Attitudes towards HIV testing via home-sampling kits ordered online (RUClear pilots 2011-12)

被引：24
作者：
Ahmed-Little, Y. [1 ]
Bothra, V. [1 ]
Cordwell, D. [2 ]
Powell, D. Freeman [2 ]
Ellis, D. [3 ]
Klapper, P. [4 ]
Scanlon, S. [2 ]
Higgins, S. [5 ]
Vivancos, R. [6 ]
机构：
[1] Publ Hlth England, Greater Manchester Hlth Protect Team, Manchester M1 3BN, Lancs, England
[2] Cent Manchester Univ Hosp NHS Fdn Trust, RUClear Chlamydia Screening Programme, Manchester, Lancs, England
[3] Publ Hlth England, Publ Hlth Lab, Manchester, Lancs, England
[4] Univ Manchester, Fac Med & Human Sci, Manchester, Lancs, England
[5] North Manchester Gen Hosp, Dept Sexual Hlth & HIV, Manchester, Lancs, England
[6] Publ Hlth England, Cheshire & Mersey Hlth Protect Team, Manchester, Lancs, England
来源：
JOURNAL OF PUBLIC HEALTH | 2016年 / 38卷 / 03期
关键词：
beliefs; health services; public health;
D O I：
10.1093/pubmed/fdv075
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Background The burden of disease relating to undiagnosed HIV infection is significant in the UK. BHIVA (British HIVAssociation) recommends population screening in high prevalence areas, expanding outside traditional antenatal/GUM settings. Methods RUClear 2011-12 piloted expanding HIV testing outside traditional settings using home-sampling kits (dry-blood-spot testing) ordered online. Greater Manchester residents (>= age 16) could request testing via an established, online chlamydia testing service (wvvw.ruclear.co.uk). Participant attitudes towards this new service were assessed. Qualitative methods (thematic analysis) were used to analyse free-text data submitted by participants via hard copy questionnaires issued in all testing kits. Results 79.9% (2447/3062) participants completed questionnaires, of which 30.9% (756/2447) provided free-text data. Participants overwhelmingly supported the service, valuing particularly accessibility and convenience, allowing individuals to order tests any time of day and self-sample comfortably at home; avoiding the invasive nature of venipuncture and avoiding the need for face-to-face interaction with health services. The pilot was also clinically and cost-effective. Conclusion Testing via home-sampling kits ordered online (dry-blood-spot testing) was felt to be an acceptable and convenient method for accessing a HIV test, Many individuals undertook HIV testing where they would otherwise not have been tested at all. Expansion of similar services may increase the uptake of HIV testing,
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页码：585 / 590
页数：6
相关论文
共 12 条
[1]  
[Anonymous], HIV TEST VIA GREAT M
[2]  
[Anonymous], HIV UK 2011 REP
[3]  
[Anonymous], HIV TEST VIA CHLAM S
[4]  
BHIVA, 2008, UK NAT GUID HIV TEST
[5]  
Branson Bernard M., 2006, Morbidity and Mortality Weekly Report, V55, P1
[6]   Qualitative research on point-of-care testing strategies and programs for HIV [J].
Engel, Nora ;
Pai, Nitika Pant .
EXPERT REVIEW OF MOLECULAR DIAGNOSTICS, 2015, 15 (01) :71-75
[7]  
Health Protection Agency, 2011, TIM TEST HIV EXP HIV
[8]   Factors Associated with HIV-Testing and Acceptance of an Offer of Home-Based Testing by Men in Rural Zambia [J].
Hensen, B. ;
Lewis, J. J. ;
Schaap, A. ;
Tembo, M. ;
Mutale, W. ;
Weiss, H. A. ;
Hargreaves, J. ;
Ayles, H. .
AIDS AND BEHAVIOR, 2015, 19 (03) :492-504
[9]   Head-to-head comparison of accuracy of a rapid point-of-care HIV test with oral versus whole-blood specimens: a systematic review and meta-analysis [J].
Pai, Nitika Pant ;
Balram, Bhairavi ;
Shivkumar, Sushmita ;
Martinez-Cajas, Jorge Luis ;
Claessens, Christiane ;
Lambert, Gilles ;
Peeling, Rosanna W. ;
Joseph, Lawrence .
LANCET INFECTIOUS DISEASES, 2012, 12 (05) :373-380
[10]   Sensitivity of Five Rapid HIV Tests on Oral Fluid or Finger-Stick Whole Blood: A Real-Time Comparison in a Healthcare Setting [J].
Pavie, Juliette ;
Rachline, Anne ;
Loze, Benedicte ;
Niedbalski, Laurence ;
Delaugerre, Constance ;
Laforgerie, Eric ;
Plantier, Jean-Christophe ;
Rozenbaum, Willy ;
Chevret, Sylvie ;
Molina, Jean-Michel ;
Simon, Francois .
PLOS ONE, 2010, 5 (07)
12