community settings, and media campaigns, are inconclusive. Findings indicate several promising approaches to increasing HIV testing among MSM. However, there is limited evidence overall, and evidence for the effectiveness of key intervention types (particularly peer outreach and media campaigns) remains lacking. date: 2011-06-01 official_url: http://dx.doi.org/10.1136/sti.2010.048280 vfaculties: VENG oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_source: crossref elements_id: 911436 doi: 10.1136/sti.2010.048280 language_elements: aa lyricists_name: Cooper, Christopher lyricists_name: Lorenc, Theodore lyricists_id: CCOOP53 lyricists_id: TELOR65 full_text_status: public publication: Sexually Transmitted Infections volume: 87 number: 4 pagerange: 272 - 278 issn: 1368-4973 citation: Lorenc, T; Marrero-Guillamon, I; Aggleton, P; Cooper, C; Llewellyn, A; Lehmann, A; Lindsay, C; (2011) Promoting the uptake of HIV testing among men who have sex with men: systematic review of effectiveness and cost-effectiveness. Sexually Transmitted Infections , 87 (4) 272 - 278. 10.1136/sti.2010.048280 <https://doi.org/10.1136/sti.2010.048280>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/1410642/1/Lorenc_et_al_2011_Promoting_HIV_testing_among_MSM.pdf