Using an HIV Self-test Kit to Test a Partner: Attitudes and Preferences Among High-Risk Populations.

Using an HIV Self-test Kit to Test a Partner: Attitudes and Preferences Among High-Risk Populations.
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DOI:
10.1007/s10461-020-02885-3
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发表时间:
2020-11
期刊:
影响因子:
4.4
通讯作者:
Carballo-Diéguez A
Carballo-Diéguez A
中科院分区:
医学2区
文献类型:
--
作者:
Iribarren S;Lentz C;Sheinfil AZ;Giguere R;Lopez-Rios J;Dolezal C;Frasca T;Balán IC;Tagliaferri Rael C;Brown W 3rd;Cruz Torres C;Crespo R;Febo I;Carballo-Diéguez A

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对于那些最有可能感染艾滋病毒的人来说,需要新的策略来预防传播和增加检测。作为多中心随机对照试验 (RCT) 的一部分,我们使用艾滋病毒自检 (HIVST) 试剂盒来测试伴侣,探讨了 272 名与男性发生性行为的艾滋病毒阴性男性和艾滋病毒阴性跨性别女性的态度和偏好。不到四分之一的人曾使用 HIVST 试剂盒进行过自我检测(21.7%),很少有人进行过伴侣检测(4.8%)。与指尖采血测试 (69%) 相比,大多数人更喜欢牙龈拭子测试 (96%),但如果血液测试能给出其他性传播感染 (STI) 的结果,则更喜欢血液测试 (86%)。 5% 的人表示执行测试有困难,4% 的人表示存储困难,26% 的人表示便携性困难。 93% 的人表示未来有可能使用 HIVST 来测试伴侣,但只有 3% 的人愿意支付目前的价格。提高 HIVST 接受率的努力应侧重于纳入其他性传播感染的检测、减少检测试剂盒的大小和降低成本。
For those most at risk of contracting HIV, new strategies for preventing transmission and increasing testing are needed. As part of a multi-site, randomized, controlled trial (RCT), we explored attitudes and preferences among 272 HIV-negative men who have sex with men and HIV-negative transgender women using an HIV self-testing (HIVST) kit to test partners. Less than one quarter had previously self-tested with HIVST kits (21.7%) and few had partner-tested (4.8%). Most preferred gum swab (96%) over fingerprick tests (69%), but would prefer a blood test if it gave results for other sexually transmitted infections (STIs) (86%). Five percent reported difficulties performing the test, four percent with storage, and 26% with portability. Ninety-three percent reported likelihood of using HIVST to test partners in future, but only 3% were willing to pay the current price. Efforts to improve HIVST uptake should focus on incorporating testing for other STIs, reducing test kit size, and reducing cost.
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