Community testing for HIV can reach previously untested populations but is rarely offered in workplaces. Targeting the construction sector could reach workers from high risk populations. The RE-AIM framework was used to evaluate Test@Work, a workplace HIV testing intervention for construction workers implemented at 21 events (10 companies) in the UK. Test@Work had three components: 1) an online health toolkit to inform managers about health screening and HIV testing; 2) general health checks; and 3) opt-in HIV consultation and testing. Quantitative data were collected using registration and exit questionnaires with workers (n = 426) and pre/post-event questionnaires with managers (n = 15), with qualitative analysis of free text responses. Reach 426 individuals had health checks. Participants were broadly representative of the UK construction workforce, but with a higher proportion of permanent workers. Most workers reported being in good health but also believed their work had an adverse impact on their health. Effectiveness: 97% of health check participants opted to have a consultation about sexual health (n = 413) and 82% had an HIV test (n = 348), of whom 78% had not previously been tested. All HIV tests were non-reactive. HIV testing at work was considered acceptable by most participants. Participants reported learning new things about their health (74%), said they would make changes as a result (70%) and felt confident of success (median score 8/10). Adoption: Recruitment of companies was challenging and time consuming. Seven of the participating companies were very large, employing over 1000 workers, which is atypical of construction generally. Implementation: All events were completed as planned and were considered successful by all parties. Maintenance: All managers would arrange further events if they were offered them. Six managers incorporated sexual health awareness into their health programmes, but this was not possible for many as health agendas were set centrally by their organisations. Opt-in HIV testing, when embedded within a general health check, has high uptake and acceptability in the UK construction sector, and reaches individuals at risk for HIV who may not otherwise attend for testing. Cost-effectiveness of this approach is yet to be determined. ClinicalTrials.gov Identifier: NCT04292002 .

中文翻译：

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Test@work：使用 RE-AIM 框架评估建筑工人的工作场所 HIV 检测

社区 HIV 检测可以覆盖以前未检测的人群，但很少在工作场所提供。以建筑业为目标可以覆盖高危人群的工人。RE-AIM 框架用于评估 Test@Work，这是在英国 21 个活动（10 家公司）实施的针对建筑工人的工作场所 HIV 检测干预措施。Test@Work 包含三个组成部分：1) 一个在线健康工具包，用于通知管理人员有关健康筛查和 HIV 检测的信息；2) 一般健康检查；3) 选择参加 HIV 咨询和检测。使用与工人（n = 426）的注册和退出问卷和与经理（n = 15）的事前/事后调查问卷收集定量数据，并对自由文本响应进行定性分析。达到426人进行了健康检查。参与者广泛代表英国建筑工人，但固定工人的比例更高。大多数工人报告身体健康，但也认为他们的工作对他们的健康产生了不利影响。有效性：97% 的健康检查参与者选择进行性健康咨询（n = 413），82% 进行了 HIV 检测（n = 348），其中 78% 之前未进行过检测。所有 HIV 检测均无反应。大多数参与者认为工作中的艾滋病毒检测是可以接受的。参与者报告学习了有关他们健康的新事物 (74%)，表示他们会因此做出改变 (70%) 并对成功充满信心（中位数为 8/10）。采用：公司招聘具有挑战性且耗时。参与的公司中有七家规模很大，雇佣了 1000 多名工人，这通常是非典型的建筑。实施：所有活动均按计划完成，并被各方认为是成功的。维护：如果有机会，所有经理都会安排进一步的活动。六名经理将性健康意识纳入他们的健康计划，但这对许多人来说是不可能的，因为健康议程是由他们的组织集中制定的。选择加入 HIV 检测，当嵌入到一般健康检查中时，在英国建筑行业具有很高的接受度和可接受性，并且可以覆盖那些可能不会参加检测的处于 HIV 风险中的个人。这种方法的成本效益尚待确定。ClinicalTrials.gov 标识符：NCT04292002。维护：如果有机会，所有经理都会安排进一步的活动。六名经理将性健康意识纳入他们的健康计划，但这对许多人来说是不可能的，因为健康议程是由他们的组织集中制定的。选择加入 HIV 检测，当嵌入到一般健康检查中时，在英国建筑行业具有很高的接受度和可接受性，并且可以覆盖那些可能不会参加检测的处于 HIV 风险中的个人。这种方法的成本效益尚待确定。ClinicalTrials.gov 标识符：NCT04292002。维护：如果有机会，所有经理都会安排进一步的活动。六名经理将性健康意识纳入他们的健康计划，但这对许多人来说是不可能的，因为健康议程是由他们的组织集中制定的。选择加入 HIV 检测，当嵌入到一般健康检查中时，在英国建筑行业具有很高的接受度和可接受性，并且可以覆盖那些可能不会参加检测的处于 HIV 风险中的个人。这种方法的成本效益尚待确定。ClinicalTrials.gov 标识符：NCT04292002。当嵌入到一般健康检查中时，在英国建筑部门具有很高的接受度和可接受性，并且可以接触到可能不会参加测试的有感染 HIV 风险的个人。这种方法的成本效益尚待确定。ClinicalTrials.gov 标识符：NCT04292002。当嵌入到一般健康检查中时，在英国建筑部门具有很高的接受度和可接受性，并且可以接触到可能不会参加测试的有感染 HIV 风险的个人。这种方法的成本效益尚待确定。ClinicalTrials.gov 标识符：NCT04292002。