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Availability and quality of online HIV self-test kits in China and the United States


Author
Fengying et al.

Publication year
2015

Country
Multi-country

Type of approach
Community-based

Type of assistance
n/a

Specimen
Fingerstick/whole blood, Oral-fluid

Study population
Other: Vendors

Study design
Values and preferences

Sample size
46

UNAIDS HIV prevalence (2017)
n/a

Methodology
Assesed the quality of online HIV counseling services was assessed by asking vendors about self-test counselor medical background and face-to-face HIV counseling experience. The number of self-test kits sold, number of comments, test methods, linkage to care, and prices were collected from the four largest e-commerce websites in the US and China (Amazon, Ebay, Taobao, and Jingdong).

Summary of findings
Identified 46 vendors that sold 38 brands of HIV or sexually transmitted diseases self-testing kits. All vendors were private companies or individual sellers. Largest Chinese e-commerce site reported a total of 17 396 self-testing kits sold. The largest US e-commerce site reported 489 792 ratings on self-test kits (no data on total kits sold). The price per HIV test kit ranged from US$ 19.00-46.00, with a mean of US$ 39.00. No Chinese vendors (0/7) and only 34% (13/38) of US vendors provided HIV confirmatory testing service. All seven Chinese vendors and 50% (19/38) of US vendors provided general advice directing individuals to the local public health authority without specific hotline or address information. Only 28% (2/7) of Chinese and 21% (8/38) of US customer service employees had medical backgrounds and none had face-to-face counseling experience.

Acceptability
n/a

Acceptability details
n/a

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
n/a

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
n/a