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AIDS Behav. 2018 Feb;22(2):497-512. doi: 10.1007/s10461-017-1707-8.

A Global Review of HIV Self-testing: Themes and Implications.

Author information

1
Department of Public Health Sciences, Medical University of South Carolina, 135 Cannon Street, Suite 305, Charleston, SC, 29425, USA. stevensd@musc.edu.
2
Department of Public Health Sciences, Medical University of South Carolina, 135 Cannon Street, Suite 305, Charleston, SC, 29425, USA.
3
Department of Health Promotion and Physical Education, Ithaca College, Ithaca, NY, USA.

Abstract

HIV self-test kits may have the potential to increase testing rates around the globe, and thereby lead to reductions in HIV-related incidence and mortality. However, the effectiveness of these self-test kits and the issues surrounding self-testing have been greatly debated in recent years. We conducted a literature review on the acceptability, feasibility, and effectiveness of HIV self-testing (HST) around the world. Of the 28 articles abstracted, several themes of HST were explored, including behavioral risk compensation, presence of counseling, uses of HST, ability to perform the self-test, sensitivity and specificity, concordance with confirmatory testing, perceptions surrounding HST, instruction and supervision, and cost. Overall, this literature review found that this diverse group of participants generally performed HST correctly with a few exceptions, were accepting of the test if available at a relatively low cost, and preferred the oral-based HST over the blood-based test.

KEYWORDS:

Acceptability; Blood self-test; HIV self-testing; Oral self-test; Perceptions

PMID:
28155039
PMCID:
PMC5910655
DOI:
10.1007/s10461-017-1707-8
[Indexed for MEDLINE]
Free PMC Article

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