التفاصيل البيبلوغرافية
| العنوان: |
HIV testing in community settings in resource-rich countries: a systematic review of the evidence. |
| المؤلفون: |
Thornton, AC, Delpech, V, Kall, MM, Nardone, A |
| المصدر: |
HIV Medicine; Aug2012, Vol. 13 Issue 7, p416-426, 11p, 1 Diagram, 3 Charts, 1 Graph |
| مصطلحات موضوعية: |
DIAGNOSIS of HIV infections, COMMUNITIES, DATABASES, HEALTH care rationing, HIV-positive persons, MEDICAL screening, MEDLINE, META-analysis, ONLINE information services, EVIDENCE-based medicine, DEVELOPED countries |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Objectives Community HIV testing represents an opportunity for diagnosing HIV infection among individuals who may not have contact with health services, especially in hard-to-reach groups. The aim of this review was to assess the evidence for feasibility, acceptability and effectiveness of HIV testing strategies in community settings in resource-rich countries. Methods The Pub Med database was searched for English language studies of outreach HIV testing in resource-rich countries. Studies were included if they reported one of the following outcome measures: uptake of testing; seropositivity; client acceptability; or provider acceptability. Results Forty-four studies were identified; the majority took place in the USA and targeted men who have sex with men. Uptake of HIV testing varied between 9 and 95% (in 14 studies). Seropositivity was ≥ 1% in 30 of 34 studies. In 16 studies the proportion of patients who received their test results varied from 29 to 100% and rapid testing resulted in a higher proportion of clients receiving their results. Overall, client satisfaction with community HIV testing was high. However, concern remained over confidentiality, professional standards and the need for post-test counselling. Staff reported positive attitudes towards community testing. Conclusions In the majority of studies, the reported seropositivity was higher than 1/1000, the threshold deemed to be cost-effective for routinely offering testing. Rapid testing improved the return of HIV test results to clients. HIV testing in outreach settings may be important in identifying undiagnosed infections in at-risk populations, but appropriate data to evaluate these initiatives must be collected. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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