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Coercion and HIV self-testing in men who have sex with men: implementation data from a cross-sectional survey in China


Author
Ong et al

Publication year
2017

Country

Type of approach
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Type of assistance
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Specimen
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Study population
Key population: Key population: men who have sex with men

Study design
Resource use

Sample size
1125

UNAIDS HIV prevalence (2017)

Methodology
An online cross-sectional survey was conducted among men who have sex with men from July to August 2016. The survey was promoted hrough Blued (Blue Brother, Beijing, China), a social networking mobile phone application for MSM, used by approximately 40 million users. Participants were asked a series of questions about sociodemographic variables and HIV self-testing awarenes, uptake and perception about experiencing test coercion. Bivariable and multivariable logistic regression were conducted to explore factors associated with reported HIV test coercion.

Summary of findings
Majority of men had ever tested in a facility (86%, n=1,125). About half had ever self-tested (52%, n=685), and about a third had used both facility-based testing and HIVST (38%,125 n=498). A third of those who used HIVST, reported receiving HIVST kits from other people (35%, 243/685). Overall, 64 men (5%) reported ever experiencing HIV test coercion: 8% (52/685) in men who had used HIVST compared to 2% (12/627) for men who had not used HIVST (p<0.001). Bivariable and multivariable logistic regression found that men who reported HIV test coercion were more likely to have used HIVST (adjusted odds ratio (AOR) 4.25 (95% confidence interval (CI):2.23-8.09), received a HIVST kit from another person (AOR 3.47, 95% CI:1.90-6.32), primarily met sexual partners through parks/public restrooms/public lawns (AOR 3.45, 95% CI:1.09-10.95), and reported condomless sex in the last three months (AOR 2.38, 95% CI:1.43-3.98).

Acceptability
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Acceptability details
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Willingness to pay
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Willingness to pay details
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Sensitivity
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Specificity
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Concordance
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HIV positivity
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Accuracy details
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Social harm
5% (64/1125) reported ever experiencing HIV test coercion. 8% (52/685) in men who had previously used HIVST compared to 2% (12/627) for men who had not used HIVST (p<0.001).

Linkage to prevention, care and treatment
n/a


Study status
Completed