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Determinants of Voluntary HIV/AIDS Counseling and Testing among Community College Students in the United States HumanImmunodeficiencyVirus (HIV) testing remains the best public health preventive strategy in the fight against HIV/AIDS. We assessed the factors that determined voluntary counseling and screening/testing for HIV among college students.In this cross-sectional study, a purposeful sample of 189 college students was analyzed using three health belief model (HBM) variables (...) as the theoretical framework.All the HBM variables were positively associated with intention to test for HIV, and with perceived benefits (p = 0.023) having the strongest association.The results of this study underscore the important factors that predict intention to screen for HIV among college students. Understanding the factors that influence intention for HIVtesting is useful in formulating public health policies and in the design of programs and interventions aimed at increasing the number of people who
Can self-testing increase HIVtesting among men who have sex with men: A systematic review and meta-analysis. Globally, four out of ten individuals living with HIV have not been tested for HIV. Testing is especially important for men who have sex with men (MSM), among whom an increasing HIV epidemic has been identified in many regions of the world. As a supplement to site-based HIVtesting services, HIV self-testing (HIVST) provides a promising approach to promote HIVtesting. However, evidence (...) is scattered and not well-summarized on the effect of HIVST to improve HIVtesting behaviors, especially for MSM.Seven databases (PubMed, Web of Science, Cochrane Library, PsycINFO, CINAHL Plus, WanFang, and China National Knowledge Internet) and conference abstracts from six HIV/sexually transmitted infections conferences were searched from January 2000-April 2017.Of 1,694 records retrieved, 23 studies were identified, 9 conducted in resource-limited countries and 14 in high-income countries. The pooled
Supplement to consolidated guidelines on HIVtesting services ABBREVIATIONS AIDS acquired immune deficiency syndrome ART antiretroviral therapy ARV antiretroviral (drug) CDC United States Centers for Disease Control and Prevention GDG Guideline Development Group GRADE Grading of Recommendations, Assessment, Development and Evaluation HIVhumanimmunodeficiencyvirus HIVST HIV self-testing HTS HIVtesting services ICER incremental cost-effectiveness ratio IPV intimate partner violence NGO nongovernmental (...) . They are aligned with a public health approach to HTS and are guided by the human rights principles outlined in the WHO 5Cs for HIVtesting (see section 1.7).6 Supplement to consolidated guidelines on HIVtesting services The background documents developed to support these guidelines and the systematic reviews and Grading of Recommendations, Assessment, Development and Evaluation tables for new recommendations appear in the annexes listed in the table of contents, which are available on the Internet (http
Community-based interventions to increase HIVtesting among Black women Community-based interventions to increase HIVtesting among Black women | The Ontario HIV Treatment Network The Ontario HIV Treatment Network Community-based interventions to increase HIVtesting among Black women Community-based interventions to increase HIVtesting among Black women , , , Questions What types of community-based interventions increase HIVtesting among Black women? Key take-home messages There are few (...) studies that examine the effectiveness of community-based interventions on HIVtesting among Black women. HIVtesting interventions in high-income settings are usually conducted in combination with risk reduction counselling (1-5). Home-based voluntary counselling and testing may substantially increase awareness of HIV status (up to 70%) in previously undiagnosed women in sub-Saharan Africa (6), making this approach both feasible and effective (7). Adding mobile HIV counselling and testing to existing
An assessment of quality of home-based HIV counseling and testing performed by lay counselors in a rural sub-district of KwaZulu-Natal, South Africa HIV counseling and testing (HCT) has been prioritized as one of the prevention strategies for HIV/AIDS, and promoted as an essential tool in scaling up and improving access to treatment, care and support especially in community settings. Home-based HCT (HBHCT) is a model that has consistently been found to be highly acceptable and has improved HCT (...) with the counseling session. A total of 196 (3%) observational assessments and 406 (6%) client exit interviews were completed. Overall, median scores for quality of counseling and testing were high for both HIV-negative and HIV-positive clients. For exit interviews all 406 (100%) clients had overall satisfaction with the counseling and testing services they received, however 11% were concerned about the counselor keeping their discussion confidential. Of all 406 clients, 393 (96.8%) intended to recommend
â€˜I thought if I marry the prophet I would not dieâ€™: The significance of religious affiliation on marriage, HIVtesting, and reproductive health practices among young married women in Zimbabwe This study examines the association between religious affiliation and reasons for marriage, perceived church attitudes, and reproductive health-seeking behaviors, including HIVtesting, among young women in eastern rural Zimbabwe. The sample comprised women (N = 35) who had married by 2012 while (...) participating in a larger randomized controlled trial (RCT) to test the effects of school support on HIV-related risk. The RCT sample was identified in 2007 as all female sixth graders in 25 rural eastern Zimbabwe primary schools whose parents, one or both, had died (N = 328). In our previous RCT analyses, we found that participants who affiliated with an Apostolic church were more than four times more likely to marry than those from non-Apostolic churches and that control group participants were twice
Correction: The Clinical Usefulness of Tuberculin Skin Test versus Interferon-Gamma Release Assays for Diagnosis of Latent Tuberculosis in HIV Patients: A Meta-Analysis. [This corrects the article DOI: 10.1371/journal.pone.0161983.].
Paediatric HIVtesting beyond the context of prevention of mother-to-child transmission: a systematic review and meta-analysis. Many HIV-positive children in low-income and middle-income countries remain undiagnosed. Although HIVtesting in children at health facilities is recommended by WHO, it is not well implemented. This systematic review and meta-analysis examines the case-finding benefit of HIV screening in children aged 0-5 years in low-income and middle-income countries.We did (...) on immunisation centres) in paediatric populations in low-income and middle-income countries. Articles were identified and data were extracted in duplicate. The primary outcome was HIV prevalence, for which we used a DerSimonian-Laird random-effects meta-analysis to pool prevalence data and 95% CIs. We did stratified analyses according to geographical context and testing strategy. This study is registered with PROSPERO, number CRD42014014372.Our search found 2996 studies, of which 26 met the inclusion
The Clinical Usefulness of Tuberculin Skin Test versus Interferon-Gamma Release Assays for Diagnosis of Latent Tuberculosis in HIV Patients: A Meta-Analysis. Accurate diagnosis of latent tuberculosis infection (LTBI) is becoming increasingly concerning due to the increasing the HIV epidemic, which have increased the risk for reactivation to active tuberculosis (TB) infection. LTBI is diagnosed by tuberculin skin test (TST) and interferon-gamma release assays (IGRAs).The aim of the present study (...) was to conduct a meta-analysis of published papers on the agreement (kappa) between TST and QuantiFERON-TB Gold In-Tube (QFT-GIT) tests for diagnosis of LTBI in HIV patient.Electronic databases including PubMed/Medline, Elsevier/Scopus and Embase/Ovid were reviewed up Jan. 2016. We performed a random effect model meta-analysis for estimation of pooled Kappa between the two methods of diagnosis. Meta regression was used for assessing potential heterogeneity and Egger's test was used for assessing small study
The effect of HIV counselling and testing on HIV acquisition in sub-Saharan Africa: a systematic review. Annually, millions of people in sub-Saharan Africa (SSA) receive HIV counselling and testing (HCT), a service designed to inform persons of their HIV status and, if HIV uninfected, reduce HIV acquisition risk. However, the impact of HCT on HIV acquisition has not been systematically evaluated. We conducted a systematic review to assess this relationship in SSA.We searched for articles from (...) SSA meeting the following criteria: an HIV-uninfected population, HCT as an exposure, longitudinal design and an HIV acquisition endpoint. Three sets of comparisons were assessed and divided into strata: sites receiving HCT versus sites not receiving HCT (Strata A), persons receiving HCT versus persons not receiving HCT (Strata B) and persons receiving couple HCT (cHCT) versus persons receiving individual HCT (Strata C).We reviewed 1635 abstracts; eight met all inclusion criteria. Strata
HIVTesting Among Internet-Using MSM in the United States: Systematic Review. Regular HIVtesting enables early identification and treatment of HIV among at-risk men who have sex with men (MSM). Characterizing HIVtesting needs for Internet-using MSM informs development of Internet-facilitated testing interventions. In this systematic review we analyze HIVtesting patterns among Internet-using MSM in the United States who report, through participation in an online study or survey, their HIV (...) status as negative or unknown and identify demographic or behavioral risk factors associated with testing. We systematically searched multiple electronic databases for relevant English-language articles published between January 1, 2005 and December 16, 2014. Using meta-analysis, we summarized the proportion of Internet-using MSM who had ever tested for HIV and the proportion who tested in the 12 months preceding participation in the online study or survey. We also identified factors predictive
Canadian and international recommendations on the frequency of HIV screening and testing: A systematic review In 2014, the Public Health Agency of Canada estimated that 21% of the people living with HIV in Canada were unaware of their infection. Increased screening and testing for HIV is crucial to reducing the number of undiagnosed infections. To ensure the best use of available resources, it is important to determine the optimal intervals for HIV screening and testing.To conduct a systematic (...) review of the recommendations for the frequency of HIV screening and testing in different populations.To identify eligible guidelines, a comprehensive two-tiered search strategy of journals and websites of governments and non-governmental organizations and a three-tiered screening strategy (title, abstract and full content screen) were used. Guidelines were eligible for inclusion if they, a) were published between 2000 and 2015 in English or French, and b) provided guidance on HIV screening/testing
Acceptability and feasibility of point-of-care CD4 testing on HIV continuum of care in low and middle income countries: a systematic review. CD4 testing is, and will remain an important part of HIV treatment and care in low and middle income countries (LMICs). We report the findings of a systematic review assessing acceptability and feasibility of POC CD4 testing in field settings.Electronic databases were searched for studies published in English between 2005 and 2015 that describe POC CD4 (...) platforms. Studies conducted in LMICs and under field conditions outside a laboratory environment were eligible. Qualitative and descriptive data analysis was used to present the findings.Twelve studies were included, 11 of which were conducted in sub-Saharan countries and used one POC CD4 test (The Alere Pima CD4). Patients reported positively regarding the implementation of POC CD4 testing at primary health care and community level with ≥90 % of patients accepting the test across various study
POC CD4 Testing Improves Linkage to HIV Care and Timeliness of ART Initiation in a Public Health Approach: A Systematic Review and Meta-Analysis. CD4 cell count is an important test in HIV programs for baseline risk assessment, monitoring of ART where viral load is not available, and, in many settings, antiretroviral therapy (ART) initiation decisions. However, access to CD4 testing is limited, in part due to the centralized conventional laboratory network. Point of care (POC) CD4 testing has (...) the potential to address some of the challenges of centralized CD4 testing and delays in delivery of timely testing and ART initiation. We conducted a systematic review and meta-analysis to identify the extent to which POC improves linkages to HIV care and timeliness of ART initiation.We searched two databases and four conference sites between January 2005 and April 2015 for studies reporting test turnaround times, proportion of results returned, and retention associated with the use of point-of-care CD4
HIV and STI testing among Indigenous women and women who inject drugs RAPID RESPONSE SERVICE | #105, MAY 2016 1 Questions What programs and services have been shown to be effective in increasing HIV and STI testing among Indigenous women and women who inject drugs? References 1. Orchard TR, Druyts E, McInnes CW , Clement K, Ding E, Fernandes KA et al. Factors behind HIVtesting practices among Canadian Aboriginal peoples living off-reserve. AIDS Care 2010 March;22(3):324-31. 2. Lally MA (...) , Montstream-Quas SA, Tanaka S, Tedeschi SK, Morrow KM. A qualitative study among injection drug using women in Rhode Island: attitudes toward testing, treatment, and vaccina- tion for hepatitis and HIV . AIDS Patient Care & Stds 2008 January;22(1):53-64. 3. The Ontario HIV Treatment Net - work (OHTN). The Current State of the HIV Epidemic among Indigenous Peo- ple in Ontario. http://220.127.116.11// wp-content/uploads/2014/09/Indige- nous-Report-2014Final.pdf. Toronto, ON; 2014. 4. Taylor MM, Reilley B
- wendaal E, Templeton DJ, Davies SC. Providing HIV-negative results to low- risk clients by telephone. Sexual Health 2012 May;9(2):160-5. 15. Schulter W , Judson FN, Baro’n AE, McGill W , Marine W , Douglas JM. Usefulness of Human Immunodefi - ciency Virus Post-Test Counselling by Telephone for Low-Risk Clients of an Urban Sexually Transmitted Disease Clinic. Sexually Transmitted Diseases 1996;190-7. 16. Tsu RC, Burm ML, Gilhooly JA, Sells CW . Telephone vs. face-to-face notification of HIV results (...) Delivering HIV/STI test results over the phone and through text messaging RAPID RESPONSE SERVICE | #103, JULY 2016 1 Questions What does the literature say about giving HIV and STI results over the phone or through text messaging? References 1. Public Health Agency of Canada. Infectious disease—the never-ending threat. 2013. Ref Type: Generic 2. Tripathi A, Duffus W A, Kissinger P , Brown TJ, Gibson JJ, Mena LA. Deliver- ing laboratory results by text message and e-mail: a survey of factors