HIV 自我检测：打开西非和中非地区“90-90-90 目标”的关键。
HIV self-testing: The key to unlock the first 90 in West and Central Africa.
机构信息
Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo; Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo; ISPED, Université de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France.
ISPED, Université de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France; Programme PACCI, site ANRS, Abidjan, Cote d'Ivoire.
出版信息
Int J Infect Dis. 2020 Jun;95:162-166. doi: 10.1016/j.ijid.2020.02.016. Epub 2020 Feb 15.
The West and Central African region (WCAR) still registers some of the highest rates of new HIV infections worldwide (16%) despite a low prevalence of HIV (1.9%). In this region, only 48% of people living with HIV are aware of their HIV status. To fill this gap, HIV Self testing (HIVST) could potentially be an additional approach to overcome the barriers to diagnose HIV infected patients, therefore being one of the keys to unlock the first 90 as recommended by the World Health Organization (WHO) since 2016. However, many challenges remain for the adoption of HIVST in routine clinical practice in low prevalence settings and need to be contextualized to WCAR settings. We report in this paper some of the challenges and discuss opportunities for a successful implementation of HIVST in the WCAR.
尽管西非和中非区域（WCAR）的艾滋病毒流行率较低（1.9%），但该区域仍是全世界新感染艾滋病毒率最高的地区之一（16%）。在该区域，仅有 48%的艾滋病毒感染者知晓其艾滋病毒状况。为了填补这一空白，艾滋病毒自我检测（HIVST）有可能成为一种额外的方法，以克服诊断艾滋病毒感染者的障碍，因此成为 2016 年世界卫生组织（世卫组织）建议的实现前 90 目标的关键之一。然而，在低流行地区将艾滋病毒自我检测纳入常规临床实践仍然面临许多挑战，需要结合 WCAR 地区的情况进行具体分析。本文报告了一些挑战，并讨论了在 WCAR 成功实施艾滋病毒自我检测的机会。
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