艾滋病毒自我检测在加强艾滋病毒预防服务中的作用
Ying Zhang1, Cheryl C Johnson2, Van Thi Thuy Nguyen3
1School of Translational Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia; Melbourne Sexual Health Centre, Alfred Health, Carlton, VIC, Australia.
The lancet. HIV
|September 27, 2024
概括
艾滋病毒自我检测增加了艾滋病毒检测的普及率,特别是在关键人群中. 虽然对暴露前预防 (PrEP) 和暴露后预防 (PEP) 有好处,但需要更多关于链接和更广泛实施的研究.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 艾滋病毒预防研究 预防研究
背景情况:
- 自2016年以来,艾滋病毒自我检测 (HIVST) 变得更加容易获得.
- 艾滋病毒感染和感染性疾病有潜力增加艾滋病毒检测的普及率,特别是在关键人群中.
- 它与PrEP和PEP等艾滋病毒预防策略的整合正在调查中.
研究的目的:
- 在各种艾滋病毒预防策略中审查艾滋病毒自我检测的证据.
- 确定关于艾滋病毒自我测试在链接,启动和坚持中的作用的研究缺口.
- 评估HIVST在全球减少艾滋病毒感染方面的潜力.
主要方法:
- 临床试验和研究研究的系统审查.
- 对艾滋病毒自我检测对艾滋病毒检测吸收的影响的分析.
- 评估HIVST在暴露前预防 (PrEP),暴露后预防 (PEP) 和自愿医疗男性割礼 (VMMC) 中的作用.
主要成果:
- 艾滋病毒自我检测显著提高了艾滋病毒检测的普及率.
- 有证据表明,HIVST可以促进PrEP的启动,坚持和延续.
- 与HIVST后的PrEP的联系显示出混合的结果;与标准方法相比,VMMC的联系显示没有显著差异.
结论:
- 艾滋病毒自我检测是增加艾滋病毒检测和预防吸收的宝贵工具.
- 进一步的研究对于优化实施策略和了解链接的上下文因素至关重要.
- 需要更多关于HIVST在PEP和PrEP重新启动中的作用的试验,以告知全球减少艾滋病毒的努力.
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