Every man who uses BCN Checkpoint services is tested for and counselled regarding HIV infection and syphilis. Peer counselling is offered by an openly gay staff, and some of the
counsellors are PLWHIV themselves. VCT lasts 1 h on the first visit and 30 min on subsequent visits (although it can take longer depending on the client’s needs) where men are able to talk openly about sexuality, their perceptions of the risk of HIV transmission, and sexual safety without fearing prejudice or stigma. Education is also provided on post-exposure prophylaxis (PEP) and other STIs. Men with an HIV-positive result receive immediate emotional support from a peer, have the result confirmed by a Western blot test, and are offered
an appointment at one of Barcelona’s HIV units. Men with Tacrolimus cost an HIV-negative result receive counselling encouraging them to maintain sexual safety for risk reduction, and are invited to repeat selleck chemical the test at least every 6 or 12 months. Only data regarding HIV were included in this study. We determined (1) the number of tests performed and the number of persons tested, (2) the global HIV prevalence and the HIV prevalence for first visits to the centre, (3) the proportion of reported HIV cases in MSM in Catalonia detected at BCN Checkpoint, (4) the proportion of HIV-positive individuals with a previous negative test result within the last 18 months, (5) the linkage to care rate: the proportion of newly diagnosed individuals successfully linked to medical care (a successful linkage was considered an HIV unit referral within 4 weeks). Table 1 shows the HIV positivity rates from 2007 to 2012. The numbers of tests (row 1), persons tested (row 2) and HIV-positive cases (row 3) increased progressively. BCN Checkpoint achieved a maximum of 5051 tests offered to a population of 4049 different men in 2012. As a result of the promotion of regular testing for MSM, the proportion of people returning to
the centre increased over the years. Nevertheless, the number of persons who visited BCN Checkpoint for the first time (row 5) Tolmetin remained steady and the average prevalence of HIV positivity for these individuals (row 7) was 5.4% (range: 4.1−5.8%). Regarding the detection of HIV in MSM in Catalonia, BCN Checkpoint detected a substantial proportion of all new cases of HIV infection in MSM between 2007 and 2011 (row 9), according to the Catalan National HIV Surveillance System (row 8; no data from 2012 yet available). During 2009–2011 the average proportion was 36.6% (range: 35.0−40.4%). The proportion of individuals newly diagnosed at BCN Checkpoint between 2009 and 2012 who had had at least one previous negative test result within the last 18 months was 62.1% (284 out of 457). Some of these detections were recent, acute infections.