Department of Emergency Medicine, Weill Cornell Medicine, 525 East 68th Street, M-130, New York, NY, 10065, USA.
Weill Cornell Center for Global Health, New York, NY, USA.
Curr HIV/AIDS Rep. 2022 Jun;19(3):184-193. doi: 10.1007/s11904-022-00602-4. Epub 2022 Apr 20.
HIV testing is the critical first step to direct people living with HIV (PLWH) to treatment. However, progress is still being made towards the UNAIDS benchmark of 95% of PLWH knowing their status by 2030. Here, we discuss recent interventions to improve HIV testing uptake in global settings.
Successful facility-based HIV testing interventions involve couples and index testing, partner notification, and offering of incentives. Community-based interventions such as home-based self-testing, mobile outreach, and hybrid approaches have improved HIV testing in low-resource settings and among priority populations. Partnerships with trusted community leaders have also increased testing among populations disproportionally impacted by HIV. Recent HIV testing interventions span a breadth of facility- and community-based approaches. Continued research is needed to engage men in sub-Saharan Africa, people who inject drugs, and people who avoid biomedical care. Interventions should consider supporting linkage to care for newly diagnosed PLWH.
HIV 检测是将 HIV 感染者(PLWH)直接转至治疗的关键第一步。然而,要实现到 2030 年联合国艾滋病规划署(UNAIDS)95%的 PLWH 知晓其 HIV 感染状况的基准目标,仍需做出努力。在此,我们讨论了最近为提高全球环境下 HIV 检测率而采取的干预措施。
成功的基于机构的 HIV 检测干预措施涉及夫妻和索引检测、伴侣通知和激励措施。基于社区的干预措施,如家庭自我检测、流动外展和混合方法,已在资源匮乏环境中和重点人群中提高了 HIV 检测率。与值得信赖的社区领导人建立伙伴关系也增加了受 HIV 影响不成比例的人群的检测率。最近的 HIV 检测干预措施涵盖了广泛的基于机构和社区的方法。仍需要继续研究,以鼓励撒哈拉以南非洲地区的男性、注射毒品者和避免生物医学护理的人群进行检测。干预措施应考虑支持新诊断为 PLWH 的患者向治疗机构的转介。