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Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey

Author

Listed:
  • Ying Liu

    (Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    The Second Clinical College, Chongqing Medical University, Chongqing 400016, China
    These authors contributed equally to this work.)

  • Guohui Wu

    (Institute for AIDS/STD Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, China
    These authors contributed equally to this work.)

  • Rongrong Lu

    (Institute for AIDS/STD Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, China
    These authors contributed equally to this work.)

  • Rong Ou

    (Department of Medical Informatics, Library, Chongqing Medical University, Chongqing 400016, China)

  • Ling Hu

    (Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Yiping Yin

    (Mechanical Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Yangchang Zhang

    (Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Hongjia Yan

    (Mechanical Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Yong Zhao

    (Mechanical Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Yetao Luo

    (Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

  • Mengliang Ye

    (Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Mechanical Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China)

Abstract

While studies on human immunodeficiency virus self-testing (HIVST) continue to accumulate after the World Health Organization’s recommendation of HIVST as an additional approach to HIV testing services in 2016, few studies have focused on men who have sex with men (MSM) in Chinese cities. A cross-sectional study was conducted to describe the HIVST status of MSM in Chongqing, China. MSM participants were recruited by random sampling, and qualified interviewers collected data, using confidential self-administered questionnaires. Blood specimens were collected for HIV antibody detection. The survey evaluated the uptake and accuracy of HIVST kits and identified factors that may be associated with HIVST. The proportion of HIVST uptake was 15.6%. The sensitivity and specificity of HIVST were 74.2% (95% confidence interval [CI] 66.6%–80.7%) and 99.0% (95% CI 96.9%–99.7%), respectively. The consistency between the HIVST kit and antibody detection results was 90.5% (95% CI 87.5%–93.0%), and the Kappa value was 0.777 ( p < 0.001). The positive predictive value of self-testing kits is 80.9% and the negative predictive value is 17.7%. Having been tested ≥2 times in the last year, higher educational levels, and higher scores of basic HIV/AIDS knowledge facilitated higher uptake of HIVST. Self-reported existing barriers for HIVST uptake included older age, marital status, and having resided in Chongqing for more than two years.

Suggested Citation

  • Ying Liu & Guohui Wu & Rongrong Lu & Rong Ou & Ling Hu & Yiping Yin & Yangchang Zhang & Hongjia Yan & Yong Zhao & Yetao Luo & Mengliang Ye, 2020. "Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey," IJERPH, MDPI, vol. 17(5), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1634-:d:327786
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    References listed on IDEAS

    as
    1. Ci Zhang & Xianhong Li & Mary-Lynn Brecht & Deborah Koniak-Griffin, 2017. "Can self-testing increase HIV testing among men who have sex with men: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-19, November.
    2. Samantha Kinney & C. Suzanne Lea & Greg Kearney & Anna Kinsey & Carlos Amaya, 2015. "Predictors for Using a HIV Self-Test Among Migrant and Seasonal Farmworkers in North Carolina," IJERPH, MDPI, vol. 12(7), pages 1-11, July.
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