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消除障碍,污名化促使HIV自我检测项目意外激增

(Removing barriers, stigma prompted unexpected surge for HIV self-testing program )

2024-04-12

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到目前为止,美国最大的艾滋病病毒自我检测项目“带回家”在第一年就超过了44.4万次检测。 --疾病控制和预防中心在2023年3月共同启动“带回家”计划时,该计划的宏伟目标是在五年内分发100万份自我检测,即每年约20万份。 该项目在不到一年的时间里订购了44.4万次测试。 尽管这一巨大的反应无疑是“共同外卖之家”的庆祝理由,它通过邮件向所有50个州和波多黎各的居民提供免费的艾滋病毒自我检测。这一里程碑只是该计划如何通过消除障碍和让人们更多地了解自己的健康来有效解决污名化问题的一个指标。 额外的汇总要点包括:26%的提供既往检测史信息的人以前没有进行过艾滋病毒检测。 另有四分之一(27%)在过去一年内没有进行检测。 72%提供出生性别、性别认同和种族信息的人来自受艾滋病毒影响过大的社区——同性恋和双性恋男性、顺性别黑人女性和变性女性。 65%提供种族或民族信息的人来自种族和少数民族,31%为西班牙裔,24%为黑人,10%选择“其他”。 “前10个u中的9个。 s。 人均订单最多的司法管辖区位于美国。 s。 南部,艾滋病毒感染率较高的地区。 50%的订单来自联邦政府优先考虑的地理区域,以结束美国的艾滋病疫情。 s。 倡议。 近70%的订单来自约会应用程序。 “对许多人来说,获得医疗保健可能很困难,即使在那时,与医生谈论敏感的健康问题,例如艾滋病毒检测的必要性,有时也很困难。 该项目的首席科学家、埃默里大学罗林斯公共卫生学院流行病学和全球健康教授patricksullivan博士说:。 together takemehome由cdc资助,编号为1nu62ps924790,通过与埃默里大学的合作伙伴关系实施,建立健康的在线社区(bhoc)、nastad、signal group和orasure技术。 艾滋病病毒自我检测是fda批准的oraquick家庭艾滋病病毒检测(orasuretechnologies,inc。 )使用口腔拭子,只需20分钟即可得出结果。 感兴趣的参与者可以通过该项目的网站注册:一起。 带我回家。 组织。 多项研究已经证明了自我检测在增加艾滋病病毒检测频率、确定新的诊断和接触那些报告他们以前从未检测过艾滋病病毒的人方面的价值。 延迟诊断可能导致健康状况不佳和艾滋病毒传播增加。 延迟诊断可能导致健康状况不佳和艾滋病毒传播增加。
together takemehome, the largest hiv self-testing program in the united states to date, surpassed 444,000 tests ordered in its first year.— centers for disease control and preventionwhen together takemehome launched in march 2023, the ambitious goal for the initiativethe largest self-testing program in the united states to datewas to distribute 1 million self-tests in five years, or approximately 200,000 per year.the program surpassed 444,000 tests ordered in less than a year.while this tremendous response is certainly a cause for celebration for together takemehome which provides free hiv self-tests by mail to residents of all 50 states and puerto ricothis milestone is only one indicator of how the program effectively addresses stigma by removing barriers and empowering people to learn more about their own health.additional together takemehome highlights include:26% of those who provided information on prior testing history, had not previously tested for hiv. another quarter (27%) had not tested within the last year.72% of those who provided information on sex at birth, gender identity and race, were from communities disproportionately impacted by hiv - gay and bisexual men, cisgender black women, and transgender women.65% of people who provided information on their race or ethnicity were from racial and ethnic minority populations31% hispanic, 24% black, and 10% who selected “other.”9 of the top 10 u.s. jurisdictions with most orders per capita were in the u.s. south, a region with higher rates of people living with hiv.50% of orders from within geographic areas prioritized by the federal ending the hiv epidemic in the u.s.initiative.nearly 70% of orders came through dating apps.“accessing health care can be difficult for many people and even then, talking about sensitive health issues, such as the need for hiv testing, with their doctor can sometimes be tough. together takemehome is really filling a need for people who want that privacy and opportunity to check their hiv status at home and it’s free,” says patrick sullivan, phd, the project’s lead scientist and professor of epidemiology and global health at emory university’s rollins school of public health.together takemehome is funded by cdc under award number 1nu62ps924790 and is implemented through partnership and collaboration with emory university, building healthy online communities (bhoc), nastad, signal group, and orasure technologies.the hiv self-tests are the fda-approved oraquick in-home hiv test (orasure technologies, inc.) that use mouth swabs and take only 20 minutes to get a result. interested participants can enroll through the program’s website: together.takemehome.org.multiple studies have demonstrated the value of self-testing for increasing the frequency of hiv testing, identifying new diagnoses and reaching people who reported they have never previously tested for hiv. delayed diagnoses can lead to poor health outcomes and increased hiv transmission. .
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