Uptake of oral fluid-based HIV self-testing among men who have sex with men and transgender women in Thailand.
Uptake of oral fluid-based HIV self-testing among men who have sex with men and transgender women in Thailand.
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DOI：
10.1371/journal.pone.0256094
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Phanuphak P
中科院分区：
文献类型：
--
作者：
Girault P;Misa Wong C;Jittjang S;Fongkaew K;Cassell MM;Lertpiriyasuwat C;Vannakit R;Avery M;Linjongrat D;Sumalu S;Phromsombat S;Mainoy N;Patpeerapong P;Potasin P;Brutrat P;Mills S;Phanuphak N;Phanuphak P
在泰国，对男男性行为者（MSM）和变性妇女（TGW）的艾滋病毒预防和治疗中，艾滋病毒检测的不理想吸收仍然是一个主要瓶颈。世界卫生组织建议将艾滋病毒自我检测作为一项额外的艾滋病毒战略服务。然而，艾滋病毒传播在东南亚许多国家尚未得到充分认可和实施。本研究的目的是评估泰国MSM和TGW人群中口服液体hiv的吸收情况。在2017年和2018年期间，我们采用方便抽样的方法进行了横断面研究，从三个主要城市地区招募了2524名参与者。参与者是在外联和在线活动期间招募的，并向他们提供无辅助或辅助的艾滋病毒检测服务，或转介到艾滋病毒检测服务。进行描述性分析以总结数据。共有2,502名参与者（1,422名MSM和1,082名TGW）被纳入分析，其中约三分之一（36.1%）是首次测试者。在所有参加研究的参与者中，共有2486名参与者（99.3%）选择了HIV检测服务，而不是转介到HIV检测服务。在选择艾滋病毒传播的人中，2095人（84.3%）选择辅助艾滋病毒传播，而其余的人选择无辅助艾滋病毒传播：1,411名男同性恋者中有1148人（81.4%）选择辅助艾滋病毒传播，1,075名TGW中有947人（88.1%）选择辅助艾滋病毒传播。虽然在研究期间没有报告严重的不良事件，但我们发现，在179名需要确认测试并被转介到HIV检测服务的参与者中，108人（60.3.4%）获得了这些后期服务。这项研究表明，在泰国的男男性接触者（MSM）和同性恋者（TGW）人群中，基于口服液的艾滋病毒传播的吸吸性很高，并且艾滋病毒传播可以通过国家流行病控制规划扩大。然而，需要更好地了解寻求艾滋病毒检测的行为和创新的后续解决办法，以改善和监测艾滋病毒感染者与服务的联系。
Suboptimal uptake of HIV testing remains a primary bottleneck to HIV prevention and treatment for men who have sex with men (MSM) and transgender women (TGW) in Thailand. The World Health Organization has recommended HIV self-testing (HIVST) as an additional strategic HIV service. However, HIVST has not been fully endorsed and implemented in many countries in Southeast Asia. The aim of this study was to assess the uptake of oral fluid-based HIVST in MSM and TGW populations in Thailand. During 2017 and 2018, we conducted a cross-sectional study using convenience sampling to enroll 2,524 participants from three major urban areas. Participants were recruited during outreach and online activities and were offered unassisted or assisted HIVST, or referral to HIV testing services. A descriptive analysis was performed for summarizing data. A total of 2,502 participants (1,422 MSM and 1,082 TGW) were included in the analysis with about one-third (36.1%) of them being first-time testers. Among all participants enrolled in the study, a total of 2,486 participants (99.3%) selected HIVST versus referral to HIV testing services. Of those who selected HIVST, 2,095 (84.3%) opted for assisted HIVST while the rest opted for unassisted HIVST: 1,148 of 1,411 MSM (81.4%) and 947 of 1,075 TGW (88.1%) selected assisted HIVST. While no serious adverse events were reported during the study, we found that among 179 participants who needed a confirmatory test and were referred to HIV testing services, 108 (60.3.4%) accessed these later services. This study demonstrated a high uptake of oral fluid-based HIVST among MSM and TGW populations in Thailand and that HIVST could be scaled up through the national epidemic control program. However, a better understanding of HIV testing-seeking behavior and innovative follow-up solutions are needed to improve and monitor linkages to services for people who undertake HIVST.
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DOI：
10.1080/09540121.2016.1259453
发表时间：
2017-01-01
影响因子：
1.7
作者：
Kagee, Ashraf;Saal, Wylene;Bantjes, Jason
通讯作者：
Bantjes, Jason
影响因子：
2.6
作者：
Matovu JKB;Kisa R;Buregyeya E;Chemusto H;Mugerwa S;Musoke W;Vrana CJ;Malek AM;Korte JE;Wanyenze RK
通讯作者：
Wanyenze RK
呼吁差异化方法向关键人群提供艾滋病毒服务。
影响因子：
6
作者：
Macdonald V;Verster A;Baggaley R
通讯作者：
Baggaley R
影响因子：
3.3
作者：
Nightingale, Vienna R.;Sher, Tamara G.;Hansen, Nathan B.
通讯作者：
Hansen, Nathan B.
影响因子：
3.7
作者：
Choko AT;Nanfuka M;Birungi J;Taasi G;Kisembo P;Helleringer S
通讯作者：
Helleringer S