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新冠疫情期间的家庭 HIV 自检:在渥太华实施 GetaKit 项目。

At-home HIV self-testing during COVID: implementing the GetaKit project in Ottawa.

机构信息

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.

出版信息

Can J Public Health. 2021 Aug;112(4):587-594. doi: 10.17269/s41997-021-00505-8. Epub 2021 May 17.


DOI:10.17269/s41997-021-00505-8
PMID:33999399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8127455/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/425e13e220fc/41997_2021_505_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/eb3a60056f77/41997_2021_505_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/64da3ac6170f/41997_2021_505_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/425e13e220fc/41997_2021_505_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/eb3a60056f77/41997_2021_505_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/64da3ac6170f/41997_2021_505_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac0c/8225743/425e13e220fc/41997_2021_505_Fig3_HTML.jpg

相似文献

[1]
At-home HIV self-testing during COVID: implementing the GetaKit project in Ottawa.

Can J Public Health. 2021-8

[2]
HIV self-testing in Ottawa, Canada used by persons at risk for HIV: The GetaKit study.

Can Commun Dis Rep. 2021-10-14

[3]
HIV self-testing enabled access to testing for Black persons: The GetaKit study.

Res Nurs Health. 2023-4

[4]
Increasing Access to HIV Testing Through Direct-to-Consumer HIV Self-Test Distribution - United States, March 31, 2020-March 30, 2021.

MMWR Morb Mortal Wkly Rep. 2021-9-24

[5]
Targeted HIV Self-Testing Identifies Persons with Undiagnosed HIV and Active Engagement Links them to Care: The GetaKit Study.

AIDS Behav. 2024-6

[6]
Invalid Results in the GetaKit Study in Ottawa: A Real-World Observation of the INSTI® HIV Self-test Among Persons At Risk for HIV.

J Assoc Nurses AIDS Care.

[7]
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Can J Public Health. 2023-10

[8]
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Lancet HIV. 2020-10-9

[9]
An observed, prospective field study to evaluate the performance and acceptance of a blood-based HIV self-test in Canada.

BMC Public Health. 2021-7-18

[10]
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引用本文的文献

[1]
A prospective multi-site study to evaluate the performance and usability of an oral fluid-based HIV self-test in Canada.

BMC Public Health. 2025-1-11

[2]
Approach to sexually transmitted infection testing for men who have sex with men.

Can Fam Physician. 2024

[3]
Multi-level Factors Associated with HIV Late Presentation with Advanced Disease and Delay Time of Diagnosis in South Carolina, 2005-2019.

AIDS Behav. 2024-10

[4]
Targeted HIV Self-Testing Identifies Persons with Undiagnosed HIV and Active Engagement Links them to Care: The GetaKit Study.

AIDS Behav. 2024-6

[5]
Real world outcomes of distributing Lucira Check-It® COVID self-tests in Ontario, Canada: the GetaKit COVID study.

BMC Public Health. 2024-2-15

[6]
Counseling Supporting HIV Self-Testing and Linkage to Care Among Men Who Have Sex With Men: Systematic Review and Meta-Analysis.

JMIR Public Health Surveill. 2024-1-24

[7]
Patient perspectives on the role of nurses in HIV pre-exposure prophylaxis care (PrEP-RN).

PLoS One. 2023

[8]
Impact of COVID-19 on the Care of Patients with HIV Infection.

J Clin Med. 2023-6-7

[9]
Evaluating the Impact of the COVID-19-Related Public Health Restrictions on Access to Digital Sexually Transmitted and Blood-Borne Infection Testing in British Columbia, Canada: An Interrupted Time Series Analysis.

Sex Transm Dis. 2023-9-1

[10]
First-time testers in the GetaKit study: conceptualizing new paths to care for gbMSM.

Health Promot Int. 2023-4-1

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