Investigation of the Psychosocial Factors Responsible for the Late Recourse to HIV Testing Within MSM

Study Overview
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Brief Summary
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The present study will try to investigate and analyze the psycho-social hindrances and levers concerning the recourse to late HIV testing among the MSM population. This study is divided in two parts. The first one will consist of individual and groups interviews. Then, depending on the items that will rise from the first part of the study, groups interview will take place based on theses items. Finally, a questionnaire build from the collected information will be sent to MSM community in order to obtain quantitative results.

Detailed Description
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The late recourse to HIV testing, among the population in general way and among MSM population in a more specific way, participates in the dissemination of the HIV epidemic. Actually, there is no cure for HIV infection, but treatments that reduce viral charge to undetectable level exists. When diagnosed and treated earlier, seropositive people will be less communicating the virus because of the reduction of their viral charge. This study aims to uncover the reasons behind the late recourse to HIV testing in MSM population facing a high risk of contamination. The study hypothesis, is that late recourse to HIV testing is probably related to social and economics factors like age, social standing, accessibility to the diagnosis or even to a traditional beliefs or a fear of stigma etc. To shed the light on these factors, the main objectives of the investigator will try to investigate and analyze the psycho-social hindrances and levers through a quantitative and qualitative approach. This plurality of approaches is a part of a methodological triangulation method described by Kalampalikis & Apostolidis, 2016. People among MSM community having had a late or very late HIV test (as defined by biological parameters :CD4≤200/mm3 or having been diagnosed with AIDS), will be recruited in this study. During the first phase of the study, the eligible population will participate to individual or group interview . This qualitative part of the project will allow the set up of a questionnaire that will be diffused widely to the MSM community to have quantitative results.

Official Title
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The Issue of Late Recourse to HIV Testing. A Study of the Psychosocial Factors at Play Within Men Who Have Sex With Men in France.

Conditions
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AIDS, HIV Seropositivity

Intervention / Treatment
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* Behavioral: Focus group
* Behavioral: Individual interview
* Behavioral: online self questionnaire
* Behavioral: self questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: HIV-positive Self-reported homo-or bisexual contamination mode TCD4 + / mm3 200 200 lymphocyte count or Have an AIDS classifying event Diagnosis of HIV positive for at least two months and for a maximum of 24 months Exclusion Criteria: Primary infection

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Qualitative cohort<br>The cohort consists of MSM with late HIV diagnosis. The person from this cohort will participate to round table called also focus group or individual interview. | Behavioral: Focus group<br>* Focus group for qualitative group only<br>Behavioral: Individual interview<br>* Individual interview for qualitative group only<br>Behavioral: self questionnaire<br>* online self questionnaire following focus group or individual interview For qualitative group only<br>|
| Quantitative cohort<br>MSM community will be invited to participate to an online self questionnaire established from the information gathered from the previous cohort. | Behavioral: online self questionnaire<br>* online self questionnaire<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Socio-representational elements associated with the very late use of the HIV test | Imbrication of representations and tests related to HIV | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Means of risk management | Use of screening in the management of the risk of seroconversion | 3 years | 
| Representation and Knowledge of prevention methods | To understand the links between the different uses or non-uses of the biomedical prevention methods TasP (Treatment as Prevention), PrEP (Pre-Exposure Prohylaxis) and the methods of recourse to the screening test. | 3 years | 
| Sense of community belonging | Understand the interaction links between community belonging and the use of the screening test. | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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MSM population, Hindrances HIV screening, Late recourse HIV test, Healt social psychology