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HIV testing intervention development among men who have sex with men in the developed world

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. Green open access

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Burns_Optimizing HIV Test-line numbers1.pdf - Accepted version

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Burns_Table 2. The diversity of HV tests and their characteristics.pdf - Accepted version

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Burns_Table 3. The behavioural domain of HIV testing - revised.pdf - Accepted version

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Burns_Table 4. Population factors and their relationship to HIV testing .pdf - Accepted version

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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
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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