Alternative HIV testing methods among populations at high risk for HIV infection
Alternative HIV testing methods among populations at high risk for HIV infection
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DOI：
10.1016/s0033-3549(04)50289-3
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发表时间：
2003-11-01
影响因子：
3.3
通讯作者：
Sullivan, PS
中科院分区：
文献类型：
--
作者：
Greensides, DR;Berkelman, R;Sullivan, PS
Objective.本研究的目的是确定HIV感染高危人群对替代HIV检测（家庭收集试剂盒、口腔粘膜渗出液收集试剂盒和快速检测）的认识和使用水平。数据收集的一部分，匿名的，横断面访谈研究-艾滋病毒检测调查（HITS）-进行了7个州，从2000年9月至2001年2月。招募了三个高危人群：男男性行为者、注射毒品使用者和高危异性恋者。受访者被问及他们的意识和使用替代艾滋病毒检测。替代检测的总体认知和使用有限：54%的受访者知道家庭收集试剂盒，42%知道口腔粘膜渗出液收集试剂盒检测，13%知道快速检测。在那些知道替代测试的人中，自我报告使用这些测试的人数也很少。不使用替代HIV检测的最常见原因是：偏好标准检测;担心结果可能不太准确;以及没有提供替代检测。对替代艾滋病毒检测的认识和使用水平低表明，通过鼓励使用替代艾滋病毒检测来促进艾滋病毒高危人群检测的潜力尚未充分发挥。应更广泛地提供替代检测，并应同时对医生和有风险的人进行有关这些检测的教育。应评估教育工作，以确定推广替代性艾滋病毒检测是否会增加接受检测的艾滋病毒高危人群的人数。
Objective. The purpose of this study was to determine the levels of awareness and use of alternative HIV tests (home collection kit, oral mucosal transudate collection kit, and rapid tests) among people at high risk for HIV infection.Methods. Data were collected as part of an anonymous, cross-sectional interview study-the HIV Testing Survey (HITS)-conducted in seven states from September 2000 to February 2001. Three high-risk populations were recruited: men who have sex with men, injection drug users, and high-risk heterosexuals. Respondents were asked about their awareness and use of alternative HIV tests.Results. The overall awareness and use of the alternative tests was limited: 54% of respondents were aware of the home collection kit, 42% were aware of the oral mucosal transudate collection kit test, and 13% were aware of rapid tests. Among those aware of alternative tests, self-reported use of the tests was also low. The most common reasons given for not using alternative HIV tests were: preference for the standard test; concern that the results could be less accurate; and that alternative tests were not offered.Conclusions. The low levels of awareness and use of alternative HIV tests suggest that the potential for promoting testing among individuals at high risk for HIV by encouraging use of alternative HIV tests has not been fully realized. Alternative tests should be made more broadly available and should be accompanied by education about these tests for physicians and people at risk. Educational efforts should be evaluated to determine if promoting alternative HIV tests increases the numbers of people at risk for HIV who are tested.