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Diagnostic Technologies in Practice: Gay Men's Narratives of Acute or Recent HIV Infection Diagnosis

机译：实践中的诊断技术：急性或近期HIV感染诊断的男同性恋叙事

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Diagnosing HIV-positive gay men through enhanced testing technologies that detect acute HIV infection (AHI) or recent HIV infection provides opportunities for individual and population health benefits. We recruited 25 men in British Columbia who received an acute (n = 13) or recent (n = 12) HIV diagnosis to engage in a longitudinal multiple-methods study over one year or longer. Our thematic analysis of baseline qualitative interviews revealed insights within men's accounts of technologically mediated processes of HIV discovery and diagnosis. Our analysis illuminated the dialectic of new HIV technologies in practice by considering the relationship between advances in diagnostics (e.g., nucleic acid amplification tests) and the users of these medical technologies in clinical settings (e.g., clients and practitioners). Technological innovations and testing protocols have shifted experiences of learning of one's HIV-positive status; these innovations have created new diagnostic categories that require successful interpretation and translation to be rendered meaningful, to alleviate uncertainty, and to support public health objectives.
机译：通过增强的检测技术来诊断艾滋病毒呈阳性的男同性恋者，这些技术可以检测出急性艾滋病毒感染（AHI）或最近的艾滋病毒感染，从而为个人和人群的健康带来了机遇。我们招募了不列颠哥伦比亚省的25名男性，他们接受了急性（n = 13）或最近（n = 12）的HIV诊断，从事了长达一年或更长时间的纵向多方法研究。我们对基线定性访谈的主题分析揭示了男性对艾滋病毒发现和诊断的技术介导过程的理解。我们的分析通过考虑诊断技术进步（例如核酸扩增检测）与这些医疗技术在临床环境中的使用者（例如客户和从业人员）之间的关系，阐明了实践中新的HIV技术的辩证法。技术创新和检测方法改变了人们学习艾滋病毒阳性状态的经验。这些创新创造了新的诊断类别，需要成功的解释和翻译才能有意义，减轻不确定性并支持公共卫生目标。

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