Access to, and uptake of, testing services for key populations is central to achieving a meaningful reduction in late diagnosis and overall prevalence rates across Scotland. A significant number of people living with HIV in Scotland are being diagnosed with advanced infection when treatment may be less effective on a weakened immune system – in 2016, 39% of people newly diagnosed were at a late stage of infection. There are many communities, in particular gay, bisexual, and other men who have sex with men, people who inject drugs, transgender people, black and minority ethnic communities who are affected by late diagnosis. This is due to a diversity of factors which produce and reinforce health inequalities.

The report is intended for use by local and national policy makers, NHS boards, health professionals, the third sector, and those with an interest in how to increase access to HIV testing in Scotland.

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