Acceptability and Use of a Dual HIV/Syphilis Rapid Test and Accompanying Smartphone App to Facilitate Self- and Partner-Testing Among Cisgender Men and Transgender Women Who Have Sex with Men.

Acceptability and Use of a Dual HIV/Syphilis Rapid Test and Accompanying Smartphone App to Facilitate Self- and Partner-Testing Among Cisgender Men and Transgender Women Who Have Sex with Men.
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DOI:
10.1007/s10461-021-03322-9
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发表时间:
2022-01
期刊:
影响因子:
4.4
通讯作者:
Sia SK
Sia SK
中科院分区:
医学2区
文献类型:
--
作者:
Balán IC;Rios JL;Lentz C;Arumugam S;Dolezal C;Kutner B;Rael CT;Ying AW;Macar OU;Sia SK

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在家自我检测和伴侣检测可以通过检测未确诊的感染来减少艾滋病毒和梅毒的传播。48名同性性行为的顺性男性和变性女性获得了10个INSTI Multiplex试剂盒,并下载了SMARTtest应用程序,以便在接下来的三个月里进行自我和伴侣测试。37名(77%)参与者使用INSTI进行自我测试(Mean=3.7次,SD=3.9);26例(54%)(Mean=1.6次,SD=2.2)。参与者喜欢这种检测方法,因为它易于使用,结果迅速,而且可以进行艾滋病毒/梅毒双重检测,但它基于血液的性质阻碍了与伴侣一起使用。反应性梅毒结果的参与者总是将其归因于过去的感染,这些结果对与伴侣进行检测和准确评估感染风险的能力提出了挑战。大多数参与者表示他们会使用INSTI进行自我测试(100%)和伴侣测试(89%)。SMARTtest应用程序的可接受性在功能(M=4.16 max 5, SD=0.85)和帮助(M=6.12 max 7, SD=1.09)方面很高。参与者经常根据需要使用该应用程序,如果他们觉得进行测试和解释结果很舒服,就会避免使用它。78%的人会向朋友推荐这款应用。将INSTI Multiplex作为一种自检,并附带SMARTtest应用程序,可能会增加艾滋病毒和梅毒检测的频率,从而可以更早地发现感染并减少传播。
At home self- and partner-testing may reduce HIV and syphilis transmission by detecting undiagnosed infections. Forty-eight cisgender men and transgender women who men who have sex with men were given ten INSTI Multiplex kits and downloaded the SMARTtest app to facilitate self- and partner testing over the next three months. Thirty-seven (77%) participants self-tested using the INSTI (Mean=3.7 times, SD=3.9); 26 (54%) tested partners (Mean=1.6 times, SD=2.2). Participants liked the test for its ease of use, quick results, and dual HIV/syphilis testing but its blood-based nature hindered use with partners. Participants with reactive syphilis results always attributed them to a past infection and these results presented a challenge to testing with partners and the ability to accurately assess risk of infection. Most participants stated they would use the INSTI for self-testing (100%) and for partner-testing (89%). Acceptability of the SMARTtest app was high for functionality (M=4.16 of max 5, SD=0.85) and helpfulness (M=6.12 of max 7, SD=1.09). Participants often used the app as needed, eschewing its use if they felt comfortable conducting the test and interpreting its results. Seventy-eight percent would recommend the app to a friend. Availability of the INSTI Multiplex as a self-test with the accompanying SMARTtest app might increase frequency of HIV and syphilis testing, allowing for earlier detection of infection and reduced transmission.
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