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Article ; Online: Targeting fast-track goals: Missed opportunities for HIV testing in the Community of Madrid.

Gallego-Márquez, Nuria / Iniesta, Carlos

Enfermedades infecciosas y microbiologia clinica (English ed.)

2021 Volume 40, Issue 3, Page(s) 138–141

Abstract: Introduction: In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions (IC) related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not ... ...

Abstract	Introduction: In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions (IC) related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed. Objective: To characterize MO due to risk behaviors (directed) and due to IC (indicated) among people diagnosed with HIV in the Region of Madrid. Methods: A total of 109 participants newly diagnosed with HIV were recruited from 7 health centers (April 2018-March 2019) by a telephone survey. Diagnostic opportunities were defined as any contact with the healthcare system in which an HIV test should have been carried out. Frequency of MO was calculated within the previous 2 years from HIV diagnosis. Results: Of the 32 directed and indicated diagnostic opportunities, 96.9% and 57.8% respectively resulted in MO. Overall, 83.8% of diagnostic opportunities resulted in MO. Conclusion: MO, both directed and indicated, are an important area for improvement to reduce late diagnosis.
MeSH term(s)	Delayed Diagnosis ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Testing ; Humans ; Risk-Taking ; Spain/epidemiology
Language	English
Publishing date	2021-12-27
Publishing country	Spain
Document type	Journal Article
ISSN	2529-993X
ISSN (online)	2529-993X
DOI	10.1016/j.eimce.2021.12.004
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Targeting fast-track goals: Missed opportunities for HIV testing in the Community of Madrid.

Gallego-Márquez, Nuria / Iniesta, Carlos

Enfermedades infecciosas y microbiologia clinica (English ed.)

2021

Abstract: Introduction: In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed.! ...

Title translation	Identificando objetivos fast-track: oportunidades perdidas en el diagnóstico de VIH en la Comunidad de Madrid.
Abstract	Introduction: In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed. Objective: To characterize MO due to risk behaviors (directed) and due to indicator conditions (indicated) among people diagnosed with HIV in the Region of Madrid. Methods: A total of 109 participants newly diagnosed with HIV were recruited from 7 health centers (April 2018-March 2019) by a telephone survey. Diagnostic opportunities were defined as any contact with the healthcare system in which an HIV test should have been carried out. Frequency of MO was calculated within the previous 2 years from HIV diagnosis. Results: Of the 32 directed and indicated diagnostic opportunities, 96.9 and 57.8% respectively resulted in MO. Overall, 83.8% of diagnostic opportunities resulted in MO. Conclusion: MO, both directed and indicated, are an important area for improvement to reduce late diagnosis.
Language	Spanish
Publishing date	2021-06-07
Publishing country	Spain
Document type	Journal Article
ISSN	2529-993X
ISSN (online)	2529-993X
DOI	10.1016/j.eimc.2021.04.008
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Article ; Online: Missed opportunities within the health system for the diagnosis of HIV infection in MSM in Spain: Greater commitment and action is required.

Del Amo, Julia / Iniesta, Carlos

Enfermedades infecciosas y microbiologia clinica (English ed.)

2018 Volume 36, Issue 8, Page(s) 463–464

Title translation	Oportunidades perdidas dentro del sistema sanitario para el diagnóstico de la infección por VIH en HSH en España: necesitamos más compromiso y más acción.
MeSH term(s)	Delayed Diagnosis/statistics & numerical data ; Delivery of Health Care/organization & administration ; HIV Infections/diagnosis ; Homosexuality, Male ; Humans ; Male ; Spain
Language	Spanish
Publishing date	2018-06-27
Document type	Editorial
ISSN	2529-993X
ISSN (online)	2529-993X
DOI	10.1016/j.eimc.2018.06.003
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Article ; Online: Would eligible gay, bisexual and other men who have sex with men use PrEP? Awareness, knowledge, eligibility and intention to use PrEP among EMIS-2017 participants in Spain.

Iniesta, Carlos / Folch, Cinta / Meyer, Sebastian / Vázquez, María / Casabona, Jordi / Díaz, Asunción

Preventive medicine

2022 Volume 156, Page(s) 106962

Abstract: Pre-exposure prophylaxis (PrEP) is an efficacious strategy for reducing the incidence of HIV infection. It has been available in Spain since 2019. We aim to report on awareness, knowledge of, intention to use, and eligibility for PrEP and related factors ...

Abstract	Pre-exposure prophylaxis (PrEP) is an efficacious strategy for reducing the incidence of HIV infection. It has been available in Spain since 2019. We aim to report on awareness, knowledge of, intention to use, and eligibility for PrEP and related factors among participants in the European Men-Who-Have-Sex-With-Men Internet Survey (EMIS-2017) in Spain. We used Spanish data from EMIS-2017, a cross-sectional study performed among gay, bisexual, and other men who have sex with mean (GBMSM) from 50 countries. We found that 65.3% of the 10,634 participants were aware of PrEP, some 30.1% of those HIV-negative and ≥ 18 years were eligible and 52.7% of those eligible intended to use it. Regarding knowledge about PrEP, only 15.4% of the participants knew 3 statement with true information about that PrEP meant. Older age, being born in Western Europe (WE) and greater outness were associated with greater awareness. Older age, being born in Latin America or Caribbean or WE, sex work, and living in a large city were associated with greater eligibility. A greater degree of outness was associated with reduced intention to use. Our study point to possible barriers in the implementation of PrEP in Spain and similar countries.
MeSH term(s)	Cross-Sectional Studies ; HIV Infections/epidemiology ; Health Knowledge, Attitudes, Practice ; Homosexuality, Male ; Humans ; Intention ; Male ; Sexual and Gender Minorities ; Spain
Language	English
Publishing date	2022-01-21
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2022.106962
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Article ; Online: El uso diario de la profilaxis preexposición para el VIH en hombres gais, bisexuales y otros hombres que tienen sexo con hombres en España: prevalencia y factores asociados.

Moreno-García, Sara / Belza, M José / Iniesta, Carlos / González-Recio, Paule / Palma, David / Sordo, Luis / Pulido, Jose / Guerras, Juan Miguel

Medicina clinica

2023 Volume 162, Issue 3, Page(s) 95–102

Abstract: Objective: We aim to estimate the prevalence of daily HIV pre-exposure prophylaxis (PrEP) use 6 months after public funding approval in Spain and identify associated factors in a national sample of gay, bisexual and other men who have sex with men ( ... ...

Title translation	Daily use of HIV pre-exposure prophylaxis among gay, bisexual and other men who have sex with men in Spain: Prevalence and associated factors.
Abstract	Objective: We aim to estimate the prevalence of daily HIV pre-exposure prophylaxis (PrEP) use 6 months after public funding approval in Spain and identify associated factors in a national sample of gay, bisexual and other men who have sex with men (GBMSM). Material and methods: We analysed 4692 HIV-undiagnosed GBMSM men recruited via an online questionnaire distributed nationally via gay contact apps and websites between May and July 2020. We estimated the proportion of participants using daily PrEP and identified associated factors using Poisson regression with robust variance. Results: Daily PrEP use was reported by 2.8% (95% CI 2.3-3.3) of all participants. Daily PrEP use was independently associated with being recruited into community programmes, being older than 30 years, living in a large city, living with men, having condomless anal intercourse with more than 10 sexual partners, using drugs for sex, especially chemsex drugs, and being diagnosed with a sexually transmitted infection. Conclusion: Six months after PrEP was approved in Spain, the prevalence of daily use is low in a national sample of GBMSM men. There is a need to promote access, demand and interest in PrEP, especially among young GBMSM men, those living in small and medium-sized cities, and those who hide their relationships with other men.
MeSH term(s)	Male ; Humans ; Sexual and Gender Minorities ; Homosexuality, Male ; Pre-Exposure Prophylaxis ; Prevalence ; Spain/epidemiology ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Sexual Behavior
Language	Spanish
Publishing date	2023-10-08
Publishing country	Spain
Document type	Journal Article
ZDB-ID	411607-0
ISSN	1578-8989 ; 0025-7753
ISSN (online)	1578-8989
ISSN	0025-7753
DOI	10.1016/j.medcli.2023.08.002
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Article ; Online: Corrigendum to "Would eligible gay, bisexual and other men who have sex with men use PrEP? Awareness, knowledge, eligibility and intention to use PrEP among EMIS-2017 participants in Spain" [Prev Med 156 (2022) 106962].

Iniesta, Carlos / Folch, Cinta / Meyer, Sebastian / Vázquez, Maria / Casabona, Jordi / Jonas, Kai / Schmidt, Axel J / Díaz, Asunción

Preventive medicine

2022 Volume 157, Page(s) 107017

Language	English
Publishing date	2022-03-04
Publishing country	United States
Document type	Published Erratum
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2022.107017
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Article ; Online: Implementation of pre-exposure prophylaxis programme in Spain. Feasibility of four different delivery models.

Iniesta, Carlos / Coll, Pep / Barberá, María Jesús / García Deltoro, Miguel / Camino, Xabier / Fagúndez, Gabriela / Díaz, Asunción / Polo, Rosa

PloS one

2021 Volume 16, Issue 2, Page(s) e0246129

Abstract: Background: Pre-exposure prophylaxis (PrEP) is an effective and cost-effective strategy for HIV prevention. Spain carried out an implementation study in order to assess the feasibility of implementing PrEP programmes within its heterogeneous health ... ...

Abstract	Background: Pre-exposure prophylaxis (PrEP) is an effective and cost-effective strategy for HIV prevention. Spain carried out an implementation study in order to assess the feasibility of implementing PrEP programmes within its heterogeneous health system. Methods: Observational longitudinal study conducted on four different types of health-care setting: a community centre (CC), a sexually transmitted infections clinic (STIC), a hospital-based HIV unit (HBHIVU) and a hospital-based STI unit (HBSTIU). We recruited gay, bisexual and other men who have sex with men (GBSM) and transgender women at risk of HIV infections, gave them PrEP and monitored clinical, behavioural PrEP-related and satisfaction information for 52 weeks. We collected perceptions on PrEP implementation feasibility from health-care professionals participating in the study. Results: A total of 321 participants were recruited, with 99.1% being GBMSM. Overall retention was 87.2% and it was highest at the CC (92.6%). Condom use decreased during the study period, while STIs did not increase consistently. The percentage of people who did not miss any doses of PrEP during the previous week remained at over 93%. No HIV seroconversions occurred. We observed overall decreases in GHB (32.5% to 21.8%), cocaine (27.5% to 21.4%), MDMA (25.7% to 14.3%), speed (11.4% to 5.7%) and mephedrone use (10.7% to 5.0%). The overall participant satisfaction with PrEP was 98.6%. Health-care professionals' perceptions of PrEP feasibility were positive, except for the lack of personnel. Conclusions: PrEP implementation is feasible in four types of health-care settings. Local specificities have to be taken into consideration while implementing PrEP.
MeSH term(s)	Adult ; Anti-HIV Agents/therapeutic use ; Feasibility Studies ; Female ; HIV Infections/prevention & control ; Health Personnel ; Humans ; Longitudinal Studies ; Male ; Perception ; Pre-Exposure Prophylaxis/methods ; Safe Sex ; Sexual and Gender Minorities/statistics & numerical data ; Sexually Transmitted Diseases/prevention & control ; Spain ; Transgender Persons/statistics & numerical data ; Treatment Adherence and Compliance/statistics & numerical data
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2021-02-08
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0246129
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Article ; Online: Prevalence and patterns of illicit drug use in people living with HIV in Spain: A cross-sectional study.

Fuster-RuizdeApodaca, Maria Jose / Castro-Granell, Vanessa / Garin, Noé / Laguía, Ana / Jaén, Ángeles / Iniesta, Carlos / Cenoz, Santiago / Galindo, María José

PloS one

2019 Volume 14, Issue 6, Page(s) e0211252

Abstract: This study assessed the prevalence and patterns of drug use among people living with HIV (PLHIV) in Spain. We conducted an observational cross-sectional study including 1401 PLHIV. Data were collected through 33 sites across Spain using an online ... ...

Abstract	This study assessed the prevalence and patterns of drug use among people living with HIV (PLHIV) in Spain. We conducted an observational cross-sectional study including 1401 PLHIV. Data were collected through 33 sites across Spain using an online computer-assisted self-administered interview. The survey measured use of illicit drugs and other substances, treatment adherence and health-related variables. To analyse patterns of drug use we performed cluster analysis in two stages. The most frequently consumed substances were: alcohol (86.7%), tobacco (55.0%), illicit drugs (49.5%), other substances (27.1%). The most prevalent illicit drugs used were cannabis (73.8%), cocaine powder (53.9%), and poppers (45.4%). Results found four clusters of PLHIV who used drugs. Two of them were composed mainly of heterosexuals (HTX): Cluster 1 (n = 172) presented the lowest polydrug use and they were mainly users of cannabis, and Cluster 2 (n = 84) grouped mostly men who used mainly heroin and cocaine; which had the highest percentage of people who inject drugs and presented the lowest level of treatment adherence (79.8±14.2; p < .0001). The other two clusters were composed mainly of men who have sex with men (MSM), who were mostly users of recreational drugs. Cluster 3 (n = 285) reported moderate consumption, both regarding frequency and diversity of drugs used, while Cluster 4 (n = 153) was characterized by the highest drug polyconsumption (7.4±2.2; p < .0001), and 4 grouped MSM who injected recreational drugs, and who reported the highest frequency of use of drugs in a sexual context (2.6±0.8; p < .0001) and rates of sexually transmitted infections (1.8±1.1; p < .01). This is the largest multi-centre cross-sectional study assessing the current prevalence and patterns of drug use among PLHIV in Spain. The highest prevalence of drug use was found among MSM, although HTX who used heroin and cocaine (Cluster 2) had the most problems with adherence to HIV treatment and the worst health status.
MeSH term(s)	Adult ; Cannabis ; Cocaine ; Cross-Sectional Studies ; Female ; HIV Infections/complications ; HIV Infections/epidemiology ; Heroin ; Humans ; Illicit Drugs/adverse effects ; Male ; Middle Aged ; Patient Compliance ; Prevalence ; Sexually Transmitted Diseases/etiology ; Spain ; Substance-Related Disorders/complications ; Substance-Related Disorders/epidemiology ; Surveys and Questionnaires
Chemical Substances	Illicit Drugs ; Heroin (70D95007SX) ; Cocaine (I5Y540LHVR)
Language	English
Publishing date	2019-06-17
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0211252
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Article ; Online: Hacia una salud pública con orgullo: equidad en la salud en las personas lesbianas, gais, bisexuales y trans en España.

Gil-Borrelli, Christian Carlo / Velasco, César / Iniesta, Carlos / de Beltrán, Paula / Curto, Javier / Latasa, Pello

Gaceta sanitaria

2017 Volume 31, Issue 3, Page(s) 175–177

Title translation	Towards a public health system with pride: equity in health in the lesbian, gay, bisexual and trans community in Spain.
MeSH term(s)	Female ; Health Policy ; Health Services Needs and Demand ; Healthcare Disparities ; Human Rights ; Humans ; Male ; Personhood ; Political Activism ; Public Health Administration ; Sexuality/psychology ; Spain
Language	Spanish
Publishing date	2017-05
Publishing country	Spain
Document type	Journal Article
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2016.09.013
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Article ; Online: Terapias de conversión en España: entre la LGTB-fobia y la iatrogenia.

Gil-Borrelli, Christian Carlo / Obón, Blanca / Velasco, César / de Beltrán, Paula / Ruiz-Álvarez, Miguel / Iniesta, Carlos / Curto, Javier / Sánchez, Héctor / Latasa, Pello

Gaceta sanitaria

2019 Volume 33, Issue 5, Page(s) 495

Title translation	Conversion therapies in Spain: between LGBT-phobia and iatrogenesis.
MeSH term(s)	Attitude of Health Personnel ; Female ; Homophobia/legislation & jurisprudence ; Homophobia/prevention & control ; Homophobia/psychology ; Human Rights ; Humans ; Male ; Patient Rights ; Religion ; Sex Counseling/legislation & jurisprudence ; Sexual and Gender Minorities ; Societies, Medical ; Societies, Scientific ; Spain
Language	Spanish
Publishing date	2019-06-14
Publishing country	Spain
Document type	Letter
ZDB-ID	1038713-4
ISSN	1578-1283 ; 0213-9111
ISSN (online)	1578-1283
ISSN	0213-9111
DOI	10.1016/j.gaceta.2019.04.003
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