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Knowledge and use of unauthorized HIV self-test kits among men who have sex with men in Spain, following approval of an over-the-counter self-test in the U.S: a cross-sectional study


Author
Koutentakis et al.

Publication year
2016

Country

Type of approach
n/a

Type of assistance
Unassisted

Specimen
Fingerstick/whole blood, Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Values and preferences

Sample size
8620

UNAIDS HIV prevalence (2017)
0.4 [0.3 - 0.4]

Methodology
Between September 2012 and February 2013, men who have sex with men users of gay dating websites were invited to complete an online questionnaire. We calculated estimates of the knowledge and use of unauthorized HIV self-testing and assessed the associated factors by rare event logit regression models.

Summary of findings
Among 8620 participants, 4.2% knew they could buy an unauthorized HIVST online, and 12.7% thought that such a test might exist, although they had never seen one. Only 0.7% had ever self-tested. Knowledge of online availability of HIVST was associated with being a non-Latin American foreigner, having had at least two previous tests, intending to test for HIV in the next year, and knowing about the US approval of HIVST. Ever-use of HIVST was associated with being over 34 years of age, living outside of Spain during the last 12 months, and knowing about US approval of HIVST.

Acceptability
0.84

Acceptability details
84% were willing to use the test if available in pharmacies

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


Study status
Completed