真实环境中自我管理的快速艾滋病毒尿液检测的准确性及艾滋病毒自我检测的个人偏好——中国广东省广州市，2020年7月至2021年2月
Accuracy of the Self-Administered Rapid HIV Urine Test in a Real-World Setting and Individual Preferences for HIV Self-Testing - Guangzhou City, Guangdong Province, China, July 2020-February 2021.
作者信息
Zhang Chunli, Li Mengdie, Gu Yuzhou, Lu Yongheng, Chen Sha, Liu Zhongqi, Hao Yuantao, Hao Chun
机构信息
Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou City, Guangdong Province, China.
Sun Yat-Sen Global Health Institute, Institute of State Governance, Sun Yat-Sen University, Guangzhou City, Guangdong Province, China.
出版信息
China CDC Wkly. 2025 Jan 10;7(2):52-56. doi: 10.46234/ccdcw2025.011.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Human immunodeficiency virus (HIV) self-testing serves as a crucial strategy for overcoming testing barriers, with urine-based self-testing emerging as a potential novel approach.
WHAT IS ADDED BY THIS REPORT?: In a real-world setting, this study demonstrated that the urine rapid test exhibited lower diagnostic accuracy compared to the blood rapid test. Study participants expressed stronger preferences for HIV self-testing methods utilizing finger prick samples, accompanied by standard written instructions and lower costs.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Our findings indicate that rapid urine testing requires additional validation before widespread implementation. Future development efforts should prioritize user-friendly HIV self-testing approaches to enhance testing accessibility.
关于该主题已知的信息有哪些？：人类免疫缺陷病毒（HIV）自我检测是克服检测障碍的关键策略，基于尿液的自我检测正成为一种潜在的新方法。
本报告补充了哪些内容？：在实际环境中，本研究表明，与血液快速检测相比，尿液快速检测的诊断准确性较低。研究参与者对使用手指刺血样本、附带标准书面说明且成本较低的HIV自我检测方法表现出更强的偏好。
对公共卫生实践有何影响？：我们的研究结果表明，在广泛实施之前，快速尿液检测需要进一步验证。未来的发展努力应优先考虑用户友好的HIV自我检测方法，以提高检测的可及性。
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