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Genève, Switzerland

Gumy C.,University of Lausanne | Jeannin A.,University of Lausanne | Balthasar H.,Swiss Aids Federation | Huissoud T.,University of Lausanne | And 6 more authors.
BMC Public Health | Year: 2012

Background: An increase in new HIV cases among men who have sex with men (MSM) has been reported in Switzerland since 2001. A rapid result HIV testing for MSM through voluntary counselling and testing (VCT) facility (Checkpoint) was opened in Geneva in 2005. This gay-friendly facility, the first to open in Switzerland, provides testing for sexually transmitted infections (STI) and rapid result HIV testing and counselling. Our objective was to analyze Checkpoints activity over its first five years of activity and its ability to attract at-risk MSM. Methods. We used routine data collected anonymously about the facility activity (number of clients, number of tests, and test results) and about the characteristics of the clientele (sociodemographic data, sexual risk behaviour, and reasons for testing) from 2005 to 2009. Results: The yearly number of HIV tests performed increased from 249 in 2005 to 561 in 2009. The annual proportion of positive tests among tests performed varied between 2% and 3%. Among MSM clients, the median annual number of anal intercourse (AI) partners was three. Roughly 30% of all MSM clients had at least one unprotected anal intercourse (UAI) experience in the previous 12months with a partner of different/unknown HIV status.The main reason for testing in 2007, 2008, and 2009 was sexual risk exposure (∼40%), followed by routine testing (∼30%) and condom stopping in the beginning of a new steady relationship (∼10%). Clients who came to the facility after a sexual risk exposure, compared to clients who came for "routine testing" or "condom stopping" reasons, had the highest number of AI partners in the previous 12months, were more likely to have had UAI with a partner of different/unknown HIV status in the previous 12months (respectively 57.3%, 12.5%, 23.5%), more likely to have had an STI diagnosed in the past (41.6%, 32.2%, 22.9%), and more likely to report recent feelings of sadness or depression (42.6%; 32.8%, 18.5%). Conclusion: Many of Checkpoint's clients reported elevated sexual risk exposure and risk factors, and the annual proportion of new HIV cases in the facility is stable. This VCT facility attracts the intended population and appears to be a useful tool contributing to the fight against the HIV epidemic among MSM in Switzerland. © 2012 Gumy et al.; licensee BioMed Central Ltd.

Wolff H.,University of Geneva | Janssens J.P.,University of Geneva | Bodenmann P.,University of Lausanne | Meynard A.,University of Geneva | And 6 more authors.
Journal of Immigrant and Minority Health | Year: 2010

Undocumented migrants, meaning migrants without a legal residency permit, come to Geneva from countries with high tuberculosis (TB) incidence. We estimate here whether being undocumented is a determinant of TB, independently of origin. Cross-sectional study including undocumented migrants in a TB screening program in 2002; results were compared to 12,904 age and frequency matched participants in a general TB screening program conducted at various workplaces in Geneva, Switzerland from 1992 to 2002. A total of 206 undocumented migrants (36% male, 64% female, mean age 37.8 years (SD 11.8), 82.5% from Latin America) participated in the TB screening program. Compared to legal residents, undocumented migrants had an adjusted OR for TB-related fibrotic signs of 1.7 (95% CI 0.8;3.7). The OR of TB-related fibrotic signs for Latin American (vs. other) origin was 2.7 (95% CI 1.6;4.7) among legal residents and 5.5 (95% CI 2.8;10.8) among undocumented migrants. Chest X-ray screening identified a higher proportion of TB-related fibrotic signs among Latin Americans, independently of their residency status. © 2009 Springer Science+Business Media, LLC.

Jackson Y.,University of Geneva | Sebo P.,University of Geneva | Aeby G.,University of Geneva | Bovier P.,University of Geneva | And 6 more authors.
Journal of Immigrant and Minority Health | Year: 2010

Chlamydia trachomatis infection (CTI) is the most frequent sexually transmitted infection in western countries. Its prevalence in undocumented immigrants, a rapidly growing vulnerable population, remains unknown. We aimed to document the prevalence of CTI and associated factors at the primary health care level. This cross-sectional study included all undocumented immigrants attending a health care facility in Geneva, Switzerland. Participants completed a questionnaire and were tested for CTI by PCR assay. Three-hundred thirteen undocumented immigrants (68.4% female, mean age 32.4 (SD 8) years) agreed to participate. CTI prevalence was 5.8% (95% CI 3.3-8.4). Factors associated with higher prevalence were age ≤25 (OR 3.9, 95% CI 1.3-12.2) and having had two or more sexual partners during the precedent year (OR 4.5, 95% CI 1.5-13.7). Prevalence and associated factors for infection in this vulnerable population were comparable with other populations in Western countries. Our findings support the importance of facilitating access to existing screening opportunities in particular to individuals at higher risk. © 2010 Springer Science+Business Media, LLC.

Lopo S.,National Institute of Health | Vinagre E.,National Institute of Health | Palminha P.,National Institute of Health | Paixao M.T.,National Institute of Health | And 2 more authors.
Eurosurveillance | Year: 2011

The prevalence of cytomegalovirus (CMV) infections ranges between 50% and 85% in adults in the United States, and its epidemiology varies in different regions of the world and between socioeconomic and age groups. In Portugal, no study has been carried out to date to determine the prevalence of CMV in the general population. Under the second National Serological Survey conducted in continental Portugal in 2001-2002, we estimated the prevalence of individuals with antibodies to CMV using indirect immunoflu-orescence to detect virus-specific IgG. The population sample included 2,143 individuals of both sexes and different ages from all 18 districts in Portugal. The national seroprevalence of CMV was determined as 77%. We analysed the proportion of CMV IgG by sex, age group and district of residence. This was the first nationally representative study of seroprevalence of CMV in Portugal. The results of the study indicate that CMV infection is highly prevalent in the population and occurs mainly in the first years of life.

Saad A.,General Directorate of Health | Haron H.,University Technology of MARA
International Conference on Research and Innovation in Information Systems, ICRIIS | Year: 2013

This qualitative study aims to explore and describe the types of knowledge shared among academicians in a Malaysian public academic institution. The strategy used is a single case study which aims to gather deeper insights on the types of knowledge. Data were collected through semi-structured interviews. A total of 15 renowned academicians were interviewed. Content analysis method was used to extract the themes from the qualitative data. This study found that, the academicians share three types of knowledge, which are Corporate knowledge (includes Disciplinary knowledge and Operational knowledge) Social knowledge (includes Culture knowledge, Spiritual knowledge, Pastime knowledge, and Common Interest knowledge), and Encoded knowledge (includes both electronic and written format). The research comprehensive analysis and findings would expand an area of knowledge types being shared in universities which may still theoretically and empirically not sufficiently covered. © 2013 IEEE.

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