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Capturing HIV Incidence Among MSM Through At-Home and Self-reported Facility-based Testing
| Content Provider | Semantic Scholar |
|---|---|
| Author | Hall, Eric William Ricca, Alexandra V. Khosropour, Christine M. Sullivan, Patrick Sean |
| Copyright Year | 2017 |
| Abstract | INTRODUCTION In the United States, the HIV epidemic is still disproportionally concentrated among men who have sex with men (MSM). In 2014, an estimated 70% of all new HIV infections occurred among MSM.1 The estimated rate of new HIV diagnoses in the United States in 2013 was 0.7 per 100 MSM.2 HIV testing is an essential component of both treatment and prevention efforts. Regular testing can help HIV-positive individuals receive care earlier and link HIV-negative individuals to behavioral and biomedical prevention efforts.3,4 The Centers for Disease Control and Prevention recommends sexually active MSM test for HIV at least once per year and encourage men with elevated risk to test as often as every 3–6 months.5 While many MSM do not meet this recommended testing frequency,6 there is indication that MSM are willing to self-test at home instead of accessing traditional facility-based testing services.7–9 At-home testing avoids some of the inconvenience and stigma of facility testing and provides an opportunity to reach populations that are currently not accessing facility services. Furthermore, at-home testing can be used to obtain biologic outcomes in online behavior research, which has become more commonly implemented in HIV prevention research among MSM.10 The first athome test kit required the user to collect a blood specimen and return the dried blood spot to a specimen collection site before receiving their results by phone or online. Since then, the Food and Drug Administration has approved OraQuick, a commercially available, at-home HIV test that uses an oral fluid technique that allows users to receive their results in 20 minutes.11 The Checking In study was designed to assess methods for retaining a cohort of MSM in a prospective online HIV prevention study.12 All men in this study received at-home HIV specimen collection kits to ascertain study endpoints and to complement their normal facility-based testing behaviors. This analysis reports HIV-incidence rates in a cohort of MSM in which new HIV infection outcomes were documented through a combination of at-home specimen collection (with testing at a central laboratory), and other HIV testing in community facilities. |
| Starting Page | 983 |
| Ending Page | 1008 |
| Page Count | 26 |
| File Format | PDF HTM / HTML |
| DOI | 10.1097/QAI.0000000000001338 |
| PubMed reference number | 28277488 |
| Journal | Medline |
| Volume Number | 75 |
| Alternate Webpage(s) | https://open.library.emory.edu/publications/emory:tbgh1/pdf/ |
| Alternate Webpage(s) | https://doi.org/10.1097/QAI.0000000000001338 |
| Journal | Journal of acquired immune deficiency syndromes |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
