School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 8M5, Canada.
Infectious Diseases and Sexual Health Services, Ottawa Public Health, Ottawa, Canada.
Can J Public Health. 2021 Aug;112(4):587-594. doi: 10.17269/s41997-021-00505-8. Epub 2021 May 17.
SETTING: In March 2020, COVID-19 shuttered access to many healthcare settings offering HIV testing and there is no licensed HIV self-test in Canada. INTERVENTION: A team of nurses at the University of Ottawa and Ottawa Public Health and staff from the Ontario HIV Treatment Network (OHTN) obtained Health Canada's Special Access approval on April 23, 2020 to distribute bioLytical's INSTI HIV self-test in Ottawa; we received REB approval on May 15, 2020. As of July 20, 2020, eligible participants (≥18 years old, HIV-negative, not on PrEP, not in an HIV vaccine trial, living in Ottawa, no bleeding disorders) could register via www.GetaKit.ca to order kits. OUTCOMES: In the first 6 weeks, 637 persons completed our eligibility screener; 43.3% (n = 276) were eligible. Of eligible participants, 203 completed a baseline survey and 182 ordered a test. These 203 participants were an average of 31 years old, 72.3% were white, 60.4% were cis-male, and 55% self-identified as gay. Seventy-one percent (n = 144) belonged to a priority group for HIV testing. We have results for 70.9% (n = 129/182) of participants who ordered a kit: none were positive, 104 were negative, 22 were invalid, and 2 "preferred not to say"; 1 participant reported an unreadiness to test. IMPLICATIONS: Our results show that HIV self-testing is a pandemic-friendly strategy to help ensure access to sexual health services among persons who are good candidates for HIV testing. It is unsurprising that no one tested positive for HIV thus far, given the 0.08% positivity rate for HIV testing in Ottawa. As such, we advocate for scale-up of HIV self-testing in Canada.
背景:2020 年 3 月,COVID-19 关闭了许多提供 HIV 检测的医疗保健机构,加拿大也没有获得许可的 HIV 自我检测。
干预措施:渥太华大学和渥太华公共卫生部门的一组护士以及安大略省艾滋病毒治疗网络(OHTN)的工作人员于 2020 年 4 月 23 日获得了加拿大卫生部的特殊准入批准,在渥太华分发 bioLytical 的 INSTI HIV 自我检测;我们于 2020 年 5 月 15 日获得了 REB 批准。截至 2020 年 7 月 20 日,符合条件的参与者(年龄≥18 岁,HIV 阴性,未服用 PrEP,未参加 HIV 疫苗试验,居住在渥太华,无出血性疾病)可通过 www.GetaKit.ca 注册订购试剂盒。
结果:在最初的 6 周内,有 637 人完成了我们的资格筛选;43.3%(n = 276)符合条件。在符合条件的参与者中,有 203 人完成了基线调查,182 人订购了检测。这些 203 名参与者的平均年龄为 31 岁,72.3%为白人,60.4%为顺性别男性,55%自认为是同性恋。71%(n = 144)属于 HIV 检测的优先群体。我们已经获得了 182 名订购试剂盒的参与者中的 70.9%(n = 129/182)的结果:无人阳性,104 人阴性,22 人无效,2 人“不愿回答”;1 名参与者表示尚未准备好接受检测。
意义:我们的结果表明,HIV 自我检测是一种适合大流行的策略,可以帮助确保那些适合 HIV 检测的人获得性健康服务。考虑到渥太华 HIV 检测的阳性率为 0.08%,目前尚未有人检测出 HIV 阳性,这并不奇怪。因此,我们倡导在加拿大扩大 HIV 自我检测。
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