Flowers, P;
Estcourt, C;
Sonnenberg, P;
Burns, F;
(2017)
HIV testing intervention development among men who have sex with men in the developed world.
Sexual Health
, 14
(1)
pp. 80-88.
10.1071/SH16081.
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Burns_Optimizing HIV Test-line numbers1.pdf - Accepted Version Download (610kB) | Preview |
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Burns_Table 3. The behavioural domain of HIV testing - revised.pdf - Accepted Version Download (395kB) | Preview |
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Burns_Table 4. Population factors and their relationship to HIV testing .pdf - Accepted Version Download (323kB) | Preview |
Abstract
HIV testing is a ‘gateway’ technology, enabling access to treatment and HIV prevention. Biomedical approaches to prevention, such as pre-exposure prophylaxis and treatment as prevention, require accurate and regular HIV test results. HIV testing also represents a powerful ‘teachable moment’ for behavioural prevention. An increasing range of HIV tests and the emergence of self-managed diagnostic technologies (e.g. self-testing) means there is now considerable diversification of when, where and how results are available to those who test. These changes have profound implications for intervention development and, indeed, health service redesign. This paper highlights the need for better ways of conceptualising testing in order to capitalise on the health benefits that diverse HIV testing interventions will bring. A multidimensional framework is proposed to capture ongoing developments in HIV testing among men who have sex with men and focus on the intersection of: (1) the growing variety of HIV testing technologies and the associated diversification of their pathways into care; (2) psychosocial insights into the behavioural domain of HIV testing; and (3) better appreciation of population factors associated with heterogeneity and concomitant inequities. By considering these three aspects of HIV testing in parallel, it is possible to identify gaps, limitations and opportunities in future HIV testing-related interventions. Moreover, it is possible to explore and map how diverse interventions may work together having additive effects. Only a holistic and dynamic framework that captures the increasing complexity of HIV testing is fit for purpose to deliver the maximum public health benefit of HIV testing.
| Type: | Article |
|---|---|
| Title: | HIV testing intervention development among men who have sex with men in the developed world |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1071/SH16081 |
| Publisher version: | http://dx.doi.org/10.1071/SH16081 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Infectious Diseases, United-States, risk, prevention, behavior, care, msm, infection, attitudes, american, barriers |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1543470 |
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