Centre for the AIDS Programme of Research in South Africa, Doris Duke Medical Research Institute, 2nd Floor, 719 Umbilo Road, Durban, 4013, South Africa.
Department of Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
AIDS Behav. 2018 Feb;22(2):560-568. doi: 10.1007/s10461-017-1848-9.
Several HIV testing models have been implemented in sub-Saharan Africa (SSA) to improve access to HIV testing, but uptake remains poor. HIV Self-Testing (HIVST) is now available, and may serve to overcome barriers of current testing models which include stigma, discrimination and non-confidential testing environments. A scoping study was conducted to provide an overview of the current literature in SSA, as well as identify future research needs to scale-up HIVST and increase HIV testing uptake. The outcome of the review indicated only 11 reported studies to date, showing variable acceptability (22.3-94%) of HIVST, with acceptability of HIVST higher among men than women in SSA. We conclude that research around HIVST in SSA is still in its infancy, and further implementation research and interventions are required to improve acceptability of HIVST among diverse study populations, failing which policy adoption and scale-up may be hindered.
几种艾滋病毒检测模式已在撒哈拉以南非洲(SSA)实施,以改善艾滋病毒检测的可及性,但检测率仍然很低。现在可以进行艾滋病毒自我检测(HIVST),这可能有助于克服当前检测模式的障碍,包括耻辱感、歧视和非保密的检测环境。进行了一项范围界定研究,以概述 SSA 目前的文献,并确定扩大 HIVST 和增加艾滋病毒检测采用率的未来研究需求。审查的结果表明,迄今为止只有 11 项报告的研究表明 HIVST 的可接受性(22.3-94%)各不相同,在 SSA,HIVST 的可接受性在男性中高于女性。我们的结论是,SSA 关于 HIVST 的研究仍处于起步阶段,需要进一步开展实施研究和干预措施,以提高不同研究人群对 HIVST 的可接受性,否则政策的采纳和推广可能会受到阻碍。
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