Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Department of Medicine, STAR Program, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, MSC 1240, Brooklyn, NY, 11203-2012, USA.
AIDS Behav. 2024 Jan;28(1):93-104. doi: 10.1007/s10461-023-04136-7. Epub 2023 Jul 26.
Assessment of HIV viral load based on laboratory results is the gold standard in HIV care and research. However, blood assay or accessing medical records is not always possible due to research or service contexts and constraints. Self-report of viral load test results expands data resources, is a convenient method of collecting data in both research and service settings, and is useful for HIV surveillance. The purpose of this scoping review was to identify existing literature on the validity of self-reported viral load data compared to blood assay or medical record review. We found that the existing literature is limited, with varied data collection methods, self-report measures, and study designs, as well as predictors of accuracy. Concordance between self-reported viral load and biomedical data varied across studies but appeared to be more consistent among samples recruited from clinical populations that reported engagement in HIV care. While it is difficult to draw definitive conclusions about the validity of self-reported viral load across existing studies, there is a need for a standardized measure and method of collection that can be utilized across diverse populations living with HIV.
基于实验室结果评估 HIV 病毒载量是 HIV 护理和研究的金标准。然而,由于研究或服务背景和限制,血液检测或查阅医疗记录并不总是可行的。自我报告的病毒载量检测结果扩展了数据资源,是在研究和服务环境中收集数据的一种方便方法,并且对 HIV 监测有用。本范围综述的目的是确定与血液检测或医疗记录审查相比,自我报告的病毒载量数据的有效性的现有文献。我们发现,现有文献有限,数据收集方法、自我报告措施和研究设计以及准确性的预测因素各不相同。自我报告的病毒载量与生物医学数据之间的一致性因研究而异,但在报告参与 HIV 护理的临床人群样本中似乎更为一致。虽然很难根据现有研究得出关于自我报告的病毒载量有效性的明确结论,但需要一种标准化的测量和收集方法,以便在不同的 HIV 感染者人群中使用。