University of Texas at Arlington, Arlington, TX, USA.
Yale University School of Public Health, New Haven, CT, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241291758. doi: 10.1177/21501319241291758.
HIV affects 1.2 million Americans, with 20% of new diagnoses being 13 to 24-year-olds. Young adult college students are more likely than the general population of 18 to 24-year-olds in the U.S. to engage in sexual practices that increase their risk of STIs.
This scoping review explores factors that promote or hinder STD/STI/HIV self-testing among U.S. college students.
A scoping review of original, experimental (randomized or nonrandomized), observational (longitudinal and cross-sectional), and qualitative or mixed-methods U.S. research was conducted using OVID Medline, OVID Embase, PubMed, CINAHL, Web of Science Core Collection, and Cochrane CENTRAL. English-language studies measured STD/STI/HIV self-test kits and college student testing.
Inclusion and exclusion criteria were used to narrow down articles that addressed barriers and facilitators to STD/STI/HIV testing, and self-testing among college students in the U.S.
Database searches yielded 8,373 articles. After removing duplicates, 6173 items remained. After independent dual-title/abstract screening, 100 papers were full-text reviewed. Seven retrieved articles were unavailable, and 93 were selected for full-text screening. After reviewing the whole text, 89 papers did not fulfill the inclusion requirements and were deleted, leaving 4 articles in the final analysis.
Additional research on self-testing among college students in the U.S. is urgently required. The results should guide university health policies on the need to cater to the unique requirements of college students by increasing the availability of healthcare and embracing STD/STI/HIV self-testing. This can enhance testing rates, diminish stigmas, and ultimately contribute to wider endeavors to reduce the transmission of infections in the U.S.
HIV 影响了 120 万美国人，其中 20%的新诊断病例是 13 至 24 岁的年轻人。美国 18 至 24 岁的年轻人中，年轻的大学生比普通人群更有可能进行增加性传播感染风险的性行为。
本范围综述探讨了促进或阻碍美国大学生进行性传播感染/性传播感染/艾滋病毒自我检测的因素。
使用 OVID Medline、OVID Embase、PubMed、CINAHL、Web of Science 核心合集和 Cochrane CENTRAL 对美国的原始、实验（随机或非随机）、观察（纵向和横断面）和定性或混合方法的原创性研究进行了范围综述。英语研究测量了性传播感染/性传播感染/艾滋病毒自我检测试剂盒和大学生检测。
使用纳入和排除标准来缩小文章范围，这些文章解决了美国大学生性传播感染/性传播感染/艾滋病毒检测和自我检测的障碍和促进因素。
数据库搜索产生了 8373 篇文章。去除重复项后，仍有 6173 篇。经过独立的双重标题/摘要筛选，有 100 篇论文进行了全文审查。有 7 篇检索到的文章无法获得，有 93 篇被选作全文筛选。全文审查后，有 89 篇文章不符合纳入要求并被删除，最终有 4 篇文章进入分析。
迫切需要对美国大学生的自我检测进行更多的研究。研究结果应指导大学健康政策，通过增加医疗保健的可及性并接受性传播感染/性传播感染/艾滋病毒自我检测，满足大学生的独特需求。这可以提高检测率，减少耻辱感，并最终有助于更广泛地努力减少美国感染的传播。
