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在全球环境下增加 HIV 检测普及率的干预措施。

Interventions to Increase HIV Testing Uptake in Global Settings.

机构信息

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.

出版信息

Curr HIV/AIDS Rep. 2022 Jun;19(3):184-193. doi: 10.1007/s11904-022-00602-4. Epub 2022 Apr 20.


DOI:10.1007/s11904-022-00602-4
PMID:35441985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9110462/
Abstract

PURPOSE OF REVIEW: 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. RECENT FINDINGS: 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.

摘要

目的综述: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。

最近发现: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。

相似文献

[1]
Interventions to Increase HIV Testing Uptake in Global Settings.

Curr HIV/AIDS Rep. 2022-6

[2]
Strategies to increase couples HIV testing and counselling in sub-Saharan Africa: a systematic review.

J Int AIDS Soc. 2023-3

[3]
HIV testing approaches to reach the first UNAIDS 95% target in sub-Saharan Africa.

Lancet HIV. 2021-4

[4]
Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa.

Nature. 2015-12-3

[5]
"The targets…are driving the agenda and that probably needs to change": stakeholder perspectives on HIV partner notification in sub-Saharan Africa.

BMC Public Health. 2024-2-19

[6]
Mapping evidence of intervention strategies to improving men's uptake to HIV testing services in sub-Saharan Africa: A systematic scoping review.

BMC Infect Dis. 2019-6-6

[7]
HIV self-testing in adolescents living in Sub-Saharan Africa.

Med Mal Infect. 2020-11

[8]
A Systematic Review of HIV Testing Implementation Strategies in Sub-Saharan African Countries.

AIDS Behav. 2022-5

[9]
Processes and dynamics of linkage to care from mobile/outreach and facility-based HIV testing models in hard-to-reach settings in rural Tanzania. Qualitative findings of a mixed methods study.

AIDS Res Ther. 2018-11-20

[10]
Effective interventions to improve young adults' linkage to HIV care in Sub-Saharan Africa: a systematic review.

AIDS Care. 2017-10

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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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Am J Trop Med Hyg. 2024-11-5

[10]
Investigating the effectiveness of web-based HIV self-test distribution and linkage to HIV treatment and PrEP among groups at elevated risk of HIV in Viet Nam provinces: a mixed-methods analysis of implementation from pilot to scale-up.

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本文引用的文献

[1]
Traditional healer-delivered point-of-care HIV testing versus referral to clinical facilities for adults of unknown serostatus in rural Uganda: a mixed-methods, cluster-randomised trial.

Lancet Glob Health. 2021-11

[2]
Traditional healers to improve access to quality health care in Africa.

Lancet Glob Health. 2021-11

[3]
Partner-delivered HIV self-test kits with and without financial incentives in antenatal care and index patients with HIV in Malawi: a three-arm, cluster-randomised controlled trial.

Lancet Glob Health. 2021-7

[4]
Undetectable = Untransmittable (U = U) Messaging Increases Uptake of HIV Testing Among Men: Results from a Pilot Cluster Randomized Trial.

AIDS Behav. 2021-10

[5]
Factors associated with HIV testing among traditional healers and their clients in rural Uganda: Results from a cross-sectional study.

Int J STD AIDS. 2021-10

[6]
Cost and cost-effectiveness of a universal HIV testing and treatment intervention in Zambia and South Africa: evidence and projections from the HPTN 071 (PopART) trial.

Lancet Glob Health. 2021-5

[7]
Home-Based Intervention to Test and Start (HITS): a community-randomized controlled trial to increase HIV testing uptake among men in rural South Africa.

J Int AIDS Soc. 2021-2

[8]
Stigma reduction: an essential ingredient to ending AIDS by 2030.

Lancet HIV. 2021-2

[9]
Sex Differences in HIV Testing - 20 PEPFAR-Supported Sub-Saharan African Countries, 2019.

MMWR Morb Mortal Wkly Rep. 2020-12-4

[10]
Comparing the effects of HIV self-testing to standard HIV testing for key populations: a systematic review and meta-analysis.

BMC Med. 2020-12-3

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