HIV testing within the African community using home‐based self collection of oral samples

Driver, Glen; Debattista, Joseph; Gu, Zhihong; Lemoire, Jime; Hooper, John A.

doi:10.1111/1753-6405.12653

Cited by 7 publications

(10 citation statements)

References 3 publications

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“…Previous work has trialled self-testing kits [34], and rapid testing [75], with SSA and SEA/NEA migrants in Australia with encouraging levels of uptake. In our research, participants were generally accepting of these modes of testing, particularly in regards to the convenience offered and the reduced wait time for results.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Why I Can’t, Won’t or Don’t Test for HIV: Insights from Australian Migrants Born in Sub-Saharan Africa, Southeast Asia and Northeast Asia

Gray

Lobo

Narciso

et al. 2019

IJERPH

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People born in sub-Saharan Africa and Southeast Asia are overrepresented in HIV notifications in Australia. Just under half of all notifications among people from sub-Saharan Africa and Southeast Asia are diagnosed late. Increased HIV testing among these communities is necessary to ensure early diagnosis, better care and reduce likelihood of HIV onward transmission. Recently, Australia has made new HIV testing methods available: rapid HIV testing and self-testing kits. We conducted 11 focus groups with 77 participants with people from sub-Saharan Africa, Southeast Asia and Northeast Asia in four jurisdictions in Australia. Focus groups discussed barriers to HIV testing and the acceptability of new testing methods. Barriers to HIV testing included: cost and eligibility of health services, low visibility of HIV in Australia, HIV-related stigma, and missed opportunities by general practitioners (GPs) for early diagnosis of HIV and linkage into care. Participants had low levels of knowledge on where to test for HIV and the different methods available. Diverse opportunities for testing were considered important. Interventions to increase HIV testing rates among sub-Saharan African, Southeast Asia and Northeast Asian migrants in Australia need to be multi-strategic and aimed at individual, community and policy levels. New methods of HIV testing, including rapid HIV testing and self-testing, present an opportunity to engage with migrants outside of traditional health care settings.

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Section: Discussionmentioning

confidence: 99%

“…Little is known about the acceptability of these new HIV testing technologies among people from SSA, SEA and NEA living in Australia [34]. RHT and self-testing may present an opportunity to increase HIV testing rates among migrant communities living in HIC like Australia.…”

Section: Introductionmentioning

confidence: 99%

Why I Can’t, Won’t or Don’t Test for HIV: Insights from Australian Migrants Born in Sub-Saharan Africa, Southeast Asia and Northeast Asia

Gray

Lobo

Narciso

et al. 2019

IJERPH

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“…Diversifying opportunities to access sexual health services may also increase help-seeking behavior [ 69 ]. Community-based testing for HIV, STI and hepatitis B have been successful [ 70 ], particularly in conjunction with information sessions from healthcare providers [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review

Rade

Crawford

Lobo

et al. 2018

IJERPH

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The number of migrants has increased globally. This phenomenon has contributed to increasing health problems amongst migrants in high-income countries, including vulnerability for HIV acquisition and other sexual health issues. Adaptation processes in destination countries can present difficulties for migrants to seek help from and gain access to health services. This study examined migrants’ from sub-Saharan Africa (SSA) and South East Asia (SEA) sexual health help-seeking behavior in high-income countries with universal health coverage. The systematic review followed PRISMA guidelines and was registered with PROSPERO. Several databases were searched from 2000 to 2017. Of 2824 studies, 15 met the inclusion criteria. These consisted of 12 qualitative and three quantitative studies conducted in Australia, Spain, the United Kingdom, Belgium, Scotland, Ireland, and Sweden. Migrants experienced a range of difficulties accessing health services, specifically those related to sexual health, in high-income countries. Few studies described sources of sexual health help-seeking or facilitators to help-seeking. Barriers to access were numerous, including: stigma, direct and indirect costs, difficulty navigating health systems in destination countries and lack of cultural competency within health services. More culturally secure health services, increased health service literacy and policy support to mitigate costs, will improve health service access for migrants from SSA and SEA. Addressing the structural drivers for stigma and discrimination remains an ongoing and critical challenge.

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“…Given that this group is a priority population for HIV, action is required to address low rates of HIV testing. Firstly, the range of barriers reported to accessing health services suggests that more interventions are needed to explore culturally appropriate ways of increasing HIV testing, such as the use of self‐collection oral samples delivered by bilingual community workers, or the use of rapid HIV testing among this group . In addition, interventions should consider strategies to address HIV‐related stigma among groups, such as sharing positive stories of people living with HIV and the involvement of religious and community leaders in encouraging testing uptake .…”

Section: Discussionmentioning

confidence: 99%

HIV knowledge and use of health services among people from South‐East Asia and sub‐Saharan Africa living in Western Australia

Gray

Crawford

Reid

et al. 2018

Health Prom J of Aust

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HIV testing within the African community using home‐based self collection of oral samples

Cited by 7 publications

References 3 publications

Why I Can’t, Won’t or Don’t Test for HIV: Insights from Australian Migrants Born in Sub-Saharan Africa, Southeast Asia and Northeast Asia

Why I Can’t, Won’t or Don’t Test for HIV: Insights from Australian Migrants Born in Sub-Saharan Africa, Southeast Asia and Northeast Asia

Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review

HIV knowledge and use of health services among people from South‐East Asia and sub‐Saharan Africa living in Western Australia

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