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The HIV self-testing debate: where do we stand?

作者信息

Gagnon Marilou, French Martin, Hébert Yamilee

机构信息

School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H8M5, Canada.

Department of Sociology and Anthropology, Faculty of Arts and Science, Concordia University, 1455 de Maisonneuve Blvd. W. Montréal, Ottawa, H3G 1M8, Canada.

出版信息

BMC Int Health Hum Rights. 2018 Jan 18;18(1):5. doi: 10.1186/s12914-018-0146-6.


DOI:10.1186/s12914-018-0146-6
PMID:29347929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5774103/
Abstract

BACKGROUND: Emphasis on HIV testing as a gateway to prevention, treatment and care has grown tremendously over the past decade. In turn, this emphasis on testing has created a demand for new policies, programs, and technologies that can potentially increase access to and uptake of HIV testing. HIV self-testing (HST) technologies have gained important momentum following the approval of the over-the-counter self-tests in the United States, the UK, and France. While the renewed interest in HST has given rise to a number of high quality reviews of empirical studies conducted on this topic, we have yet to find an article that captures the extent of the debate on HST. MAPPING THE DEBATE: A critical review of the literature on HST was conducted and organized into three categories based on the focus of the article: 1) Empirical research, 2) Arguments, and 3) Context. We focused exclusively on the second category which included ethical analyses, policy analyses, editorials, opinion pieces, commentaries, letters to the editor and so forth. 10 lines of argument on HST were identified in the literature: 1) Individual - Public Health, 2) Strengths - Limits, 3) Benefits - Harms, 4) Screening - Testing, 5) Target - Market, 6) Health Care - Industry, 7) Regulation - Restriction, 8) Resource-Rich Settings - Resource-Limited Settings, 9) Ethical - Unethical, and 10) Exceptionalism - Normalization. Each line of argument is presented and discussed in the paper. CONCLUSION: We conclude by providing examples of critical questions that should be raised in order to take the debate to another level and generate new ways of thinking about HST.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/1e5df13bb0d8/12914_2018_146_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/0d7c8aeaa9e9/12914_2018_146_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/9fe7f22cf4d7/12914_2018_146_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/1e5df13bb0d8/12914_2018_146_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/0d7c8aeaa9e9/12914_2018_146_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/9fe7f22cf4d7/12914_2018_146_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b1/5774103/1e5df13bb0d8/12914_2018_146_Fig3_HTML.jpg

相似文献

[1]
The HIV self-testing debate: where do we stand?

BMC Int Health Hum Rights. 2018-1-18

[2]
A Global Review of HIV Self-testing: Themes and Implications.

AIDS Behav. 2018-2

[3]
Acceptability of HIV self-testing: a systematic literature review.

BMC Public Health. 2013-8-8

[4]
HIV self-testing in resource-limited settings: regulatory and policy considerations.

AIDS Behav. 2014-7

[5]
Using technology to support HIV self-testing among MSM.

Curr Opin HIV AIDS. 2017-9

[6]
Ethical implications of HIV self-testing.

J Med Ethics. 2015-10

[7]
[The advance of detection technology of HIV self-testing].

Zhonghua Yu Fang Yi Xue Za Zhi. 2017-11-6

[8]
HIV Self-Testing: a Review of Current Implementation and Fidelity.

Curr HIV/AIDS Rep. 2016-4

[9]
Ethical implications of HIV self-testing: the game is far from being over.

Pan Afr Med J. 2016-10-26

[10]
Rapid HIV screening in the emergency department.

Emerg Med Clin North Am. 2010-5

引用本文的文献

[1]
A community-based study of intention to use HIV self-testing among young people in urban areas of southern Ethiopia.

Sci Rep. 2024-11-3

[2]
Acceptability and use of HIV self-testing among young people in sub-Saharan Africa: a mixed methods systematic review.

BMC Prim Care. 2024-10-15

[3]
Advances in HIV self-testing: Systematic review of current developments and the road ahead in high-burden countries of Africa.

SAGE Open Med. 2023-12-29

[4]
Randomized Clinical Trial of Stigma Counseling and HIV Testing Access Interventions to Increase HIV Testing Among Black Sexual Minority Men and Transwomen.

Prev Sci. 2024-5

[5]
Coerced syphilis self-testing among men who have sex with men: a nationwide cross-sectional study in China.

BMC Infect Dis. 2022-5-23

[6]
Assessing Values and Preferences Toward SARS-CoV-2 Self-testing Among the General Population and Their Representatives, Health Care Personnel, and Decision-Makers: Protocol for a Multicountry Mixed Methods Study.

JMIR Res Protoc. 2021-11-26

[7]
Level of knowledge, acceptability, and willingness to use oral fluid HIV self-testing among medical students in Kilimanjaro region, Tanzania: a descriptive cross-sectional study.

AIDS Res Ther. 2020-9-9

[8]
A systematic review of qualitative evidence on factors enabling and deterring uptake of HIV self-testing in Africa.

BMC Public Health. 2019-10-15

[9]
The HIV/AIDS pandemic will not end by the year 2030 in low and middle income countries.

Pan Afr Med J. 2019-2-7

[10]
HIV Self-Testing Increases HIV Testing Frequency in High-Risk Men Who Have Sex With Men: A Randomized Controlled Trial.

J Acquir Immune Defic Syndr. 2018-8-15

本文引用的文献

[1]
Attitudes and Acceptability on HIV Self-testing Among Key Populations: A Literature Review.

AIDS Behav. 2015-11

[2]
"HIV self-test kits are a step forward but questions remain".

Nurs Times. 2014

[3]
Arguments for and against HIV self-testing.

HIV AIDS (Auckl). 2014-8-2

[4]
A review of the evidence of harm from self-tests.

AIDS Behav. 2014-7

[5]
Realizing the potential for HIV self-testing.

AIDS Behav. 2014-7

[6]
Unsupervised self-testing as part public health screening for HIV in resource-poor environments: some ethical considerations.

AIDS Behav. 2014-7

[7]
HIV self-testing in resource-limited settings: regulatory and policy considerations.

AIDS Behav. 2014-7

[8]
Modelling the potential population impact and cost-effectiveness of self-testing for HIV: evaluation of data requirements.

AIDS Behav. 2014-7

[9]
The ethical, legal and human rights concerns raised by licensing HIV self-testing for private use.

AIDS Behav. 2014-7

[10]
Can the HIV home test promote access to care? Lessons learned from the in-home pregnancy test.

AIDS Behav. 2014-12

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