The Testing Imperative: Why the US Ending the Human Immunodeficiency Virus (HIV) Epidemic Program Needs to Renew Efforts to Expand HIV Testing in Clinical and Community-Based Settings.
The Testing Imperative: Why the US Ending the Human Immunodeficiency Virus (HIV) Epidemic Program Needs to Renew Efforts to Expand HIV Testing in Clinical and Community-Based Settings.
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检测势在必行：为什么美国结束人类免疫缺陷病毒 (HIV) 流行计划需要重新努力，在临床和社区环境中扩大艾滋病毒检测。
DOI：
10.1093/cid/ciad103
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
DelRio,Carlos
中科院分区：
文献类型：
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作者：
Nosyk,Bohdan;Fojo,AnthonyTodd;Kasaie,Parastu;Enns,Benjamin;Trigg,Laura;Piske,Micah;Hutchinson,AngelaB;DiNenno,ElizabethA;Zang,Xiao;DelRio,Carlos
几项建模研究的数据表明，在艾滋病毒高负担的环境中，人类免疫缺陷病毒（HIV）检测的大规模增加可能会产生最大的发病率降低，以支持美国结束艾滋病毒流行（EHE）倡议的目标，即到2030年将新发艾滋病毒感染减少90%。尽管美国疾病控制和预防中心建议在临床环境中进行常规艾滋病毒筛查，并至少每年筛查一次最有可能感染艾滋病毒的人，但只有不到一半的美国成年人报告接受过艾滋病毒检测。此外，2013年至2019年期间，用于预防艾滋病毒的国内资金总额保持不变。作者描述了支持扩大艾滋病毒检测的价值的证据，确定了实施中的挑战，并提出了通过地方和联邦层面的方法来解决这些障碍的建议，以达到EHE目标。
Data from several modeling studies demonstrate that large-scale increases in human immunodeficiency virus (HIV) testing across settings with a high burden of HIV may produce the largest incidence reductions to support the US Ending the HIV Epidemic (EHE) initiative's goal of reducing new HIV infections 90% by 2030. Despite US Centers for Disease Control and Prevention's recommendations for routine HIV screening within clinical settings and at least yearly screening for individuals most at risk of acquiring HIV, fewer than half of US adults report ever receiving an HIV test. Furthermore, total domestic funding for HIV prevention has remained unchanged between 2013 and 2019. The authors describe the evidence supporting the value of expanded HIV testing, identify challenges in implementation, and present recommendations to address these barriers through approaches at local and federal levels to reach EHE targets.