Usage of purchased self-tests for HIV and sexually transmitted infections in Amsterdam, the Netherlands: results of population-based and serial cross-sectional studies among the general population and sexual risk groups.
Usage of purchased self-tests for HIV and sexually transmitted infections in Amsterdam, the Netherlands: results of population-based and serial cross-sectional studies among the general population and sexual risk groups.
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DOI：
10.1136/bmjopen-2017-016609
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发表时间：
2017-09-21
期刊：
影响因子：
2.9
通讯作者：
Zuure FR
中科院分区：
文献类型：
--
作者：
Bil JP;Prins M;Stolte IG;Dijkshoorn H;Heijman T;Snijder MB;Davidovich U;Zuure FR
关于商业上购买的艾滋病毒和其他性传播感染(STI)自我检测的使用情况的数据有限。因此，我们在荷兰阿姆斯特丹研究了2007至2015年间普通人群和性危险人群中HIV/STI自检的使用及其决定因素。数据是在普通人群(S1-2)和性危险人群(S3-4)中进行的四项不同研究中收集的。S1--阿姆斯特丹居民参加代表性人口调查(2008年和2012年；n=6 044)；S2--从阿姆斯特丹市登记册按族裔分层的人口研究的参与者(2011年至2015年；n=17 603)；S3--男男性行为者参加艾滋病毒观察性队列研究(2008年和2013年；n=597)和S4--性传播感染诊所客户参加横断面调查(2007年-2012年；n=5 655)。艾滋病毒/性传播感染自检使用情况及其影响因素。在过去的6-12个月中，HIV/STI自测使用的流行率在不同的研究中在1%到2%之间变化。衣原体自我检测是最常用的，除了在S3的MSM中。在阿姆斯特丹居民的代表性样本中，衣原体和梅毒的自检使用率随着时间的推移而增加(S1)，而在性传播感染诊所的客户中，衣原体自检的使用率随着时间的推移而增加(S4)。自测使用与非洲苏里南人或加纳人血统(S2)、女性或男男性接触者(S1和4)以及有较多性伴侣(S1-2)有关。在过去12个月内进行艾滋病毒/性传播感染检测的普通人群中，5-9%的人使用了自我检测。尽管HIV/STI自检使用率很低，但我们观察到衣原体和梅毒自检使用率随着时间的推移而增加。此外，在一般人群中，高危个体的自测使用率更高。重要的是继续监测自我测试的使用情况，并告知公众荷兰可用的自我测试的未知质量以及自我测试的利弊。
There are limited data on the usage of commercially bought self-tests for HIV and other sexually transmitted infections (STIs). Therefore, we studied HIV/STI self-test usage and its determinants among the general population and sexual risk groups between 2007 and 2015 in Amsterdam, the Netherlands. Data were collected in four different studies among the general population (S1–2) and sexual risk groups (S3–4). S1–Amsterdam residents participating in representative population-based surveys (2008 and 2012; n=6044) drawn from the municipality register; S2–Participants of a population-based study stratified by ethnicity drawn from the municipality register of Amsterdam (2011–2015; n=17 603); S3–Men having sex with men (MSM) participating in an HIV observational cohort study (2008 and 2013; n=597) and S4–STI clinic clients participating in a cross-sectional survey (2007–2012; n=5655). Prevalence of HIV/STI self-test usage and its determinants. The prevalence of HIV/STI self-test usage in the preceding 6–12 months varied between 1% and 2% across studies. Chlamydia self-tests were most commonly used, except among MSM in S3. Chlamydia and syphilis self-test usage increased over time among the representative sample of Amsterdam residents (S1) and chlamydia self-test usage increased over time among STI clinic clients (S4). Self-test usage was associated with African Surinamese or Ghanaian ethnic origin (S2), being woman or MSM (S1 and 4) and having had a higher number of sexual partners (S1–2). Among those in the general population who tested for HIV/STI in the preceding 12 months, 5–9% used a self-test. Despite low HIV/STI self-test usage, we observed increases over time in chlamydia and syphilis self-test usage. Furthermore, self-test usage was higher among high-risk individuals in the general population. It is important to continue monitoring self-test usage and informing the public about the unknown quality of available self-tests in the Netherlands and about the pros and cons of self-testing.
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影响因子：
4.4
作者：
Balan, Ivan C.;Carballo-Dieguez, Alex;Frasca, Timothy;Dolezal, Curtis;Ibitoye, Mobolaji
通讯作者：
Ibitoye, Mobolaji
影响因子：
3.7
作者：
Lunny C;Taylor D;Hoang L;Wong T;Gilbert M;Lester R;Krajden M;Ogilvie G
通讯作者：
Ogilvie G
影响因子：
3.7
作者：
van den Broek, Ingrid V. F.;Hoebe, Christian J. P. A.;de Coul, Eline L. M. Op
通讯作者：
de Coul, Eline L. M. Op
影响因子：
3.6
作者：
van Dommelen, Laura;van Tiel, Frank H.;Hoebe, Christian J. P. A.
通讯作者：
Hoebe, Christian J. P. A.
DOI：
10.1097/qai.0000000000000278
发表时间：
2014-10-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Han L;Bien CH;Wei C;Muessig KE;Yang M;Liu F;Yang L;Meng G;Emch ME;Tucker JD
通讯作者：
Tucker JD