Longitudinal effects of home-based HIV self-testing on well-being and health empowerment among men who have sex with men (MSM) in the United States.
Longitudinal effects of home-based HIV self-testing on well-being and health empowerment among men who have sex with men (MSM) in the United States.
复制标题
家庭艾滋病毒自我检测对美国男男性行为者 (MSM) 的福祉和健康赋权的纵向影响。
DOI：
10.1080/09540121.2019.1622636
复制
发表时间：
2020
期刊：
影响因子：
1.7
通讯作者：
Simpanen,ErikM
中科院分区：
文献类型：
--
作者：
Wray,TylerB;Chan,PhilipA;Simpanen,ErikM
自2012年以来，消费者可以直接购买艾滋病毒自我检测（HST）试剂盒。然而，公共卫生和预防方案在采用自我检测作为提高检测率和定期性的战略方面进展缓慢，部分原因是担心其对用户福祉的影响以及缺乏后续行动。这项研究探讨了与幸福感相关的几个结构是否存在差异，包括与健康相关的生活质量，社会支持，健康赋权和情绪困扰，在使用HST的人与在诊所进行测试的人之间。数据来自一项纵向随机对照试验，该试验探索了鼓励HIV检测的方法（以诊所为基础，定期在家进行HST）并提供后续随访。结果表明，在特定月份使用HST与同月的痛苦或幸福变化无关。虽然使用HST的几个月内社会支持较低（与基于临床的测试相比），但参与者报告说，参与其他健康行为（例如，与诊所测试相比，在使用HST的几个月内，健康饮食、锻炼）更重要，这表明HST可能使MSM能够开始改变其他生活方式，从而改善他们的健康状况。试验注册：统一试验编号标识符：NCT 02876926。
HIV self-test (HST) kits have been available for purchase directly by consumers since 2012. However, public health and prevention programs have been slow to adopt self-testing as a strategy for improving testing rates and regularity, in part due to concerns about its effects on the well-being of users and lack of follow-up. This study explored whether there were differences in several constructs related to well-being, including health-related quality of life, social support, health empowerment, and emotional distress, across those who used HSTs versus tested at a clinic over time. Data were drawn from a longitudinal randomized controlled trial exploring methods of encouraging HIV testing (clinic-based, regular home delivery of HSTs) and providing follow-up afterward. Results showed that using HST in a given month was not associated with changes in either distress or well-being that same month. Although social support was lower in months when HST was used (versus clinic-based testing), participants reported that engaging in other health behaviors (e.g., Healthy diet, exercise) were more important in months they used HST compared to testing in a clinic, suggesting that HST may empower MSM to begin making other lifestyle changes that could improve their health.Trial registration:Uniform Trial Number identifier: NCT02876926.