Benefits and potential harms of HIVST among men who have sex with men in China: an implementation perspective
Qin et al.
Type of approach
Type of assistance
Key population: Men who have sex with men
Values and preferences
UNAIDS HIV prevalence (2017)
A nationwide online survey of eligible men who have sex with men (MSM) was conducted in November 2015. Men were invited to participate by clicking through banner advertisements on social networking sites. The survey assessed where MSM had received their first HIV test (self-test or facility-based test). Of the men who ever self-tested, the survey assessed the benefits of self-testing (such as increased testing frequency and confirmatory testing) and adverse outcomes.
Summary of findings
1610 men were eligible for the survey, with 1189 (73.9%) completing the survey. 28.7% reported ever self-testing for HIV, with 58.7% of self-testers reporting self-testing as their first HIV test. 7.0% of self-testers reported being HIV-positive, while 4.9% of non-self-testers reported being HIV-positive. Multivariate analysis showed that reporting HIV self-testing as first-time testing was associated with younger age (OR 0.95 95% CI: 0.91, 0.99), not telling health-care providers about having sex with men (OR 2.22 95% CI: 1.56, 3.17), not using the internet to find sex partners (OR 2.53 95% CI: 1.45, 4.43) and having group sex (OR 1.76 95% CI: 1.03, 2.98).
Willingness to pay
Willingness to pay details
Some participants reported coercion in association with HIVST, 9% (31/341). 35% (14/40) men with positive HIVST results reported subsequent suicidal thoughts and 5% (2/40) reported violence.
Linkage to prevention, care and treatment
77.5% (31/40) of those with a reactive HIV self-test received confirmatory testing at a health facility.