Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Health Economic Research Unit, Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada.
Clin Infect Dis. 2023 Jun 16;76(12):2206-2208. doi: 10.1093/cid/ciad103.
Data from several modeling studies demonstrate that large-scale increases in human immunodeficiency virus (HIV) testing across settings with a high burden of HIV may produce the largest incidence reductions to support the US Ending the HIV Epidemic (EHE) initiative's goal of reducing new HIV infections 90% by 2030. Despite US Centers for Disease Control and Prevention's recommendations for routine HIV screening within clinical settings and at least yearly screening for individuals most at risk of acquiring HIV, fewer than half of US adults report ever receiving an HIV test. Furthermore, total domestic funding for HIV prevention has remained unchanged between 2013 and 2019. The authors describe the evidence supporting the value of expanded HIV testing, identify challenges in implementation, and present recommendations to address these barriers through approaches at local and federal levels to reach EHE targets.
来自多项建模研究的数据表明，在 HIV 负担沉重的环境中，大规模增加人类免疫缺陷病毒（HIV）检测可能会产生最大的发病率降低，以支持美国终结艾滋病毒流行倡议（EHE）的目标，即在 2030 年将新感染 HIV 的人数减少 90%。尽管美国疾病控制与预防中心建议在临床环境中进行常规 HIV 筛查，并至少每年对最易感染 HIV 的人群进行筛查，但不到一半的美国成年人报告曾接受过 HIV 检测。此外，2013 年至 2019 年，美国国内用于 HIV 预防的总资金保持不变。作者描述了支持扩大 HIV 检测价值的证据，确定了实施过程中的挑战，并提出了建议，通过地方和联邦各级的方法来解决这些障碍，以实现 EHE 目标。
