Search HIVST

HIV self-testing among MSM in the UK: a qualitative study of barriers and facilitators, intervention preferences and perceived impacts


Author
Witzel et al.

Publication year
2016

Country

Type of approach
Community-based

Type of assistance
n/a

Specimen
n/a

Study population
Key population: Men who have sex with men

Study design
Values and preferences

Sample size
47

UNAIDS HIV prevalence (2017)
0.19

Methodology
Six focus group discussions (FGD) were conducted with 47 men who have sex with men in London, Manchester and Plymouth. HIVST as a concept was discussed and participants were asked to construct their ideal HIVST intervention. Both oral fluid-based and blood-based kits were then demonstrated and participants commented on procedure, design and instructions. FGDs were recorded and transcribed verbatim, then analysed thematically.

Summary of findings
Convenience and confidentiality of HIVST was seen to facilitate testing. Issues with domestic privacy posed challenges for confidentiality. HIVST kits and instructions were thought to be unnecessarily complicated and did not cater to the required range of abilities. The window period was the most important element of HIVST, with strong preference for 4th generation testing. Kits which used a blood sample were more popular than those using saliva due to higher perceived accuracy, although phobia of needles and/or blood meant some would only access HIVST if a saliva sample option was available. A range of access options was important to maintain convenience and privacy. HIVST kits were assumed to increase frequency of testing, with concerns related to the dislocation of HIVST from sexual health care pathways and services.

Acceptability
n/a

Acceptability details
HIVST was highly acceptable (n=n/a).

Willingness to pay
n/a

Willingness to pay details
n/a

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