Social Determinant of the Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
HIV/AIDS Control Office, Center for Communicable Diseases, Ministry of Health, Tehran, Iran.
Harm Reduct J. 2022 Jun 3;19(1):61. doi: 10.1186/s12954-022-00641-5.
This study aimed to evaluate the feasibility of using the HIV self-test in high-risk Iranian groups (MSM, FSWs, and TGs).
This study was a mixed study designed as a quantitative-qualitative study conducted between October 1, 2020, and June 22, 2021, in Tehran and Karaj, Iran. The sample size needed for this study generally was 1000 people, including FSWs, MSM, and transgender individuals. Convenience and snowball sampling methods were used to collect the samples.
A total of 930 eligible respondents were enrolled in the study, of whom 456 (49%) were female and 49 (5.3%) were transgender (98% of TGs were male to female), and their mean age was 33.63 years (10.54 SD). The feasibility of using HIV self-tests in Iranian high-risk groups was significantly high. The majority of participants (97%) did not have any confidentiality problems while preparing or performing the test. In general, feasibility was assessed based on five questions. The overall feasibility score was 6.33 (0.824 SD). Taking tests, reading HIV test results, finding a safe place to do the test, and accessing HIV self-tests showed a high average.
HIV self-testing was highly acceptable and feasible among high-risk populations, so routine HIV testing was efficiently possible.
本研究旨在评估在伊朗高危人群（男男性行为者、性工作者和跨性别者）中使用 HIV 自检的可行性。
本研究是一项混合研究，设计为定量-定性研究，于 2020 年 10 月 1 日至 2021 年 6 月 22 日在伊朗德黑兰和卡拉季进行。本研究一般需要 1000 名参与者，包括性工作者、男男性行为者和跨性别者。采用方便抽样和滚雪球抽样方法收集样本。
共有 930 名符合条件的受访者参加了研究，其中 456 名（49%）为女性，49 名（5.3%）为跨性别者（98%的跨性别者为男变女），他们的平均年龄为 33.63 岁（10.54 岁标准差）。在伊朗高危人群中使用 HIV 自检的可行性很高。大多数参与者（97%）在准备或进行测试时没有任何保密性问题。总体而言，可行性是根据五个问题来评估的。总体可行性得分为 6.33（0.824 岁标准差）。接受测试、阅读 HIV 测试结果、找到安全的测试地点和获取 HIV 自检均表现出较高的平均水平。
HIV 自检在高危人群中具有较高的可接受性和可行性，因此常规 HIV 检测是可行的。
