HIV self-testing among men who have sex with men: acceptability of biweekly finger pricks to perform the alere determineTM HIV-1/2 Ag/Ab assay
Mayer et al.
Type of approach
Type of assistance
Key population: Men who have sex with men and transgender women
UNAIDS HIV prevalence (2017)
0.2 [0.2 - 0.2]
Examined feasibility and acceptability of home HIVST on a bi-weekly basis. Participants were shown how to self-test using Alere Determine HIV 1/2 Ag/Ab Assay.
Summary of findings
83.2% indicated they tested for HIV periodically, however only 21.7% tested every 3 months. 56% said they preferred HIVST to clinic-based testing. 96% reported that they were comfortable doing a fingerstick self-test and 97% were comfortable self-testing every 2 weeks. 91% said they would be comfortable testing with partners. 154/161 initiated self-testing. 90% were successful in completing the bi-weekly test in 1st month of study. Only 1 participant found HIVST too complicated and only tested in clinic. With 310 person months of study follow-up, 2 participants became HIV-infected for an annual incidence of 3.86. Both participants were linked to care.
When asked if they were comfortable with testing every 2 weeks, 70.4% strongly agreed and 26.4% agreed. When asked if they were comfortable with doing a finger stick every 2 weeks, 65.8% strongly agreed and 31.1% agreed. Almost all (90.0%) agreed they would be comfortable testing partners at home.
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment
Two participants became HIV infected for an annualized incidence of 3.86 (0.479.74). Both were linked to care.