HIV self-testing among online men who have sex with men in China: implications for expanding HIV testing among key populations
Han et al.
Type of approach
Type of assistance
Fingerstick/whole blood, Oral-fluid
Key population: Men who have sex with men
Values and preferences
UNAIDS HIV prevalence (2017)
Online survey for men who have sex with men to collect information on socio/demographics, sexual behavior, HIV & STI testing history, and HIVST experiences and values and preferences. A bivariate and multivariable logistic regression was performed to identify factors associated with HIVST.
Summary of findings
19.3% (259/1342) reported self-testing for HIV. HIVST history was correlated with being married, having a greater number of male sex partners in past 3 months and having tested for other sexually transmitted infections. 48% (125/259) reported paying <US$8 for HIVST kits. Most obtained kits were from internet (35%), community-based organizations (28.2%), pharmacies (18%), friends (11%), and sex partners (7%).
Willingness to pay
Willingness to pay details
Men who have sex with men in our sample reported paying a wide range of costs for HIV self-test kits. 48.3% (125/259) of men who have sex with men reported paying less than US$8 for their most recent HIV self-test, 23.9% (62/559) paid between US$8 and US$16, 14.7% (38/259) paid between US$16 and US$32, (6.9% (18/259) paid betweenUS$32 and US$50, and 6.2% (16/259) paid greater than US$50.
Linkage to prevention, care and treatment