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Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey

While studies on human immunodeficiency virus self-testing (HIVST) continue to accumulate after the World Health Organization’s recommendation of HIVST as an additional approach to HIV testing services in 2016, few studies have focused on men who have sex with men (MSM) in Chinese cities. A cross-se...

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Autores principales: Liu, Ying, Wu, Guohui, Lu, Rongrong, Ou, Rong, Hu, Ling, Yin, Yiping, Zhang, Yangchang, Yan, Hongjia, Zhao, Yong, Luo, Yetao, Ye, Mengliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084434/
https://www.ncbi.nlm.nih.gov/pubmed/32138263
http://dx.doi.org/10.3390/ijerph17051634
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author Liu, Ying
Wu, Guohui
Lu, Rongrong
Ou, Rong
Hu, Ling
Yin, Yiping
Zhang, Yangchang
Yan, Hongjia
Zhao, Yong
Luo, Yetao
Ye, Mengliang
author_facet Liu, Ying
Wu, Guohui
Lu, Rongrong
Ou, Rong
Hu, Ling
Yin, Yiping
Zhang, Yangchang
Yan, Hongjia
Zhao, Yong
Luo, Yetao
Ye, Mengliang
author_sort Liu, Ying
collection PubMed
description While studies on human immunodeficiency virus self-testing (HIVST) continue to accumulate after the World Health Organization’s recommendation of HIVST as an additional approach to HIV testing services in 2016, few studies have focused on men who have sex with men (MSM) in Chinese cities. A cross-sectional study was conducted to describe the HIVST status of MSM in Chongqing, China. MSM participants were recruited by random sampling, and qualified interviewers collected data, using confidential self-administered questionnaires. Blood specimens were collected for HIV antibody detection. The survey evaluated the uptake and accuracy of HIVST kits and identified factors that may be associated with HIVST. The proportion of HIVST uptake was 15.6%. The sensitivity and specificity of HIVST were 74.2% (95% confidence interval [CI] 66.6%–80.7%) and 99.0% (95% CI 96.9%–99.7%), respectively. The consistency between the HIVST kit and antibody detection results was 90.5% (95% CI 87.5%–93.0%), and the Kappa value was 0.777 (p < 0.001). The positive predictive value of self-testing kits is 80.9% and the negative predictive value is 17.7%. Having been tested ≥2 times in the last year, higher educational levels, and higher scores of basic HIV/AIDS knowledge facilitated higher uptake of HIVST. Self-reported existing barriers for HIVST uptake included older age, marital status, and having resided in Chongqing for more than two years.
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spelling pubmed-70844342020-03-24 Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey Liu, Ying Wu, Guohui Lu, Rongrong Ou, Rong Hu, Ling Yin, Yiping Zhang, Yangchang Yan, Hongjia Zhao, Yong Luo, Yetao Ye, Mengliang Int J Environ Res Public Health Article While studies on human immunodeficiency virus self-testing (HIVST) continue to accumulate after the World Health Organization’s recommendation of HIVST as an additional approach to HIV testing services in 2016, few studies have focused on men who have sex with men (MSM) in Chinese cities. A cross-sectional study was conducted to describe the HIVST status of MSM in Chongqing, China. MSM participants were recruited by random sampling, and qualified interviewers collected data, using confidential self-administered questionnaires. Blood specimens were collected for HIV antibody detection. The survey evaluated the uptake and accuracy of HIVST kits and identified factors that may be associated with HIVST. The proportion of HIVST uptake was 15.6%. The sensitivity and specificity of HIVST were 74.2% (95% confidence interval [CI] 66.6%–80.7%) and 99.0% (95% CI 96.9%–99.7%), respectively. The consistency between the HIVST kit and antibody detection results was 90.5% (95% CI 87.5%–93.0%), and the Kappa value was 0.777 (p < 0.001). The positive predictive value of self-testing kits is 80.9% and the negative predictive value is 17.7%. Having been tested ≥2 times in the last year, higher educational levels, and higher scores of basic HIV/AIDS knowledge facilitated higher uptake of HIVST. Self-reported existing barriers for HIVST uptake included older age, marital status, and having resided in Chongqing for more than two years. MDPI 2020-03-03 2020-03 /pmc/articles/PMC7084434/ /pubmed/32138263 http://dx.doi.org/10.3390/ijerph17051634 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Ying
Wu, Guohui
Lu, Rongrong
Ou, Rong
Hu, Ling
Yin, Yiping
Zhang, Yangchang
Yan, Hongjia
Zhao, Yong
Luo, Yetao
Ye, Mengliang
Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey
title Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey
title_full Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey
title_fullStr Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey
title_full_unstemmed Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey
title_short Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China: A Cross-Sectional Survey
title_sort facilitators and barriers associated with uptake of hiv self-testing among men who have sex with men in chongqing, china: a cross-sectional survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084434/
https://www.ncbi.nlm.nih.gov/pubmed/32138263
http://dx.doi.org/10.3390/ijerph17051634
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