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HIV care-seeking behaviour after HIV selftesting among men who have sex with men in Beijing,China:a cross-sectional study

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Infectious Diseases of Poverty 2017年第1期6卷 1001-1011页

作者： Xian-Long Ren Zun-You Wu Guo-Dong Mi Jennifer M.McGoogan Ke-Ming Rou Yan Zhao Nanci Zhang Division of Prevention Intervention National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China Office of the Director National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China Division of Treatment and care National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China

Background:Men who have sex with men(MSM)has become the group with the fastest growing HIV epidemic in *** many Chinese MSM are conducting HIV self-testing,we aimed to determine the rate of HIV care seeking after self-testing,examine characteristics of“seekers”compared to“non-seekers,”and explore factors associated with HIV care-seeking ***:A cross-sectional study design was used and an online survey was conducted in Beijing,China in 2016,among users of a popular Chinese gay networking smart phone ***-square test was used to compare characteristics of those who sought HIV care(“seekers”)and those who did not(“non-seekers”).Univariate and multivariate logistic regression analyses were conducted to assess factors associated with HIV care ***:Among 21,785 screened,2383 participants(10.9%)were included in the study.A total of 380 participants(15.9%)reported seeking HIV care after HIV self-testing while 2003(84.1%)did *** of knowledge of the“window period”(adjusted odds ratio[AOR]=0.68,95%confidence interval[95%CI]=0.47-0.97,P=0.04)was associated with reduced odds of seeking HIV care,while lower monthly income(AOR=1.29,95%CI=1.03-1.62,P=0.03)and obtaining HIV self-testing kits from health facilities(AOR=2.40,95%CI=1.81-3.17,Pcare,a large majority(92.4%)had non-reactive HIV self-testing *** 29 out of 265 with reactive,uncertain,or unknown results sought HIV ***:We found a very low rate of HIV care seeking among our sample of urban Chinese *** observation that most with reactive,uncertain,or unknown results did not seek HIV care is a cause for *** people should be paid more attention and helped to enter the care *** findings highlight that interventions aimed at improving linkage to care after HIV self-testing are urgently n

关键词： Men who have sex with men HIV self-testing HIV care linkage to care care cascade China

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Acceptability and strategies for enhancing uptake of human immunodeficiency virus self-testing in Nigeria

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World Journal of Methodology 2023年第3期13卷 127-141页

作者： Victor Abiola Adepoju Chidinma Umebido Ademola Adelekan Ali Johnson Onoja Department of HIV and Infectious Diseases Self testing in Africa(STAR)ProjectJhpiego NigeriaAbuja 900901Federal Capital TerritoryNigeria Department of Public Health and Biological Sciences Blue Gate Research InstituteIbadan 200116Oyo StateNigeria Department of Research African Health ProjectAbuja 900901Federal Capital TerritoryNigeria

BACKGROUND In 2019,the Nigerian Ministry of Health published the first operational guidelines for human immunodeficiency virus self-testing(HIVST)to improve access to human immunodeficiency virus(HIV)testing services among undertested populations in the ***,as part of the campaign to increase HIV testing services in Nigeria,the Nigerian Ministry of Health developed standard operating procedures for using HIVST *** To systematically review the acceptability and strategies for enhancing the uptake of HIVST in *** The systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and *** databases were searched to get the necessary materials needed for this *** forms developed by the authors were used for data extraction to minimize the risk of bias and ensure that the articles used for the study were properly *** articles were first screened using the titles and their *** full papers were screened,and the similarities of the documents were ***,quantitative,and mixed-method studies were evaluated using the Critical Appraisal Skills Programme and Critical Appraisal Framework *** All the publications reviewed were published between 2015 and 2022,with 33.3%published in ***(77.8%)of the studies were cross-sectional,43.3%were conducted in Lagos State,and 26.3%were conducted among young *** study revealed a high level of acceptability of *** factors,such as gender,sexual activity,and previous testing experience,influence the acceptability of HIV self-testing,with some individuals more likely to *** cost of the kit was reported as the strongest factor for choosing HIVST services,and this ranged from 200 to 4000 Naira(approximately United States Dollar 0.55-11.07),with the majority willing to pay 500 Naira(approximately United States Dollar 1.38).Privately-owned,registered pharmaci

关键词： Acceptability HIV self-testing Uptake Intention-to-use Regulation linkage to care

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Hepatitis B virus outreach to immigrant population in Greater Boston Area: Key to improving hepatitis B knowledge

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World Journal of Gastroenterology 2017年第42期23卷 7626-7634页

作者： Raissa Djoufack Scarlett Se Yun Cheon Aisha Mohamed Fatou Faye Korka Diouf Richard Colvin James Morrill Ann-Marie Duffy-Keane Ponni Perumalswami Gonzague Jourdain Dahlene Fusco Universite des Montagnes Wellesley College Cooper Medical School of Rowan University Suffolk University Division of General Internal Medicine MGH MGH Community Health Associates Icahn School of Medicine at Mount Sinai Institut de Recherche pour le Dé-veloppement Chiang Mai University Harvard T.H. Chan School of Public Health Division of Infectious Disease Department of Medicine Vaccine and Immunotherapy Center Laboratory of Systems Pharmacology Harvard Medical School

AIM To characterize the understanding of hepatitis B virus(HBV) and determine if outreach improves HBV understanding among Greater Boston Area immigrants. METHODS Six outreach sessions were held in various community venues in the Greater Boston Area. Verbal consent was obtained from participants prior to starting each session. Each session included a pre-session questionnaire, followed by a teaching session, and then a post-session questionnaire. In person interpreters were present for translation during the teaching session and assistance for questionnaire completion when needed. The questions were developed based on the HBV clinical experience of physicians who serve largely immigrant populations. Questionnaires included Likerttype scale, open-ended, and true-false questions. All results were anonymous. RESULTS One hundred and one people participated in this study. Participants were 30% male with ages ranging from 19 to 87 years. The study population included immigrants from 21 countries, as well as seven United States-born participants. The greatest numbers of participants were from Somalia(44%), Morocco(10%), and Cameroon(8%). Pre session questionnaires revealed that 42% of participants were unaware that HBV can cause cancer, and 50% were unaware that therapies for HBV exist. Our brief teaching intervention led to improved scores on post session questionnaires. For example, at baseline, 58% of participants responded correctly to the question "HBV infection can cause scarring of the liver and liver cancer", whereas 79% of participants responded correctly after the teaching session(P = 0.01). Furthermore, the mean of total correct answers in the true or false portion of the questionnaire increased from 5.5 to 7.6(P care.

关键词： Hepatitis B virus Outreach linkage to care Immigrant Boston

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