Centre for the AIDS Programme of Research in South Africa, Durban, South Africa.
Department of Epidemiology, Columbia University, New York, New York, United States of America.
PLoS One. 2019 Feb 22;14(2):e0212343. doi: 10.1371/journal.pone.0212343. eCollection 2019.
Repeat HIV testing is important in high HIV burden communities to enable sustainability of prevention initiatives; however, an understanding of repeat testing practices is limited. Additional HIV testing approaches may be required to increase testing. HIV self-testing is an additional testing approach, but knowledge on its potential for repeat testing is limited. This study explored repeat HIV testing practices and uptake of HIV self-testing among repeat testers, following exposure to HIV self-testing. HIV testing practices were explored at two time points. During Phase 1, eighty in-depth interviews were conducted among 40 consenting adults, and 30 telephonic contacts were completed during Phase 2. Framework analysis was used to analyse the transcripts from the in-depth interviews. The practice of repeat HIV testing is primarily influenced by HIV status awareness and risk exposure. Thirteen regular testers and one HIV naïve tester at baseline had undergone repeat testing through the use of a traditional testing approach such as HIV counselling and testing as reported in Phase 2. HIV self-testing has a role among repeat testers, but affordability and access are barriers.
在 HIV 负担沉重的社区中，重复进行 HIV 检测对于预防措施的可持续性非常重要；然而，人们对重复检测的实践了解有限。可能需要采用其他 HIV 检测方法来增加检测。HIV 自我检测是一种额外的检测方法，但对其重复检测潜力的了解有限。本研究旨在探索重复检测者在接触 HIV 自我检测后的重复 HIV 检测实践和 HIV 自我检测的采用情况。在两个时间点探索了 HIV 检测实践。在第 1 阶段，对 40 名同意的成年人进行了 80 次深入访谈，在第 2 阶段完成了 30 次电话联系。采用框架分析方法对深入访谈的转录本进行分析。重复 HIV 检测的实践主要受到 HIV 状态意识和风险暴露的影响。在第 2 阶段报告中，13 名定期检测者和 1 名 HIV 初筛阴性检测者通过传统检测方法（如 HIV 咨询和检测）进行了重复检测。HIV 自我检测在重复检测者中有一定的作用，但负担能力和获取途径是障碍。
