Identifying undiagnosed HIV in men who have sex with men (MSM) by offering HIV home sampling via online gay social media: a service evaluation
Identifying undiagnosed HIV in men who have sex with men (MSM) by offering HIV home sampling via online gay social media: a service evaluation
复制标题
DOI：
10.1136/sextrans-2015-052090
复制
发表时间：
2016-09-01
影响因子：
3.6
通讯作者：
McOwan, A.
中科院分区：
文献类型：
--
作者：
Elliot, E.;Rossi, M.;McOwan, A.
据估计，在伦敦，每8名男男性行为者（MSM）中就有1人感染艾滋病毒，其中16%未被诊断。公共卫生的优先事项是尽量减少未确诊的时间，减少发病率、死亡率和艾滋病毒的进一步传播。“Dean Street at Home”为难以接触的高危男男性接触者提供在线艾滋病毒风险自我评估和邮寄上门艾滋病毒采样服务。目标这项为期两年的服务评估旨在确定用户的艾滋病毒风险行为，方法通过在几个同性恋社交网站上发布信息或宣传横幅，邀请使用者匿名评估其HIV风险。网络网站。无论风险如何，他们都获得了免费邮寄的艾滋病毒口服液或血液自我采样工具包。反应性结果在临床中得到证实。结果17361名受访者完成了风险自我评估。其中一半人有感染艾滋病毒的“可识别风险”，三分之一人以前未接受过检测。返回了5696个检测试剂盒。121人有反应性样本; 82人（占返回样本的1.4%）被确认为与护理有关的新的艾滋病毒诊断; 14人（0.25%）已经知道他们的诊断; 14人（0.25%）是假反应。诊断时的中位年龄为38岁;中位CD 4 505个细胞/mL，20%为近期感染。61/82（78%）在撰写本文时已确认接受治疗。测试后的电子邮件调查显示，高的服务接受率。结论服务是第一次在英国。这项评价提供了证据，为可能推出进一步的在线战略以加强社区艾滋病毒检测提供了信息。
Background An estimated one in eight men who have sex with men (MSM) in London lives with HIV, of which 16% are undiagnosed. It is a public health priority to minimise time spent undiagnosed and reduce morbidity, mortality and onward HIV transmission. 'Dean Street at Home' provided an online HIV risk self-assessment and postal home HIV sampling service aimed at hard-to-reach, high-risk MSM.Objectives This 2-year service evaluation aims to determine the HIV risk behaviour of users, the uptake of offer of home sampling and the acceptability of the service.Methods Users were invited to assess their HIV risk anonymously through messages or promotional banners on several gay social networking websites. Regardless of risk, they were offered a free postal HIV oral fluid or blood self-sampling kit. Reactive results were confirmed in clinic. A user survey was sent to first year respondents.Results 17 361 respondents completed the risk self-assessment. Of these, half had an 'identifiable risk' for HIV and a third was previously untested. 5696 test kits were returned. 121 individuals had a reactive sample; 82 (1.4% of returned samples) confirmed as new HIV diagnoses linked to care; 14 (0.25%) already knew their diagnosis; and 14 (0.25%) were false reactives. The median age at diagnosis was 38; median CD4 505 cells/mL and 20% were recent infections. 61/82 (78%) were confirmed on treatment at the time of writing. The post-test email survey revealed a high service acceptability rate.Conclusions The service was the first of its kind in the UK. This evaluation provides evidence to inform the potential roll-out of further online strategies to enhance community HIV testing.