HIV自检技术对南非工人阶级HIV结果的影响和溢出效应

Cyprian M Mostert
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引用次数: 1

摘要

背景:南非最近采用了艾滋病毒自我检测技术(HIVST),以改进艾滋病毒检测,并鼓励在传统检测方法接受率较低的工作人群中尽早开始治疗。这项研究调查了HIVST对测试结果的影响,重点关注频繁和不频繁的工人阶级测试人员。本文还考察了HIVST对抗逆转录病毒治疗开始的溢出效应。为了确定这些影响,作者将重点放在南非,并利用了6259名HIVST受益人的HIVST分布数据。方法:作者使用两阶段最小二乘模型来量化HIVST对这些弱势工作人群的影响。结果:结果显示,与频繁检测的工人相比,不经常检测的工人的HIVST检测率高27.6%,农村地区的HIVST的检测率比城市高11.5%,不经常男性检测者比不经常女性检测者高14.5%。值得注意的是,HIVST的积极影响也通过HIV筛查呈阳性的工人中存在的积极溢出效应得到了证实。这篇论文记录了在不经常参加测试的人中,ART的启动率增加了7.6%。结论:随着该国寻求在2030年前实现联合国艾滋病规划署95–95–95的目标,有理由采用这项技术来提高艾滋病毒检测和抗逆转录病毒疗法的接受率。
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The Impact and Spillover Effects of HIV Self-Test Technology on HIV Outcomes of the South African Working Class
Background: South Africa recently adopted HIV self-test technology (HIVST) to improve HIV testing and encourage earlier treatment initiation in working populations with a low uptake of conventional testing approaches. This study investigates the impact of HIVST on testing outcomes, focusing on both frequent and infrequent working-class testers. The paper also examines the spillover effect of HIVST on antiretroviral (ART) treatment initiation. To identify these effects, the author focused on South Africa and exploited the HIVST distribution data of 6259 beneficiaries of HIVST. Methods: The author used a two-stage least-squared model to quantify the impact of the HIVST on these vulnerable working populations. Results: The results show that HIVST fosters a 27.6% higher testing uptake in infrequently testing workers compared to frequently testing workers, and that the uptake of HIVST is 11.5% higher in rural regions than in urban settings, as well as 14.5% more prominent in infrequent male testers than infrequent female testers. Notably, the positive effects of HIVST are also confirmed by the presence of positive spillover effects in workers screening positive for HIV. The paper documents a 7.6% increase in ART initiation in infrequent testers. Conclusions: There is a case for adopting this technology to improve the uptake of HIV testing and ART initiation as the country seeks to attain the UNAIDS 95–95–95 targets by 2030.
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