Wandell Grace M, Molina Yamile, Sánchez Hugo, Greer Anna C, Ríos Jessica, Bain Carolyn, Segura Patricia, Lama Javier R, Sánchez Jorge, Duerr Ann
1 University of Washington School of Medicine, Seattle, WA, USA.
2 School of Public Health, University of Illinois, Chicago, IL, USA.
Int J STD AIDS. 2017 Sep;28(10):1010-1017. doi: 10.1177/0956462416685674. Epub 2017 Jan 6.
Immediate antiretroviral therapy (ART) for acute HIV infection (AHI) may decrease HIV transmission in high-risk populations. This study evaluated knowledge of AHI and AHI testing program preferences in Lima, Peru through four semi-structured focus groups with high-risk men who have sex with men (MSM) ( n = 20) and transgender women (TW) ( n = 16). Using content analysis, emergent themes included knowledge of AHI symptoms, AHI transmission potential, and the HIV testing window period, and preferences concerning point of care results. Participants demonstrated low familiarity with the term AHI, but many correctly identified AHI symptoms. However, these symptoms may not motivate testing because they overlap with common viral illnesses and AIDS. Some were aware that infectiousness is highest during AHI, and believe this knowledge would facilitate HIV testing. The shortened window period with AHI testing would encourage testing following high-risk sex. Delayed result notification would not decrease AHI testing demand among MSM, although it might for some TW.
对急性HIV感染（AHI）进行即时抗逆转录病毒治疗（ART）可能会降低高危人群中的HIV传播。本研究通过与男男性行为者（MSM，n = 20）和跨性别女性（TW，n = 16）进行四个半结构化焦点小组访谈，评估了秘鲁利马对AHI的了解情况以及AHI检测项目偏好。采用内容分析法，浮现出的主题包括对AHI症状的了解、AHI的传播潜力、HIV检测窗口期，以及对即时检测结果的偏好。参与者对AHI一词的熟悉程度较低，但许多人能正确识别AHI症状。然而，这些症状可能无法促使人们进行检测，因为它们与常见病毒性疾病和艾滋病的症状有重叠。一些人意识到AHI期间传染性最高，并认为这一认识会促进HIV检测。AHI检测缩短的窗口期会促使人们在高危性行为后进行检测。延迟结果通知不会降低MSM对AHI检测的需求，不过对一些TW可能会有影响。
