School of Social and Behavioral Health Sciences, Hallie E Ford Center for Healthy Children and Families, College of Public Health and Human Sciences, Oregon State University, 401 Waldo Hall, Corvallis, OR, 97331, USA.
School of Public Health, University of Michigan, Ann Arbor, USA.
AIDS Behav. 2020 Feb;24(2):395-403. doi: 10.1007/s10461-019-02711-5.
Oral-Self Implemented HIV Testing (Oral-SIT) offers a low-cost way to extend the reach of HIV testing systems. It is unclear, however, if high risk populations are able to perform the test with high fidelity. Using a simulation-based research design, we administered desensitized Oral-SIT kits to African American MSM (AAMSM; 17-24 years, N = 178). Participants were HIV negative or never tested, and had never self-administered an Oral-SIT kit. We assessed performance fidelity, and hypothesized antecedents. High levels of social stigma were associated with lower levels of training knowledge (Range = No Errors: 51.9%, 4 Errors: 0.6%) and performance fidelity (Range = No Errors: 39.9%, 3 Errors: 1.7%). Training knowledge and prior testing history were positively associated with performance fidelity. The present work extends research on HIV-related social stigma and suggests that social stigma inhibits knowledge acquisition and task performance. The Oral-SIT training materials were understood by individuals with a wide-range of educational backgrounds. Interventions are needed, however, to further improve Oral-SIT performance fidelity.
口腔自我实施 HIV 检测 (Oral-SIT) 提供了一种低成本的方法来扩大 HIV 检测系统的覆盖面。然而，高风险人群是否能够高度准确地进行检测尚不清楚。本研究采用基于模拟的研究设计，向非裔美国男男性行为者 (AAMSM; 17-24 岁，N=178) 提供脱敏的 Oral-SIT 试剂盒。参与者 HIV 检测结果为阴性或从未接受过检测，且从未自行进行过 Oral-SIT 检测。我们评估了性能准确性，并假设了其前提条件。高水平的社会污名将与较低的培训知识水平（无错误范围：51.9%，4 个错误：0.6%）和性能准确性（无错误范围：39.9%，3 个错误：1.7%）相关。培训知识和先前的检测史与性能准确性呈正相关。本研究扩展了与 HIV 相关的社会污名研究，并表明社会污名将抑制知识的获取和任务的完成。Oral-SIT 培训材料被具有广泛教育背景的个体所理解。然而，需要采取干预措施来进一步提高 Oral-SIT 的性能准确性。
