9762Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Lead Commissioner Sexual Health e-Service, The City of London Corporation, Guildhall, London, UK.
Int J STD AIDS. 2021 Oct;32(11):1036-1042. doi: 10.1177/09564624211014729. Epub 2021 May 12.
Maximising opportunities and removing barriers to HIV testing can help reduce the undiagnosed HIV population. Digital STI/HIV screening services have increased in availability and can improve access and testing coverage. We identified the characteristics of individuals who tested HIV positive using a regional, integrated, self-sampling STI service. The e-notes of service users with reactive HIV screening results were reviewed. Between 8 January 2018 and 31 December 2019, 0.097% (144/148,257) users received a reactive HIV result, 30/144 (20.8%) of whom had previously diagnosed HIV infection. All of the remaining 114 users were notified of their screening result, an estimated 109/114 (95.6%) received confirmatory testing (CT) at a sexual health clinic (SHC) and the confirmatory outcome was documented in 102/114 (89.5%) of cases: 34/114 (29.8%)were HIV positive, 68/114 (59.6%) HIV were negative and the result was unknown in 12/114 (10.5%). All new diagnoses transitioned to HIV outpatient care. These individuals were median age 28 years; 94.1% (32/34) male; 88.2% (30/34) men who have sex with men and 11.8% (4/34) heterosexual; 58.8% (20/34) of white/'white other' ethnicity and 42.2% of Black, Asian and minority ethnic group; 50%(17/34) had a concurrent STI; 9% and 21% had never tested for HIV or attended a SHC before. n HIV test reactivity rate of 0.1%(95% CI) was observed. Confirmed new HIV diagnoses comprised 0.023% of all HIV tests performed. All individuals where CT confirmed a new HIV diagnosis transitioned to HIV specialist care.
最大限度地增加艾滋病毒检测机会并消除障碍,可以帮助减少未被诊断的艾滋病毒人群。数字性传播感染/艾滋病毒筛查服务的可及性有所增加,可以改善获得途径和检测覆盖率。我们确定了使用区域性、综合性、自我采样性传播感染服务检测艾滋病毒呈阳性的个体特征。审查了有反应性艾滋病毒筛查结果的服务使用者的电子记录。2018 年 1 月 8 日至 2019 年 12 月 31 日期间,0.097%(144/148257)的用户收到了反应性艾滋病毒检测结果,其中 30/144(20.8%)之前已被诊断感染艾滋病毒。其余 114 名用户均收到了检测结果通知,估计有 109/114(95.6%)在性健康诊所(SHC)接受了确认性检测(CT),102/114(89.5%)的确认结果有记录:34/114(29.8%)为艾滋病毒阳性,68/114(59.6%)艾滋病毒阴性,12/114(10.5%)结果未知。所有新诊断均过渡到艾滋病毒门诊治疗。这些个体的中位年龄为 28 岁;94.1%(32/34)为男性;88.2%(30/34)为男男性行为者,11.8%(4/34)为异性恋;58.8%(20/34)为白种人/白种人以外的其他种族,42.2%为黑人、亚洲人和少数族裔;50%(17/34)同时患有性传播感染;9%和 21%之前从未接受过艾滋病毒检测或去过 SHC。观察到 HIV 检测反应率为 0.1%(95%CI)。新确诊的 HIV 诊断占所有 HIV 检测的 0.023%。所有经 CT 确认新 HIV 诊断的个体均过渡到 HIV 专科护理。
Can J Public Health. 2014-9-15
EClinicalMedicine. 2021-8-13