EACS2023: 676 MSM seeking care in free STI / HIV testing Сheckpoints in Ukraine and Germany: comparative analysis of clinical and epidemiological characteristics Y. Basarab , Y. Lopatina , Y. Kvasnevska , T. Kyrychenko , A.M. Żakowicz , C. Boesecke , J. Rockstroh AIDS Healthcare Foundation Ukraine, Kyiv, Ukraine, AIDS Healthcare Foundation Europe, Amsterdam, Netherlands, Bonn University Hospital, Department of Medicine I, Bonn, Germany, German Centre for Infection Research, Partner-site CologneBonn, Bonn, Germany General data Abstract category: Access and delivery of care Abstract body Purpose: Checkpoint Cologne, Germany (DE) was able to detect relevant sexually transmitted diseases (STIs) in 5% of all annual 2020/2021 visitors thereby underling the importance of community-based testing sites. Published clinical and epidemiological data on MSM undergoing anonymous testing for STI in Ukraine are sparse. The objective of this study was to conduct a comparative analysis of clinical and epidemiological data of HIV and STI testing conducted at Checkpoint Cologne, Germany and Wellness Center/ChP L’viv, Ukraine (UA) among community members. Method: From January 2021 to December 2021, data on STI screening, clinical, demographic, sexual information was anonymously recorded for individuals attending the Wellness Center Odessa and AHF L’viv Checkpoint, Ukraine. Visitors were screened for HIV, syphilis, hepatitis C and B using point of care testing kits. Positive tests were validated. To compare characteristics between clients UA and DE non-parametric Chi-square test was used for univariate analyses. Results: During the study period 1038 MSM consultants aged 15-80 years attended the UA and 5040 MSM the DE checkpoints. The positivity rate of screenings for HIV among clients of UA was significantly higher 2,89% (n= 30/1038) vs 1,11% (n=56/5040) for clients of DE checkpoint, p=0.001. HCV-positivity was detected at similar rates between countries – 0,19% (n=2/1038) and 0,04% (n=2/5040) for UA and DE, respectively. Syphilis was diagnosed 4 time higher among persons in UA – 6,65% (n=69/1038) vs 1,75% (n=88/5040) in DE, p=0.001. Only 4,7% clients UA reported taking PrEP compared to 96% MSM of annual number of visitors DE. Conclusions: This study shows that characteristics of MSM in Ukrainian Wellness Center/ChP L’viv are different from clients of Checkpoint Cologne, Germany. Based on our results different approaches for STI testing and medical supervision should target among MSM in Ukraine who are at higher risk getting HIV, syphilis, and insufficient PrEP involvement. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 1 1 1 2 3,4 3,4 1 2 3 4 37
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