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Promoting HIV testing with home self-test kit among men who have sex with men in China: a feasibility study


Author
Wang et al.

Publication year
2015

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
510

UNAIDS HIV prevalence (2017)
<0.1

Methodology
Two-stage interventional study of HIV testing at baseline and at follow-up took place in two big cities and involved 3 clinics in Beijing and Nanning. Included men who have sex with men 18 years or older. Recruitment was through peer-referral and disseminating testing and survey information through internet. HIVST was perfomed while supervised by researchers. Participants gave self-reported data using questionaire, including HIV testing history, willingness to use the oral fluid rapid HIV test, and test preference. They also monitored oral fluid rapid self-testing and accuracy compared to standard blood tests for ELISA / western blot.

Summary of findings
279/510 men who have sex with men (MSM) enrolled in the study were followed up. At baseline, HIVST using oral fluid rapid diagnostic tests (RDTs) had a sensitivity of 86% (95% CI 81.09-95.62); and specificity of 98.2% (97.88-98.52). 401 (79%) MSM at baseline were willing to test for HIV with oral fluid RDTs. Factors associated with willingness to self-test at baseline were growing up in urban areas and willingness to self-test for HIV using oral test kit in future. 102 (25%) MSM were willing to purchase oral fluid HIVST kit in the following 6 months. The associated factors were 25 years of age or younger, college-level or higher education, known HIV serostatus of non-regular male sex partners through testing, and the oral test being the first choice of test.

Acceptability
0.79

Acceptability details
79% (401/510) men who have sex with men at baseline were willing to self-test for HIV with oral fluid testing kits.

Willingness to pay
n/a

Willingness to pay details
102 (25%) men who have sex with men were willing to purchase oral fluid test kit in the following 6 months.

Sensitivity
0.86

Specificity
0.982

Concordance
n/a

HIV positivity
n/a

Accuracy details
The sensitivity of oral fluid HIV self-testing at baseline was 86% (95% CI 81.0-95.62); and the specificity was 98.2% (97.88-98.52).

Social harm
n/a

Linkage to prevention, care and treatment
n/a

Source

Study status
Completed