纽约市艾滋病毒自我检测的知识、态度和接受程度。

IF 1.4 4区 医学 Q4 IMMUNOLOGY
Abhishek R Mogili, Omi Singh, Parth Dhruve, Anna Martens, Rachel Kasdin, Sarah Weihl, Bashar Zaidat, Matthew Erdos, Beverly Forsyth
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引用次数: 0

摘要

艾滋病毒检测是一项重要的预防策略。在2019冠状病毒病大流行期间,许多提供免费艾滋病毒检测的社区组织无法提供面对面的服务。免费艾滋病毒自我检测(HIVST)等创新提供了一种解决方案,可以在临床环境之外进行,有助于解决成本、可获得性和污名等障碍。然而,在美国等资源丰富的环境中,艾滋病毒感染的接受程度仍然很低,将其纳入现有艾滋病毒服务的最佳做法仍未确定。方法男同性恋健康危机(GMHC)与纽约市卫生局(NYCDOHMH)合作,分发免费的艾滋病毒检测试剂盒。从2023年4月到2月,收集了调查数据,以评估客户障碍和艾滋病毒感染者在差异化服务模式中的作用。结果本次调查共有201名参与者,其中现场测试组151人,在家测试组50人。该研究显示,34.7%的现场受访者不知道艾滋病毒感染是一种选择。与现场检测结果相比,现场检测人员更不可能相信hiv检测结果,所有检测人员更有可能选择他们以前使用的相同方法。尽管如此,人们还是对艾滋病毒感染感兴趣:24%的亲自测试者表示对下次测试有兴趣。结论shivst可在医疗卫生系统分散、护理连续性有限的环境中作为现场检测的补充。答复者表现出对艾滋病毒传播的认识较低,但有明显的兴趣,这表明它有可能改善获取途径,特别是对于更有可能使用它而不是面对面选择的人群。需要进一步研究以优化现有服务模式下艾滋病毒感染的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HIV self-testing knowledge, attitudes, and acceptance in New York City.

BackgroundHIV testing is a critical strategy for prevention. During the COVID-19 pandemic, many community-based organizations (CBOs) offering free HIV testing were unable to provide in-person services. Innovations like free HIV Self-Testing (HIVST), provided a solution and can be done outside clinical settings, help address barriers such as cost, availability, and stigma. However, HIVST uptake remains low in resource-rich settings like the US, and best practices for integrating it into existing HIV services are still undetermined.MethodsGay Men's Health Crisis (GMHC) partnered with the NYC Health Department (NYCDOHMH) to distribute free HIVST kits. From April to February 2023, survey data was collected to assess client barriers and HIVST's role in a differentiated service model.ResultsThe survey had 201 participants, 151 in the in-person testing group and 50 in the at-home group. The study revealed that 34.7% of in-person respondents were unaware that HIVST was an option. In-person testers were less likely to trust an HIVST test result compared with an in-person test result, and all testers were more likely to choose the same method they previously used. Nevertheless, there was interest in HIVST: 24% of in-person testers indicated interest in HIVST for their next test.ConclusionsHIVST can supplement in-person testing in settings with fragmented healthcare systems and limited continuity of care. Respondents demonstrated low awareness but notable interest in HIVST, suggesting its potential to improve access, particularly for populations more likely to use it than in-person options. Further research is needed to optimize HIVST implementation within existing service models.

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来源期刊
CiteScore
2.60
自引率
7.10%
发文量
144
审稿时长
3-6 weeks
期刊介绍: The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).
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