[Cobatest network: users' characteristics of community-based voluntary,counselling and testing centres in Spain.]

OBJECTIVE: The COBATEST network (European network of community-based voluntary, counselling and testing centers) allows standardized collection of information to monitor HIV testing at these centers. The objective was to describe the performance of the Spanish centers of the COBATEST network and the epidemiological profile of its users, and to analyze the factors associated with having an earlier HIV test. METODOS: Analisis descriptivo de los datos recogidos en los 19 centros espanoles que usaron las herramientas comunes de recogida de informacion durante el ano 2015. Se realizo un modelo multivariado de regresion logistica para identificar factores asociados a tener una prueba anterior. RESULTS: A total of 6,077 HIV rapid tests were performed and 1.8% were reactive (3.0% MSM, 3.1% SW, 2.3% PWID, 0.6% heterosexual). 82.1% of the reactives were referred to perform a confirmatory test and 94 (97.9%) were HIV positive, of whom 54% were diverted to the health system. 38% said they had never been tested for HIV. Factors associated with having a previous HIV test were: being over 20 years old; being HSH, SW, or PWID; being foreign; having used condoms at the last penetration; having had an STI in the last year; and having been in jail. CONCLUSIONES: Los resultados muestran el gran potencial de estos servicios para llegar a personas que nunca se han realizado la prueba del VIH. Los casos de VIH se concentran en colectivos vulnerables. Es necesario mejorar la vinculacion de las personas diagnosticadas a los servicios sanitarios.