Yan L, Xiao P P, Yan H J, Huan X P, Fu G F, Li J J, Yang H T
Department of Epidemiology and Health Statistics, College of Public Health, Southeast University, Nanjing 210009, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Nov 6;51(11):1053-1056. doi: 10.3760/cma.j.issn.0253-9624.2017.11.020.
At present, China's AIDS testing increased rapidly, but there are still many people living with HIV do not recognize their status, thus postponing the antiviral treatment time. HIV self-testing (HST) is an effective method to expand the testing, not only simple operation, easy to get a result, effectively protect the detection privacy, expand the selection of testers, suit to the entire population, but also the premise and basis of other AIDS comprehensive prevention measures, all over the world are promoting it. Because the HST has controversies in the window period, price and before and after controversial, and our country is in the initial stage of HST, so it is not to develop related policies, but more and more countries are in accordance with their own situations are modified or developed to allow to use rapid detection of AIDS policy to regulate the field. This paper analyzed and summarized the advantage and influence factors of HST promotion, HST believes that in the long term, the advantages outweigh the disadvantages, we need to formulate relevant policies, and improve the sensitivity of the kit, shorten the window period of time, production and promotion of operation standard of video, specification and testing the operating practices, preventing and reporting the possible social harm, investigation and understanding of the needs of the people of the crowd, to maximize the advantages of HST, find more infection, so as to curb the epidemic of AIDS.
目前,中国艾滋病检测量增长迅速,但仍有许多艾滋病病毒感染者未意识到自身感染状况,从而延误了抗病毒治疗时机。艾滋病病毒自我检测(HIV自测试)是扩大检测的有效方法,不仅操作简单、出结果容易,能有效保护检测隐私、扩大检测对象选择范围、适用于全体人群,还是其他艾滋病综合预防措施的前提和基础,全球都在推广。由于HIV自测试在窗口期、价格及前后处理方面存在争议,且我国处于HIV自测试的起步阶段,所以尚未制定相关政策,但越来越多的国家正根据自身情况修改或制定允许使用艾滋病快速检测的政策来规范该领域。本文分析总结了HIV自测试推广的优势及影响因素,认为从长远来看,其利大于弊,需制定相关政策,提高检测试剂盒灵敏度,缩短窗口期,制作并推广操作规范视频,规范检测操作流程,预防和报告可能出现的社会危害,调查了解人群需求,最大限度发挥HIV自测试的优势,发现更多感染者,从而遏制艾滋病疫情。