O'Byrne Patrick, Musten Alexandra, McCready Lance, Robinson Robin, Durrant Garfield, Tigert Jason, Orser Lauren
School of Nursing, University of Ottawa, Ontario, Ottawa, Canada.
University of Toronto, Ontario, Toronto, Canada.
Res Nurs Health. 2023 Apr;46(2):236-241. doi: 10.1002/nur.22293. Epub 2022 Dec 27.
In Ontario, new HIV diagnoses continue to affect gay, bisexual, and other men who have sex with men (gbMSM) and persons of African, Caribbean, or Black (ACB) ethnicities. Because treatment and suppressed viral loads flow from diagnosis, testing is key. We sought to determine the outcomes of online ordering and mail-out of free at-home HIV self-testing in Ontario, Canada. We implemented the GetaKit study to offer such free HIV self-testing using the INSTI® test and offered it via a website (GetaKit.ca) to eligible persons in Ontario. From April 1, 2021 to January 31, 2022, we distributed kits to 1551 persons; 40% were white and 26% were ACB. We found that ACB participants were less likely to fulfill established criteria for HIV PrEP, such as previous sexually transmitted infections diagnoses and drug use, despite having a similar test positivity rate. We also found that ACB women, who may represent a larger number of new infections than previously thought, did not have a higher rate of first-time testing. Our results suggest that HIV self-testing can enable testing, but that work is required to increase uptake among ACB persons and women. Overall, HIV self-testing thus corresponded with increased testing among persons who were Black, yet lower rates of results reporting. Patient or Public Contributions: Community members from the AIDS Committee of Ottawa, Max Ottawa, and Black Cap, and nurses from Ottawa Public Health were involved in the design, promotion, and implementation of this study.
在安大略省,新的艾滋病毒诊断病例继续影响着男同性恋者、双性恋者以及其他与男性发生性行为的男性(男男性行为者)和非洲、加勒比或黑人(ACB)族裔人群。由于治疗以及病毒载量的抑制都始于诊断,检测是关键。我们试图确定在加拿大安大略省通过在线订购和邮寄免费家用艾滋病毒自我检测的结果。我们开展了“获取试剂盒”研究,使用艾博特即时检测试剂提供此类免费艾滋病毒自我检测,并通过网站(GetaKit.ca)向安大略省符合条件的人群提供。从2021年4月1日至2022年1月31日,我们向1551人分发了检测试剂盒;其中40%为白人,26%为ACB族裔。我们发现,尽管ACB族裔参与者的检测阳性率相似,但他们满足艾滋病毒暴露前预防既定标准(如既往性传播感染诊断和药物使用情况)的可能性较小。我们还发现,ACB族裔女性可能代表着比此前认为的更多的新感染病例,但她们首次检测的比例并不高。我们的结果表明,艾滋病毒自我检测能够实现检测,但仍需努力提高ACB族裔人群和女性的检测接受度。总体而言,艾滋病毒自我检测与黑人人群检测率的提高相对应,但结果报告率较低。患者或公众贡献:渥太华艾滋病委员会、马克斯渥太华和黑帽组织的社区成员以及渥太华公共卫生部门的护士参与了本研究的设计,推广和实施。
Res Nurs Health. 2023-4
Health Promot Int. 2023-4-1
Can J Public Health. 2021-8
Can Commun Dis Rep. 2021-10-14
Womens Health (Lond). 2025
J Med Internet Res. 2025-3-4
Int J STD AIDS. 2025-5