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Evaluation of opt-in HIV testing in the construction workplace using the socioecological framework

Blake, H.; Somerset, S.; Jones, W.; Evans, C.; Cirelli, C.; Mbang, D.

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Authors

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HOLLY BLAKE holly.blake@nottingham.ac.uk
Professor of Behavioural Medicine

W. Jones

Dr CATRIN EVANS CATRIN.EVANS@NOTTINGHAM.AC.UK
Professor of Evidence Based Healthcare

C. Cirelli

D. Mbang



Abstract

Background Late diagnosis of HIV remains a challenge and the construction workforce has several risk factors for HIV. In the Test@Work programme, we delivered HIV tests embedded within a general health check to construction workers, with high uptake and acceptability. Here, we report the experiences of construction managers and health professionals involved in Test@Work and explore the suitability of construction worksites as a venue for opt-in HIV testing. Methods Qualitative interviews (n = 24) were conducted with construction managers who facilitated events (n = 13), and HIV/health check delivery partners (n = 11) at 21 Test@Work events held on construction sites. Interviews explored experiences of events and views towards workplace HIV testing. Event exit questionnaires (n = 107) completed by delivery partners provided qualitative data identifying facilitators and barriers to effective delivery. Thematic analysis identified themes that were mapped against a socioecological framework (individual, interpersonal, organisational, industry, public health). Results Delivery partners reported high engagement of construction workers with workplace HIV testing, peer-to-peer encouragement for uptake, and value for accessibility of onsite testing. HIV professionals valued the opportunity to reach an untested population, many of whom had a poor understanding of their exposure to HIV risk. Managers valued the opportunity to offer workplace health checks to employees but some identified challenges with event planning, or provision of private facilities. Conclusions The construction sector is complex with a largely male workforce. Providing worksite HIV testing and education to an untested population who have poor knowledge about HIV risk helped to normalise testing, increase uptake, and reduce HIV stigma. However, there are practical barriers to testing in the construction environment. This has global implications for delivery of HIV testing in construction workplace settings. Key messages • Delivering workplace HIV testing as part of a general health check helps to normalise HIV testing and reduce HIV-related stigma. • Workplace testing is convenient, accessible and reaches populations at risk for HIV, but there are some barriers to implementation of rapid tests on construction sites.

Citation

Blake, H., Somerset, S., Jones, W., Evans, C., Cirelli, C., & Mbang, D. (2022). Evaluation of opt-in HIV testing in the construction workplace using the socioecological framework. European Journal of Public Health, 32(Supplement_3), Article 1409. https://doi.org/10.1093/eurpub/ckac129.473

Journal Article Type Meeting Abstract
Acceptance Date Jun 6, 2022
Online Publication Date Jul 23, 2022
Publication Date Oct 25, 2022
Deposit Date Nov 17, 2022
Publicly Available Date Dec 19, 2022
Journal European Journal of Public Health
Print ISSN 1101-1262
Electronic ISSN 1464-360X
Peer Reviewed Peer Reviewed
Volume 32
Issue Supplement_3
Article Number 1409
DOI https://doi.org/10.1093/eurpub/ckac129.473
Keywords Public Health, Environmental and Occupational Health
Public URL https://nottingham-repository.worktribe.com/output/13449441
Publisher URL https://academic.oup.com/eurpub/article/32/Supplement_3/ckac129.473/6766324