aCenter for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University, Durham bDepartment of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina cDivision of Epidemiology and Community Health, School of Public Health, University of Minneapolis, Minneapolis, Minnesota dInstitute for Global Health and Infectious Diseases, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Curr Opin HIV AIDS. 2017 Sep;12(5):425-431. doi: 10.1097/COH.0000000000000400.
PURPOSE OF REVIEW: Technology-based HIV self-testing (HST) interventions have the potential to improve access to HIV testing among gay, bisexual, and other MSM, as well as address concerns about HST use, including challenges with linkage to appropriate follow-up services. This review examines studies that use technology-based platforms to increase or improve the experience of HST among MSM. RECENT FINDINGS: Seven published studies and eight funded studies were included in this review. Comprehensive prevention interventions with free HST kit distribution and interventions that provide free HST kits and support the HST process address a greater number of barriers (e.g., access, correct use of testing kits, and correct interpretation of results) than studies that only distribute free HST kits through technology-based platforms. SUMMARY: By addressing HIV-testing barriers and specific HST concerns, these interventions address a critical need to improve first time and repeat testing rates among MSM. Additional research is needed to determine the efficacy of recent formative HST interventions. If proven efficacious, scale-up of these strategies have the potential to increase HIV testing among MSM via expanded HST uptake.
目的综述：基于技术的 HIV 自我检测（HST）干预措施有可能改善男同性恋、双性恋和其他男男性行为者（MSM）获得 HIV 检测的机会，并解决对 HST 使用的担忧，包括与适当的后续服务联系的挑战。本综述考察了使用基于技术的平台来增加或改善 MSM 进行 HST 的体验的研究。
最新发现：本综述纳入了 7 项已发表的研究和 8 项资助研究。综合预防干预措施，包括免费提供 HST 检测包以及提供免费 HST 检测包并支持 HST 检测过程的干预措施，解决了更多的障碍（例如，获得检测包、正确使用检测包以及正确解释检测结果），而不仅仅是通过基于技术的平台分发免费 HST 检测包的研究。
总结：通过解决 HIV 检测障碍和特定的 HST 问题，这些干预措施满足了改善 MSM 首次和重复检测率的迫切需求。需要进一步研究来确定最近的 HST 干预措施的效果。如果被证明有效，这些策略的推广有可能通过扩大 HST 的使用来增加 MSM 的 HIV 检测。
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