Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers

Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers

HIV self-testing (HIVST) introduces opportunities for screening in non-conventional settings, and addresses known testing barriers. This study involved the development and evaluation of a free online HIVST dissemination service hosted by a peer-led, community-based organisation with on-site, peer-fa...

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Autores principales: Sara Fiona Elisabeth Bell, Jime Lemoire, Joseph Debattista, Andrew M. Redmond, Glen Driver, Izriel Durkin, Luke Coffey, Melissa Warner, Chris Howard, Owain David Williams, Charles F. Gilks, Judith Ann Dean
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
peer-led
intervention
feasibility
HIV
testing
HIV self-testing (HIVST)
Medicine
R
Acceso en línea:https://doaj.org/article/1eeeef22913c4f43a70a39be470c2845
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spelling oai:doaj.org-article:1eeeef22913c4f43a70a39be470c28452021-11-11T16:24:02ZOnline HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers10.3390/ijerph1821112521660-46011661-7827https://doaj.org/article/1eeeef22913c4f43a70a39be470c28452021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11252https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601HIV self-testing (HIVST) introduces opportunities for screening in non-conventional settings, and addresses known testing barriers. This study involved the development and evaluation of a free online HIVST dissemination service hosted by a peer-led, community-based organisation with on-site, peer-facilitated HIV testing, and established referral and support programs for people newly diagnosed with HIV to determine whether this model was feasible and acceptable for engaging MSM, particularly among infrequent and naive HIV-testers, or those living in remote and rural areas. Between December 2016 and April 2018, 927 kits were ordered by 794 individuals, the majority of whom were men who have sex with men (MSM) (62%; 494), having condomless sex (50%; 392), or living outside a major city (38%; 305). Very few (5%; 39) sought the available pre-test peer contact, despite 45% (353) being naive HIV-testers. This study demonstrates that online HIVST dissemination is acceptable and feasible for engaging at-risk suboptimal testers, including those unwilling to test elsewhere (19%; 47/225). With half (50%; 403) unwilling to buy a kit, our study suggests that HIVST will need to be subsidized (cost-neutral to users) to enhance population coverage and access.Sara Fiona Elisabeth BellJime LemoireJoseph DebattistaAndrew M. RedmondGlen DriverIzriel DurkinLuke CoffeyMelissa WarnerChris HowardOwain David WilliamsCharles F. GilksJudith Ann DeanMDPI AGarticlepeer-ledinterventionfeasibilityHIVtestingHIV self-testing (HIVST)MedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11252, p 11252 (2021)
institution DOAJ
collection DOAJ
language EN
topic peer-led
intervention
feasibility
HIV
testing
HIV self-testing (HIVST)
Medicine
R
spellingShingle peer-led
intervention
feasibility
HIV
testing
HIV self-testing (HIVST)
Medicine
R
Sara Fiona Elisabeth Bell
Jime Lemoire
Joseph Debattista
Andrew M. Redmond
Glen Driver
Izriel Durkin
Luke Coffey
Melissa Warner
Chris Howard
Owain David Williams
Charles F. Gilks
Judith Ann Dean
Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers
description HIV self-testing (HIVST) introduces opportunities for screening in non-conventional settings, and addresses known testing barriers. This study involved the development and evaluation of a free online HIVST dissemination service hosted by a peer-led, community-based organisation with on-site, peer-facilitated HIV testing, and established referral and support programs for people newly diagnosed with HIV to determine whether this model was feasible and acceptable for engaging MSM, particularly among infrequent and naive HIV-testers, or those living in remote and rural areas. Between December 2016 and April 2018, 927 kits were ordered by 794 individuals, the majority of whom were men who have sex with men (MSM) (62%; 494), having condomless sex (50%; 392), or living outside a major city (38%; 305). Very few (5%; 39) sought the available pre-test peer contact, despite 45% (353) being naive HIV-testers. This study demonstrates that online HIVST dissemination is acceptable and feasible for engaging at-risk suboptimal testers, including those unwilling to test elsewhere (19%; 47/225). With half (50%; 403) unwilling to buy a kit, our study suggests that HIVST will need to be subsidized (cost-neutral to users) to enhance population coverage and access.
format article
author Sara Fiona Elisabeth Bell
Jime Lemoire
Joseph Debattista
Andrew M. Redmond
Glen Driver
Izriel Durkin
Luke Coffey
Melissa Warner
Chris Howard
Owain David Williams
Charles F. Gilks
Judith Ann Dean
author_facet Sara Fiona Elisabeth Bell
Jime Lemoire
Joseph Debattista
Andrew M. Redmond
Glen Driver
Izriel Durkin
Luke Coffey
Melissa Warner
Chris Howard
Owain David Williams
Charles F. Gilks
Judith Ann Dean
author_sort Sara Fiona Elisabeth Bell
title Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers
title_short Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers
title_full Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers
title_fullStr Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers
title_full_unstemmed Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers
title_sort online hiv self-testing (hivst) dissemination by an australian community peer hiv organisation: a scalable way to increase access to testing, particularly for suboptimal testers
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/1eeeef22913c4f43a70a39be470c2845
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