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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


Author
Mayer et al.

Publication year
2014

Country
USA

Type of approach
Dual

Type of assistance
Directly assisted

Specimen
Fingerstick/whole blood

Study population
Key population: Men who have sex with men and transgender women

Study design
Feasibility/acceptability

Sample size
161

UNAIDS HIV prevalence (2017)
0.2 [0.2 - 0.2]

Methodology
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.

Acceptability
n/a

Acceptability details
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
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
1.2% (2/161)

Accuracy details
n/a

Social harm
n/a

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.


Study status
Completed