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HIV self-testing in Spain: A valuable testing option for men-who-have-sex-with-men who have never tested for HIV

Author

Listed:
  • Konstantinos Koutentakis
  • Juan Hoyos
  • María-Elena Rosales-Statkus
  • Juan-Miguel Guerras
  • Jose Pulido
  • Luis de la Fuente
  • María-José Belza

Abstract

Background: We assessed the capacity of HIV self-testing to promote testing among untested men who have sex with men (MSM) and determined the most benefited subpopulations. Methods: An online questionnaire was disseminated on several gay websites in Spain from September 2012 to April 2013. We used Poisson regression to estimate factors associated with the intention to use self-testing if already available. Among those who reported intention of use, we assessed several aspects related to the testing and linkage to care process by type of barrier reported: low perceived risk (LR), structural barriers (SB) and fear of testing positive (FTP). Results: Of 2589 never-tested MSM, 83% would have used self-testing if already available. Intention of use was associated with age ≥30 (adj.PR, 95%CI: 1.05, 1.01–1.10), having had protected (adj.PR, 95%CI: 1.15, 1.02–1.30) or unprotected (adj.PR, 95%CI: 1.21, 1.07–1.37) anal intercourse and reporting FTP (adj.PR, 95%CI: 1.12, 1.05–1.20) or SB to access HIV testing (adj.PR, 95%CI: 1.23, 1.19–1.28). Among those who reported intention of using a self-testi, 78.3% declared it their preferred option (83.8% in the SB group; p

Suggested Citation

  • Konstantinos Koutentakis & Juan Hoyos & María-Elena Rosales-Statkus & Juan-Miguel Guerras & Jose Pulido & Luis de la Fuente & María-José Belza, 2019. "HIV self-testing in Spain: A valuable testing option for men-who-have-sex-with-men who have never tested for HIV," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-11, February.
    • Handle: RePEc:plo:pone00:0210637
    DOI: 10.1371/journal.pone.0210637
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