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Guidelines highlight the need to increase HIV testing among men who have sex with men MSM and novel point-of-care testing provides new possibilities for delivery of care. However, it is unclear how point-of-care testing should be used to best effect. This study aimed to increase understanding of sexual risk-taking behaviour, service use, and attitudes to point-of-care testing among MSM sauna clients.

Though this sample of MSM sauna clients are at high risk of acquiring a sexually transmitted infection, the testing frequency among the majority of those reporting unprotected anal intercourse is not in keeping with national guidelines. For almost all participants the introduction of rapid point-of-care testing for both genital and blood-borne infection was likely to increase testing and for the majority NHS specialist services was the preferred setting.

Providing STI testing in community settings is advocated as they can facilitate access to individuals at high risk of sexual infection who test infrequently or not at all and can be beneficial in certain environments, such as saunas. This provides an opportunity to reduce the likelihood of onward infections. Early economic modelling has suggested that the added cost implications for the use of POCT, compared to laboratory-based tests, are outweighed when the whole care pathway is considered.

This study aimed to increase knowledge of types of risk taking, sexual health service use and views on rapid POCT among MSM sauna clients. An anonymous self-completion survey was developed on a tablet device. Piloting was undertaken through four rounds of cognitive interviewing with a convenience sample of 16 MSM, in order to evaluate the face validity of the survey.

Piloting highlighted issues with question comprehension and interpretation, response problems, and the acceptable level of disclosure for participants.

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