{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:37Z","timestamp":1777927357972,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T00:00:00Z","timestamp":1620777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Maximising opportunities and removing barriers to HIV testing can help reduce the undiagnosed HIV population. Digital STI\/HIV screening services have increased in availability and can improve access and testing coverage. We identified the characteristics of individuals who tested HIV positive using a regional, integrated, self-sampling STI service. The e-notes of service users with reactive HIV screening results were reviewed. Between 8 January 2018 and 31 December 2019, 0.097% (144\/148,257) users received a reactive HIV result, 30\/144 (20.8%) of whom had previously diagnosed HIV infection. All of the remaining 114 users were notified of their screening result, an estimated 109\/114 (95.6%) received confirmatory testing (CT) at a sexual health clinic (SHC) and the confirmatory outcome was documented in 102\/114 (89.5%) of cases: 34\/114 (29.8%)were HIV positive, 68\/114 (59.6%) HIV were negative and the result was unknown in 12\/114 (10.5%). All new diagnoses transitioned to HIV outpatient care. These individuals were median age 28\u00a0years; 94.1% (32\/34) male; 88.2% (30\/34) men who have sex with men and 11.8% (4\/34) heterosexual; 58.8% (20\/34) of white\/\u2018white other\u2019 ethnicity and 42.2% of Black, Asian and minority ethnic group; 50%(17\/34) had a concurrent STI; 9% and 21% had never tested for HIV or attended a SHC before. n HIV test reactivity rate of 0.1%(95% CI) was observed. Confirmed new HIV diagnoses comprised 0.023% of all HIV tests performed. All individuals where CT confirmed a new HIV diagnosis transitioned to HIV specialist care.<\/jats:p>","DOI":"10.1177\/09564624211014729","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T10:52:17Z","timestamp":1620816737000},"page":"1036-1042","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Characteristics of newly diagnosed HIV-positive service users using a pan-London e-sexually transmitted infection screening service"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6457-3877","authenticated-orcid":false,"given":"Sara","family":"Day","sequence":"first","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaywaan","family":"Khan","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian M","family":"Kelly","sequence":"additional","affiliation":[{"name":"Lead Commissioner Sexual Health e-Service, The City of London Corporation, Guildhall, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Jones","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Kinsella","sequence":"additional","affiliation":[{"name":"Preventx Limited, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,12]]},"reference":[{"key":"bibr1-09564624211014729","unstructured":"Public Health England. Annual epidemiological spotlight on HIV in London 2017 data, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/767460\/LondonHIVSpotlight2017.pdf (December 2018)."},{"key":"bibr2-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(16)30038-X"},{"key":"bibr3-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1506816"},{"key":"bibr4-09564624211014729","unstructured":"United Nations. Sustainable developmemt goals, https:\/\/www.un.org\/sustainabledevelopment\/health\/ (2020, accessed 25 September 2020)."},{"key":"bibr5-09564624211014729","unstructured":"Department of Health and Social Care. Integrated sexual health services: a suggested national service specification, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/731140\/integrated-sexual-health-services-specification.pdf (August 2018)."},{"key":"bibr6-09564624211014729","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1948"},{"key":"bibr7-09564624211014729","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.2.e10"},{"key":"bibr8-09564624211014729","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2628"},{"key":"bibr9-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00257-19"},{"key":"bibr10-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002479"},{"key":"bibr11-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0120810"},{"key":"bibr12-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2012.687823"},{"key":"bibr13-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001709"},{"key":"bibr14-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2266-3"},{"key":"bibr15-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1177\/0956462420963940"},{"key":"bibr16-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0212420"},{"key":"bibr17-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000648"},{"key":"bibr18-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2015-052090"},{"key":"bibr19-09564624211014729","unstructured":"Public Health England. HIV Testing in England: 2017 Report, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/759270\/HIV_testing_in_England_2017_report.pdf (November 2017)."},{"key":"bibr20-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2018.08.001"},{"key":"bibr21-09564624211014729","unstructured":"NICE Guideline (NG60). HIV testing: increasing uptake among people who may have undiagnosed HIV, https:\/\/www.nice.org.uk\/guidance\/ng60 - NICE guidance (October 2020)."},{"key":"bibr22-09564624211014729","unstructured":"Public Health England. National HIV self-sampling service november 2017 to october 2018, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/789793\/national_HIV_self_sampling_service_november_2017_to_october_2018.pdf (October 2020)."},{"key":"bibr23-09564624211014729","unstructured":"Bourne A, Reid D, Weatherburn P. African health & sex survey 2013-2014: headline findings. London: Sigma Research, London School of Hygiene & Tropical Medicine, http:\/\/www.sigmaresearch.org.uk\/files\/report2014c.pdf (August 2014)."},{"key":"bibr24-09564624211014729","doi-asserted-by":"publisher","DOI":"10.3310\/hta22220"},{"key":"bibr25-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5256-5"},{"key":"bibr26-09564624211014729","unstructured":"Young Healthwatch Brighton and Hove. Exploring the views and experiences of young people from BAME backgrounds around local sexual health services, https:\/\/www.healthwatchbrightonandhove.co.uk\/sites\/healthwatchbrightonandhove.co.uk\/files\/Young-Healthwatch-BAME-Sexual-Health-report-April-2020.pdf (2020, April)."},{"key":"bibr27-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2018-053567"},{"key":"bibr28-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12420"},{"key":"bibr29-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1293.2012.01041.x"},{"key":"bibr30-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1177\/2325957416668579"},{"key":"bibr31-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1293.2012.00992.x"},{"key":"bibr32-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000614"},{"key":"bibr33-09564624211014729","first-page":"176459","volume":"2013","author":"Chun HM","year":"2013","journal-title":"J Sex Transm Dis"},{"key":"bibr34-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00056-2"},{"key":"bibr35-09564624211014729","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1506273"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624211014729","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624211014729","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624211014729","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:41:56Z","timestamp":1777675316000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624211014729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,12]]},"references-count":35,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1177\/09564624211014729"],"URL":"https:\/\/doi.org\/10.1177\/09564624211014729","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,12]]}}}