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Implications of the on-line market for regulation and uptake of HIV self-testing in Australia

Bibliographic Data

ID19442709
AuthorsOwain David Williams (0000-0002-7144-8780, The University of Queensland, corresponding author), Judith A Dean (0000-0002-2513-2013, The University of Queensland), Kim Harting (The University of Queensland), Kate Bath (The University of Queensland), Charles F Gilks (0000-0002-8953-3123, The University of Queensland)
Year2017
Volume29
Issue1
Pages112-117
Publication date2017-01-02
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2016.1200716
PMID27337946
OpenAlexW2461407839
LanguageEN
Citations received6
References cited8

Self-Testing for HIV (HIVST) is widely recognised as a feasible and effective means of increasing rates of testing and detection of HIV, particularly in non-testing and infrequent testing populations. Currently in Australia, the only means of accessing this technology is to purchase unregulated products on-line. A search of available on-line distributers was purposefully performed from the perspective of an English-speaking individual, with no clinical background or specific understanding of HIV testing practices, seeking to determine their HIV status. Purchased kits were assessed against a structured extraction tool based on the Australian Therapeutic Goods Administration (TGA) HIV testing clinical performance guidelines. In total, eight HIVST kits were purchased from seven different distributers. Analysis of the purchased kits and linked websites revealed that none met the TGA's requirements for HIV testing kits intended for home use; none also conformed to the additional recommendations for information, quality and links to services developed from this study's review of HIVST associated literature. People seeking HIVST kits are able to purchase sub-standard products that ill-serve their needs, and do so at a time of great personal vulnerability. The fact that Australians are willing to purchase and use these sub-standard products indicates HIVST is in demand. Health policy and models of service are needed in order to ensure people have access to a safe and effective registered device at prices that enable equity of access to all Australians, particularly those most at risk of HIV. Other countries awaiting access to regulated HIVST devices also need to consider the potential implications. Collaboration between manufacturers, distributers, regulatory bodies, service providers and the community is needed globally in order to ensure HIVST is embedded into testing methods in a manner that does not disrupt but rather safely and effectively increases HIV testing rates

Business · Family medicine · Political science · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Marketing

  • Health care users' knowledge, attitudes and perceptions of HIV self-testing at selected gateway clinics at eThekwini district, KwaZulu-Natal province, South Africa

    Open Access•Sibongiseni Daphney Gumede, Maureen Nokuthula Sibiya•SAHARA-J Journal of Social…•2018

  • Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation

    Open Access•Sara F E Bell, Jime Lemoire et al.•International Journal of…•2021

  • HIV self-testing knowledge, attitudes, and practices among Asian-born gay, bisexual, and other men who have sex with men in Australia

    Open Access•Ying Zhang, Eric P F Chow et al.•Frontiers in Public Health•2024

  • National Surveillance of Home-Based HIV Testing Among Australian Gay and Bisexual Men, 2018–2020

    Open Access•Ye Zhang, Martin Holt et al.•AIDS and Behavior•2023

  • Knowledge and awareness of HIV self-testing among Australian gay and bisexual men

    Judith A Dean, Chi‐Wai Lui et al.•AIDS Care•2019

  • Integrated HIV self-testing (HIVST) service delivery in Queensland for policy and service development

    Sara F E Bell, Judith A Dean et al.•AIDS Care•2019

  • Acceptability of HIV self-testing

    Open Access•Janne Krause, Friederike Subklew-Sehume et al.•BMC Public Health•2013

  • Supervised and Unsupervised Self-Testing for HIV in High- and Low-Risk Populations

    Open Access•Nitika Pant Pai, Jigyasa Sharma et al.•PLoS Medicine•2013

  • The Ethical, Legal and Human Rights Concerns Raised by Licensing HIV Self-Testing for Private Use

    Open Access•Lucy Allais, François Venter•AIDS and Behavior•2014

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

    Open Access•Benjamin R Bavinton, Graham Brown et al.•AIDS and Behavior•2013

Citations per year0.75
Citation span2018 - 2024 (7)
Highly citedNo

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