Comparison of home-based oral fluid rapid HIV self-testing versus mail-in blood sample collection or medical/community HIV testing by young adult black, hispanic, and white MSM: results from a randomized trial
Merchant et al.
Type of approach
Type of assistance
Mixed: Key population and young people: men who have sex with men and young people (18-24 years)
UNAIDS HIV prevalence (2017)
0.2 [0.2 - 0.2]
Participants were randomised into 3 HIV testing groups: (1) free oral fluid based HIVST, (2) free home-based mail-in blood sample collection, and (3) community/medical-based HIV testing group. Afterwards, they evaluated their HIV testing experience and made recommendations for future testing. Study period: April 2015 to April 2016
Summary of findings
Of the 425 participants, 59% completed any type of HIV test (54% completed their assigned test, and 5% used a test they were not assigned) and 41% were not tested. Completion of the assigned HIV test was greater in the oral fluid rapid HIV self-test and the community organization/medical facility arms than the mail-in blood sample collection HIV test arm (p<0.01 for both comparisons). 68% of participants preferred to test at a community organization/medical facility, 25% preferred the oral fluid rapid HIV self-test, and 4% preferred the mail-in blood sample collection HIV test.
Willingness to pay
Willingness to pay details
0.4% (2/425), one person in the HIVST arm and one in the community-based facility arm reported having a positive HIV test result.
Linkage to prevention, care and treatment
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