Time to roll out rapid testing for HIV? Yes, but with appropriate safeguards

Chen, Marcus Y; Estcourt, Claudia

doi:10.1071/sh09008

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…4 Innovative ways to increase HIV, testing rates among MSM, including the use of rapid testing for HIV, are required. 5,6 In eastern Australia, the proportion of MSM who reported HIV testing in the previous year has increased. By 2006, approximately 60% of Australian MSM tested for HIV each year.…”

Section: Introductionmentioning

confidence: 99%

Australian men who have sex with men prefer rapid oral HIV testing over conventional blood testing for HIV

et al. 2010

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This study examined the views of 172 community-based Australian men who have sex with men (MSM) on the acceptability and potential uptake of rapid oral testing for HIV in clinic and home-based settings. Men were asked to complete a questionnaire that sought their views on rapid testing for HIV. When asked about which HIV test they would prefer in a clinic setting, 64% indicated a preference for rapid oral HIV testing and 74% indicated that if rapid oral HIV testing was available at a clinic they would test for HIV more frequently. If rapid oral HIV testing was available for home testing, 63% of men indicated it would be likely they would test themselves for HIV and 61% indicated they would test more frequently. Overall, MSM expressed a preference for rapid oral HIV testing and would test more frequently if testing was available for clinic or home use in Australia.

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Section: Introductionmentioning

confidence: 99%

Australian men who have sex with men prefer rapid oral HIV testing over conventional blood testing for HIV

et al. 2010

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“…In addition, the use of R/S assays (compared to traditional multiwell immunoassays) has the advantage that results can be provided the day samples are collected, greatly reducing the likelihood that individuals will fail to receive their test results. As with multiwell immunoassays, there exists a time interval between infection and detectable antibody levels (i.e., a window period, often measured in weeks), and falsepositive results can never be excluded (4). Nonetheless, once patients are out of the window period, the sensitivity and specificity of the R/S HIV assays are high and comparable to multiwell immunoassays (2,24,25,26).…”

mentioning

confidence: 99%

“…The HIV testing algorithms described in the literature often include the confirmation of reactive rapid or immunoassay tests by supplemental testing such as Western blot (WB) (3,4,19). Performing WB assays requires additional training of the laboratory staff and specific equipment and is expensive.…”

mentioning

confidence: 99%

Performance of a Rapid and Simple HIV Testing Algorithm in a Multicenter Phase III Microbicide Clinical Trial

Crucitti

Taylor

Beelaert

et al. 2011

Clin. Vaccine Immunol.

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Which Gay Men Would Increase Their Frequency of HIV Testing with Home Self-testing?

et al. 2013

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Many Australian gay men do not get tested for HIV at the recommended frequency. Barriers to HIV testing may be reduced by the availability of home HIV self-testing (HHST). An online cross-sectional questionnaire was conducted with 2,306 Australian gay men during 2009. Multivariate logistic regression identified factors associated with being likely to increase testing frequency if HHST was available, among previously-tested and never-tested men. Among 2,018 non-HIV-positive men, 83.9% had been tested. Two-thirds indicated they would test more often if HHST was available irrespective of previous testing history. In multivariate analysis, independent predictors of increased testing frequency with HHST included preferences for more convenient testing, not having to see a doctor when testing and wanting immediate results among all men, as well as not being from an Anglo-Australian background and recent unprotected anal sex with casual partners among previously-tested men only. The majority of gay men report that being able to test themselves at home would increase their frequency of HIV testing.

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Time to roll out rapid testing for HIV? Yes, but with appropriate safeguards

Cited by 6 publications

References 13 publications

Australian men who have sex with men prefer rapid oral HIV testing over conventional blood testing for HIV

Australian men who have sex with men prefer rapid oral HIV testing over conventional blood testing for HIV

Performance of a Rapid and Simple HIV Testing Algorithm in a Multicenter Phase III Microbicide Clinical Trial

Which Gay Men Would Increase Their Frequency of HIV Testing with Home Self-testing?

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