Clinical trial NCT03661203: Investigation of the Psychosocial Factors Responsible for the Late Recourse to HIV Testing Within MSM
Official title: 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.
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: AIDS
HIV Seropositivity
Keywords: MSM population
Hindrances HIV screening
Late recourse HIV test
Healt social psychology
Lead sponsor: ANRS, Emerging Infectious Diseases
Sponsor class: OTHER_GOV
Collaborators: name: University of Lyon
First posted: 2018-09-07
Enrollment: 1190
Sex: MALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: MSM: men who have sex with men.

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Socio-representational elements associated with the very late use of the HIV test
timeFrame: 3 years
Secondary outcomes:
measure: Means of risk management
timeFrame: 3 years
measure: Representation and Knowledge of prevention methods
timeFrame: 3 years
measure: Sense of community belonging
timeFrame: 3 years
Other outcomes:
Locations:
city: Paris
country: France
facility: Le 190
city: Paris
country: France
facility: Hopital Saint-Antoine
city: Paris
country: France
facility: Hôpital Pitié-Salpêtrière
city: Paris
country: France
facility: Hôpital Bichat Claude-Bernard
Study officials:
affiliation: Université Lumière Lyon 2
name: Marie Préau, PR
role: PRINCIPAL_INVESTIGATOR
References: