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Factors associated with willingness to accept oral fluid HIV rapid testing among most-at-risk populations in China


Author
Xun et al.

Publication year
2013

Country

Type of approach
Dual

Type of assistance
n/a

Specimen
Oral-fluid

Study population
Mixed: General population and key population: men who have sex with men, female sex workers (FSW) and voluntary counseling and testing (VCT) clients

Study design
Feasibility/acceptability

Sample size
1137

UNAIDS HIV prevalence (2017)
<0.1

Methodology
A cross-sectional study with men who have sex with me, female sex workers, and voluntary counseling and testing clients was conducted in three cities of Shandong province, China from 2011 to 2012. Data were collected by face-to-face questionnaire.

Summary of findings
About 71% of participants were willing to accept the oral fluid HIV rapid testing, and home HIV testing was independently associated with acceptability of the new testing method among men who have sex with men, female sex workers and voluntary counseling and testing clients (OR of 4.46, 3.19 and 5.74, respectively). The primary concern about the oral fluid HIV testing was accuracy. The median price that respondents would pay for the testing ranged from 4.8 to 8.1 USD. High acceptability of oral fluid HIV rapid testing was shown among most-at-risk populations. Findings provide support for oral rapid HIV testing as another HIV prevention tool, and provide a backdrop for the implementation of HIV home testing in the near future. Appropriate pricing and increased public education through awareness campaigns that address concerns about the accuracy and safety of the oral fluid HIV rapid testing may help increase acceptability and use among most-at-risk populations in China.

Acceptability
0.71

Acceptability details
About 71% (806/1137) of participants were willing to accept the oral fluid HIV rapid testing and the acceptance rate among men who have sex with men, female sex workers and voluntary counseling and testing clients was 72.8%, 72.1% and 67.4% respectively.

Willingness to pay
US$ 8.1

Willingness to pay details
The median price that men who have sex with men, female sex workers and voluntary counseling and testing clients were willing to pay for oral fluid HIV rapid testing was 6.5 USD, 4.8 USD and 8.1 USD, respectively.

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

Source

Study status
Completed