Official websites use. Share sensitive information only on official, secure websites. Competing Interests: The authors have declared that no competing interests exist. Analyzed the data: JB NL. Wrote the paper: NL. Performed the statistical analyses: JB NL.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. CBOffer enrolees voluntarily came to the centres outside of opening hours, following a communication campaign in gay venues. A mixed logistic regression identified factors associated with access to the CBOffer.
In multivariate analyses, those attending the CBOffer had only one or no test in the previous two years, had a lower intentional avoidance score, and met more casual partners in saunas and backrooms than SMOffer enrolees. Increasing entry points for HIV testing using community and non-medicalized tests is a priority to reach MSM who are still excluded. Currently, HIV testing is considered a fundamental prevention intervention for controlling the HIV epidemic [3] , [4].
Indeed, a recent study in the United States estimated that in the general population, people unaware of their infections accounted for almost half of new HIV transmissions [5]. Furthermore these positive diagnoses were often in people at late stages of infection, and most were among well-known high-risk groups [10].
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This result suggests that the non-targeted screening strategy currently used throughout France is ineffective, and highlights the need to specifically target most-at-risk populations, including MSM.
