Hepatitis C Screening in Community-Based Voluntary Counselling and Testing Services in Europe: An Observational Study from the COBATEST Network 2014–2018
The COBATEST Network links community-based voluntary counselling and testing (CBVCT) services in the European region and collects testing data using standardised data collection tools. This study aims to describe the population being screened for anti-HCV antibodies in the COBATEST Network and identify risk factors associated with a reactive HCV screening test result in the period 2014–2018. Clients aged > 16 screened for HCV in the period 2014–2018 at one of the Network’s CBVCT services were included in the study. In the 5 year period, 7426 clients were screened for HCV in 22 centres in 10 countries and anti-HCV antibodies were detected in 113 (1.5%). The majority of people screened were aged 25–44, men who have sex with men (MSM), not HIV+ , not reporting a history of injecting drug use or sex work. Detection of anti-HCV antibodies was associated with being HIV + MSM (aOR 9.1, 95% CI 3.8; 21.8 compared to HIV-clients) and being a person who injects drugs (PWID, aOR 28.1, 95% CI 17.6; 45.0, compared to people with no history of injecting drug use). This study demonstrates that HIV-MSM with no history of injection drug use are using CBVCT services for HCV screening, but reactive screening test is associated with being HIV+ or PWID. The integration of HCV screening into the CBVCT service model may widen access to testing for populations that may otherwise not be tested.
KeywordsHepatitis C Screening Community networks Europe
We thank the following for taking the time to review the manuscript: Cristina Agusti Benito (CEEISCAT), Julia Becerril Gascón (CASDA—Asociació Ciutadana Contra la SIDA), Valentin Blaison (ExAequo), Patricia Colomera (CAS/ARDS Lluís Companys), Lella Cosmaro (LILA Milano), Sabrina Penon (LILA Milano), Heidi Slavin (AIDS Fondet). We thank all organisations who form part of the COBATEST Network and carry out testing activities throughout the year (organisations whose data is included in this study are marked with an asterix): Associació Antisida Lleida (Spain), Abraco (Portugal), Asociación Comunitaria Anti Sida de Girona (Spain), Associació Ciutadana Antisida de Catalunya (Spain), Associació Ciutadana Alacant i província de persones afectades VIH (Spain)*, Asociación Ciudadana Cántabra Anti Sida (Spain), Actuavallès (Spain)*, Adhara (Spain), AIDES (France), AIDS Fondet (Denmark)*, AIDS Hilfe Wien (Austria)*, Alliance Global (Ukraine)*, Àmbit Prevenció (Spain)*, ARAS (Romania)*, AIDS Solidarity Movement Cyprus (Cyprus), Asociación Somos LGT (Spain)*, Asocijacija Duga (Serbia), Assexora’Tgn (Spain)*, Associació Lambda (Spain)*, AVACOS-H (Spain)*, Baltic HIV Associati (Latvia)*, CAS/ARDS Lluís Companys (Spain)*, Asociación Ciudadana Contra el SIDA Castellón—CASDA (Spain)*, Comité Ciudadano Antisida de Asturias (Spain), Centre Jove d’Antico (Spain), Checkpoint Milano (Italy), Creu Roja Tarragona (Spain), Czech AIDS Help (Czech Republic), Demetra (Lithuania)*, Deutsche AIDS Hilfe (Germany), Ex Aequo (Belgium)*, Fondazione LILA Milano (Italy)*, Fulcrum (Ukraine)*, Gais Positius (Spain)*, GAT Portugal (Portugal), GenderdocM (Moldova), Health Without Borders (Bulgaria), HERA (Macedonia), HUHIV (Croatia), Iskorak (Croatia), LaSky (Russia), Legebitra (Slovenia)*, Mujer Gades (Spain), National AIDS Centre (Poland), OMSIDA (Spain)*, StopSida (Spain), Swiss Checkpoints (Switzerland).
The COBATEST Network received grants from Gilead Sciences Europe Ltd (2017) and the Health Programme of the European Union (2018–2019) during the study.
Compliance with Ethical Standards
Conflict of interest
There are no conflict of interest for any author.
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