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

摘要: HIV testing is a 'gateway' technology, enabling access to treatment and prevention. Biomedical approaches prevention, such as pre-exposure prophylaxis require accurate regular test results. also represents powerful 'teachable moment' for behavioural An increasing range of tests the emergence self-managed diagnostic technologies (e.g. self-testing) means there now considerable diversification when, where how results are available those who test. These changes have profound implications intervention development and, indeed, health service redesign. This paper highlights need better ways conceptualising in order capitalise on benefits that diverse interventions will bring. A multidimensional framework proposed capture ongoing developments among men sex with focus intersection of: (1) growing variety associated their pathways into care; (2) psychosocial insights domain testing; (3) appreciation population factors heterogeneity concomitant inequities. By considering these three aspects parallel, it possible identify gaps, limitations opportunities future testing-related interventions. Moreover, explore map may work together having additive effects. Only holistic dynamic captures complexity fit purpose deliver maximum public benefit testing.