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Home-based HIV testing for men who have sex with men in China: a novel community-based partnership to complement government programs


Author
Tao et al.

Publication year
2014

Country

Type of approach
Dual

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Feasibility/acceptability

Sample size
220

UNAIDS HIV prevalence (2017)
<0.1

Methodology
Recruited men who have sex with men (MSM) via online advertisement, followed by subsequent questionnaire survey. Eligible MSM received HIV self-test kits by mail, performed the test themselves, and reported the result remotely.

Summary of findings
220 men who have sex with men (MSM) took an HIVST kit. 33 MSM (15%) were seropositive. Nearly half (49%) of the participants had ever tested for HIV before; of those, 61% tested in the past 12 months. Among the 33 HIV-positive participants, 55% had ever been previously tested. Nearly 65% reported they were willing to test at a community-based organization, while 28% preferred receiving free HIV testing in government programs at local Centers for Disease Control and Prevention (CDC). The top three self-reported existing barriers for HIV testing were: no perception of HIV risk (56%), fear of an HIV-positive result being reported to the government (41%), and fear of a positive HIV test result (36%).

Acceptability
0.65

Acceptability details
65.0% (143/220) reported that they were willing to take HIV testing at a community-based organization.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
15% (33/220)

Accuracy details
n/a

Social harm
n/a

Linkage to prevention, care and treatment
All positives (100%) were confirmed in subsequent repeat rapid screening and confirmatory Western blot tests.

Source

Study status
Completed