School of Health Sciences, University of Dundee, Dundee, United Kingdom.
Faculty of Nursing, Laval University, Québec, QC, Canada.
Front Public Health. 2023 Jul 26;11:1180813. doi: 10.3389/fpubh.2023.1180813. eCollection 2023.
Conventional HIV testing performed by a health professional has shown its limitations in targeting marginalized and vulnerable populations. Indeed, men who have sex with men (MSM) due to social discrimination are often uncomfortable using this service at the health facilities level. In this perspective, new differentiated approaches have been thought through de-medicalized and decentralized HIV testing (DDHT). This HIV testing strategy enables overcoming the structural, legal, and social barriers that prevent these populations from quickly accessing HIV services. This article discusses the prerequisites and added value of implementing this strategy for MSM living in a criminalized context and its implication in decentralizing health services toward the community level.
传统的由卫生专业人员进行的 HIV 检测已经显示出其在针对边缘化和脆弱人群方面的局限性。实际上，由于社会歧视，男男性行为者（MSM）在卫生机构层面上使用这项服务时往往感到不自在。有鉴于此，人们已经想到了一些新的差异化方法，即非医疗化和去中心化的 HIV 检测（DDHT）。这种 HIV 检测策略能够克服阻碍这些人群快速获得 HIV 服务的结构性、法律性和社会性障碍。本文讨论了在刑法化背景下为 MSM 实施这一策略的前提条件和附加值，以及其对社区层面卫生服务去中心化的影响。
