Could Home Human Immunodeficiency Virus Self-testing Ever Become a Game Changer?

Article Immunology

Evaluation of SAMBA II: A Qualitative and Semiquantitative HIV Point-of-Care Nucleic Acid Test

Lauren R. Violette et al.

Summary: The SAMBA II POC NATs demonstrated high sensitivity, specificity, and concordance with the gold standard assay, indicating its potential use in diagnostics and monitoring.

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES (2022)

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Article Immunology

Free HIV self-test for identification and linkage to care of previously undetected HIV infection in men who have sex with men in England and Wales (SELPHI): an open-label, internet-based, randomised controlled trial

Alison J Rodger et al.

Lancet HIV (2022)

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Article Medicine, General & Internal

HIV Self-testing and Risk Behaviors Among Men Who Have Sex With Men in 23 US Cities, 2017

Cedric H. Bien-Gund et al.

Summary: This study found that HIV self-testing (HIVST) is relatively uncommon among urban men who have sex with men (MSM) in the US. The findings suggest that HIVST may not be reaching those with lower socioeconomic status or who have not disclosed their sexual identity. Efforts to increase HIVST should focus on engaging underserved and vulnerable subgroups of MSM.

JAMA NETWORK OPEN (2022)

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Article Immunology

Advancing Digital Health Equity: A Policy Paper of the Infectious Diseases Society of America and the HIV Medicine Association

Brian R. Wood et al.

Summary: The SiRS-CoV-2 pandemic has led to rapid dissemination of digital healthcare modalities, but social determinants of health may impact readiness for telemedicine, potentially leading to individuals being lost to care. Furthermore, sensitive discussions required in ID and HIV practice may pose challenges in video conferencing settings.

CLINICAL INFECTIOUS DISEASES (2021)

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Article Infectious Diseases

Effective strategies to promote HIV self-testing for men who have sex with men: Evidence from a mathematical model

Deven T. Hamilton et al.

Summary: The study found that targeting non-testers for HIV self-testing can greatly reduce HIV incidence. In Seattle and Atlanta, increasing the use of HIVST among non-testers can prevent up to 4.7 infections per 1000 HIVST.

EPIDEMICS (2021)

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Article Public, Environmental & Occupational Health

Increasing Access to HIV Testing Through Direct-to-Consumer HIV Self-Test Distribution — United States, March 31, 2020–March 30, 2021

Jen Hecht et al.

MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT (2021)

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Article Public, Environmental & Occupational Health

Rapid Uptake of Home-Based HIV Self-testing During Social Distancing for SARS-CoV2 Infection in Oregon

Timothy W. Menza et al.

Summary: A pilot home HIV self-testing program was implemented in Oregon one week after a stay-home order, targeting men who have sex with men through geospatial networking app and community partner websites. The program saw a 9% conversion rate from web visits to orders, with over 70% of kits ordered within the first 24 hours. One-third of participants had never tested for HIV, revealing an unmet need for discreet, free, home-based testing in the state amidst closures of clinical and outreach programs.

AIDS AND BEHAVIOR (2021)

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Article Medical Laboratory Technology