Grace Daniel, Steinberg Malcolm, Kwag Michael, Chown Sarah A, Doupe Glenn, Trussler Terry, Rekart Michael, Gilbert Mark
London School of Hygiene and Tropical Medicine, London, United Kingdom
Simon Fraser University, Vancouver, British Columbia, Canada.
Qual Health Res. 2015 Feb;25(2):205-17. doi: 10.1177/1049732314549813. Epub 2014 Sep 8.
Diagnosing HIV-positive gay men through enhanced testing technologies that detect acute HIV infection (AHI) or recent HIV infection provides opportunities for individual and population health benefits. We recruited 25 men in British Columbia who received an acute (n = 13) or recent (n = 12) HIV diagnosis to engage in a longitudinal multiple-methods study over one year or longer. Our thematic analysis of baseline qualitative interviews revealed insights within men's accounts of technologically mediated processes of HIV discovery and diagnosis. Our analysis illuminated the dialectic of new HIV technologies in practice by considering the relationship between advances in diagnostics (e.g., nucleic acid amplification tests) and the users of these medical technologies in clinical settings (e.g., clients and practitioners). Technological innovations and testing protocols have shifted experiences of learning of one's HIV-positive status; these innovations have created new diagnostic categories that require successful interpretation and translation to be rendered meaningful, to alleviate uncertainty, and to support public health objectives.
通过能够检测急性HIV感染（AHI）或近期HIV感染的增强检测技术来诊断HIV阳性的男同性恋者，为个人和人群健康带来了益处。我们在不列颠哥伦比亚省招募了25名男性，他们被诊断为急性（n = 13）或近期（n = 12）HIV感染，并参与了一项为期一年或更长时间的纵向多方法研究。我们对基线定性访谈的主题分析揭示了男性在通过技术手段发现和诊断HIV过程中的见解。我们的分析通过考虑诊断技术（如核酸扩增检测）的进步与临床环境中这些医疗技术的使用者（如患者和从业者）之间的关系，阐明了新型HIV技术在实践中的辩证关系。技术创新和检测方案改变了人们得知自己HIV阳性状态的经历；这些创新创造了新的诊断类别，需要成功地进行解读和转化，才能使其有意义、减轻不确定性并支持公共卫生目标。
