{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:01:41Z","timestamp":1757610101459,"version":"3.44.0"},"reference-count":40,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,3]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>To increase HIV status awareness among men who have sex with men (MSM) and female sex workers (FSWs), a community-based HIV testing program was implemented for the first time in Haiti. We aimed to assess 1) the effectiveness of the program to reach HIV-exposed populations over time and 2) the characteristics, HIV exposure, and testing profile of program participants. Rapid diagnostic HIV testing (RDT) was offered to all individuals present in several community-based settings across Haiti. Trends in the number of tested individuals, first-time tested, and HIV positive tested per intervention were described using linear regression. Characteristics and factors related to the first-time test were described. Between July 2015 and April 2018, 445 interventions in 91 community-based venues resulted in 3,998 rapid tests performed. A median of eight individuals was tested per intervention, with 18% first-time testers and 6% with HIV-positive results. The overall numbers of tests and positive test results increased over the intervention program period. Within 1,572 first-time RDT testers (1,216 MSM, 235 FSWs, and 121 nonkey population), 31% (<jats:italic>n<\/jats:italic> = 489) were first-time HIV testers. First-time tested individuals reported HIV exposure, such as lack of condom use at last intercourse (33%), transactional sex (35%), and recent (\u226412 months) sexually transmitted infection (12%). The community-based HIV testing program effectively reached HIV-positive and previously untested individuals over a 3-year period. Continued community-based testing in conjunction with other HIV testing services is recommended for Haiti.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0391","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T11:38:48Z","timestamp":1751974728000},"page":"564-572","source":"Crossref","is-referenced-by-count":0,"title":["Temporal Trends and Characteristics of Community-Based HIV Testing: First Community-Based Testing Program Results of Men Who Had Sex with Men and Female Sex Workers in Haiti, 2015\u20132018"],"prefix":"10.4269","volume":"113","author":[{"given":"Tristan","family":"Alain","sequence":"first","affiliation":[{"name":"AIDES, Pantin, France;"},{"name":"Coalition PLUS, Pantin, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxime","family":"Inghels","sequence":"additional","affiliation":[{"name":"Lincoln International Institute for Rural Health, University of Lincoln, Lincoln, United Kingdom;"},{"name":"Centre Population et D\u00e9veloppement (UMR 196 Paris Descartes\u2013IRD), SageSud (ERL INSERM 1244), Institut de Recherche pour le D\u00e9veloppement, Paris, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Mary","family":"M\u00e9risier","sequence":"additional","affiliation":[{"name":"Volontariat pour le D\u00e9veloppement d\u2019Ha\u00efti, Port-au-Prince, Haiti;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vialli","family":"Dimanche","sequence":"additional","affiliation":[{"name":"Volontariat pour le D\u00e9veloppement d\u2019Ha\u00efti, Port-au-Prince, Haiti;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillemette","family":"Quatrem\u00e8re","sequence":"additional","affiliation":[{"name":"AIDES, Pantin, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candice","family":"Audemard","sequence":"additional","affiliation":[{"name":"AIDES, Pantin, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Lustin","sequence":"additional","affiliation":[{"name":"Promoteur objectif z\u00e9rosida, Port-au-Prince, Haiti;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlot","family":"Jeudy","sequence":"additional","affiliation":[{"name":"Kouraj, Port-au-Prince, Haiti;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnoux","family":"Descardes","sequence":"additional","affiliation":[{"name":"Volontariat pour le D\u00e9veloppement d\u2019Ha\u00efti, Port-au-Prince, Haiti;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Rojas Castro","sequence":"additional","affiliation":[{"name":"Coalition PLUS, Pantin, France;"},{"name":"SESSTIM, INSERM\/IRD\/Aix Marseille Universit\u00e9, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Michels","sequence":"additional","affiliation":[{"name":"AIDES, Pantin, France;"},{"name":"Coalition PLUS, Pantin, France;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"year":"2021","series-title":"UNAIDS Data 2021","key":"b1"},{"key":"b2","series-title":"J Int AIDS Soc","first-page":"e25281","article-title":"The burden of HIV among female sex workers, men who have sex with men and transgender women in Haiti: Results from the 2016 Priorities for Local AIDS Control Efforts (PLACE) study","volume":"22","author":"Zalla","year":"2019"},{"key":"b3","series-title":"Front Public Health","first-page":"373","article-title":"Intersectional stigma and multi-level barriers to HIV testing among foreign-born Black men from the Caribbean","volume":"7","author":"Taylor","year":"2020"},{"key":"b4","series-title":"Am J Mens Health","first-page":"1322","article-title":"Factors 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