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非处方HIV自我检测的批准与潜在用途:西班牙一项街头HIV快速检测项目参与者的看法

Approval and potential use of over-the-counter HIV self-tests: the opinion of participants in a street based HIV rapid testing program in Spain.

作者信息

Rosales-Statkus M Elena, de la Fuente Luis, Fernández-Balbuena Sonia, Figueroa Carmen, Fernàndez-López Laura, Hoyos Juan, Ruiz Mónica, Belza M José

机构信息

Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Pabellón 12. Calle Monforte de Lemos, 5, 28029, Madrid, Spain.

出版信息

AIDS Behav. 2015 Mar;19(3):472-84. doi: 10.1007/s10461-014-0975-9.

DOI:10.1007/s10461-014-0975-9
PMID:25537965
Abstract

HIV self-testing, not yet available in Spain, is a strategy thought to be able to increase the number of people tested and testing frequency. 3,373 attenders of a street-based HIV rapid-testing program gave their opinion on authorizing over-the-counter self-tests and a potentially shorter lead time if self-tests were available. 88.0 % of participants were in favor of authorization, 9.2 % had no clear opinion and 2.8 % were against. 54.6 % of men who have sex with men (MSM), 38.4 % of men who have sex with women and 36.3 % of women acknowledged a potential for lead time reduction. Potential lead time was associated with being ≥35 years, having a university degree, never injected drugs, previous HIV tests and being concerned about an HIV positive result, and in MSM, also having ≥5 partners. Self-testing seems a promising strategy for Spain: its authorization is supported by nearly all potential users and almost three quarters of MSM would have opted to advance their current testing if self-tests were available.

摘要

西班牙尚未提供艾滋病毒自我检测,这是一种据信能够增加检测人数和检测频率的策略。3373名参加街头艾滋病毒快速检测项目的人员就批准非处方自我检测以及如果有自我检测可能缩短的准备时间发表了意见。88.0%的参与者赞成批准,9.2%没有明确意见,2.8%反对。54.6%的男男性行为者、38.4%的男女异性性行为者和36.3%的女性承认有缩短准备时间的可能性。潜在的准备时间与年龄≥35岁、拥有大学学位、从未注射过毒品、以前进行过艾滋病毒检测以及担心艾滋病毒检测结果呈阳性有关,在男男性行为者中,还与拥有≥5个性伴侣有关。自我检测对西班牙来说似乎是一个有前景的策略:几乎所有潜在用户都支持批准自我检测,并且如果有自我检测,近四分之三的男男性行为者会选择提前进行当前的检测。

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