Community peer-led STI/HIV point-of-care testing and knowledge, attitude and practice (KAP) survey in men who have sex with men (MSM) attending an NGO-led clinic in the outskirts of Beirut (Lebanon).

OBJECTIVE

This pilot study assesses HIV, syphilis and hepatitis point-of-care test (POCT) utility in men who have sex with men (MSM) attending a non-governmental organisation-led clinic in Beirut and evaluates knowledge, attitudes and practices in relation to sexual health.

METHODS

A cross-sectional study was conducted over 4 months. A physician offered sexual health consultations and sexually transmitted infection (STI)/HIV testing and administered an anonymous questionnaire assessing demographics, STI knowledge and practices, condom use, chemsex, experiences of sexual violence and perceived HIV-related stigma.

RESULTS

The cohort consisted predominantly of young, highly educated, working-age men: 91.2% were male and 86.4% identified as MSM, with most participants aged 26-40 years. The majority were Lebanese (79.6%), while 18.4% were Syrian. Overall, 21.4% were persons living with HIV. High levels of STI/HIV awareness coexisted with condomless sex and recreational drug use. Perceived community beliefs and stigma emerged as notable barriers to testing. The use of POCT facilitated same-day counselling and linkage to care for individuals with positive results.

CONCLUSIONS

This study highlights the substantial HIV-related stigma experienced by MSM, which is linked to risky behaviours. Incorporating POCT into sexual health services allows for rapid on-site diagnosis and immediate counselling as well as linkage to confirmatory testing and care.