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Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines

BACKGROUND: New HIV infections in the Philippines are increasing at an alarming rate. However, over three quarters of men who have sex with men (MSM) have never been tested for HIV. HIV self-testing (HIVST) may increase overall testing rates by removing barriers, particularly fear of stigmatization...

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Autores principales: Sison, Olivia T., Baja, Emmanuel S., Bermudez, Amiel Nazer C., Quilantang, Ma. Irene N., Dalmacion, Godofreda V., Guevara, Ernest Genesis, Garces-Bacsal, Rhoda Myra, Hemingway, Charlotte, Taegtmeyer, Miriam, Operario, Don, Biello, Katie B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756449/
https://www.ncbi.nlm.nih.gov/pubmed/36527003
http://dx.doi.org/10.1186/s12889-022-14834-x
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author Sison, Olivia T.
Baja, Emmanuel S.
Bermudez, Amiel Nazer C.
Quilantang, Ma. Irene N.
Dalmacion, Godofreda V.
Guevara, Ernest Genesis
Garces-Bacsal, Rhoda Myra
Hemingway, Charlotte
Taegtmeyer, Miriam
Operario, Don
Biello, Katie B.
author_facet Sison, Olivia T.
Baja, Emmanuel S.
Bermudez, Amiel Nazer C.
Quilantang, Ma. Irene N.
Dalmacion, Godofreda V.
Guevara, Ernest Genesis
Garces-Bacsal, Rhoda Myra
Hemingway, Charlotte
Taegtmeyer, Miriam
Operario, Don
Biello, Katie B.
author_sort Sison, Olivia T.
collection PubMed
description BACKGROUND: New HIV infections in the Philippines are increasing at an alarming rate. However, over three quarters of men who have sex with men (MSM) have never been tested for HIV. HIV self-testing (HIVST) may increase overall testing rates by removing barriers, particularly fear of stigmatization and mistrust of providers. This study aimed to determine if these factors are associated with preference for HIVST among Filipino cisgender MSM (cis-MSM), and whether there is an interaction between anticipated HIV testing stigma and provider mistrust on preference for HIVST. METHODS: We conducted secondary analysis of a one-time survey of 803 cis-MSM who were recruited using purposive sampling from online MSM dating sites and MSM-themed bar locations in Metro Manila, Philippines. Summary statistics were computed to describe participant characteristics. Multivariable modified Poisson regression analyses were conducted to determine if anticipated HIV testing stigma and provider mistrust were associated with preference for HIVST among cis-MSM. Other variables such as age, education, monthly income, relationship status, HIV serostatus, and knowing where to get HIV testing were the minimal sufficient adjustment set in the analyses. RESULTS: Average age of participants was 28.6 years (SD = 8.0); most had received college degrees (73%) and were employed (80%). Most respondents (81%) preferred facility-based testing, while 19% preferred HIVST. A high percentage of participants reported anticipated HIV testing stigma (66%) and provider mistrust (44%). Anticipated HIV testing stigma (aPR = 1.51; 95% CI = 1.01–2.25, p = 0.046) and provider mistrust (aPR = 1.49; 95% CI = 1.07–2.09, p = 0.020) were independently associated with a preference for HIVST. There was a positive, additive interaction between provider mistrust and anticipated HIV testing stigma on preference for HIVST (RERI = 1.13, 95% CI: 0.20–2.06; p = 0.017), indicating that the association between anticipated HIV testing stigma and preference for HIVST is greater among those with provider mistrust compared to those without provider mistrust. CONCLUSIONS: HIVST should be offered as a supplement to traditional facility-based HIV testing services in the Philippines to expand testing and reach individuals who may not undergo testing due to anticipated HIV testing stigma and provider mistrust. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14834-x.
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spelling pubmed-97564492022-12-16 Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines Sison, Olivia T. Baja, Emmanuel S. Bermudez, Amiel Nazer C. Quilantang, Ma. Irene N. Dalmacion, Godofreda V. Guevara, Ernest Genesis Garces-Bacsal, Rhoda Myra Hemingway, Charlotte Taegtmeyer, Miriam Operario, Don Biello, Katie B. BMC Public Health Research BACKGROUND: New HIV infections in the Philippines are increasing at an alarming rate. However, over three quarters of men who have sex with men (MSM) have never been tested for HIV. HIV self-testing (HIVST) may increase overall testing rates by removing barriers, particularly fear of stigmatization and mistrust of providers. This study aimed to determine if these factors are associated with preference for HIVST among Filipino cisgender MSM (cis-MSM), and whether there is an interaction between anticipated HIV testing stigma and provider mistrust on preference for HIVST. METHODS: We conducted secondary analysis of a one-time survey of 803 cis-MSM who were recruited using purposive sampling from online MSM dating sites and MSM-themed bar locations in Metro Manila, Philippines. Summary statistics were computed to describe participant characteristics. Multivariable modified Poisson regression analyses were conducted to determine if anticipated HIV testing stigma and provider mistrust were associated with preference for HIVST among cis-MSM. Other variables such as age, education, monthly income, relationship status, HIV serostatus, and knowing where to get HIV testing were the minimal sufficient adjustment set in the analyses. RESULTS: Average age of participants was 28.6 years (SD = 8.0); most had received college degrees (73%) and were employed (80%). Most respondents (81%) preferred facility-based testing, while 19% preferred HIVST. A high percentage of participants reported anticipated HIV testing stigma (66%) and provider mistrust (44%). Anticipated HIV testing stigma (aPR = 1.51; 95% CI = 1.01–2.25, p = 0.046) and provider mistrust (aPR = 1.49; 95% CI = 1.07–2.09, p = 0.020) were independently associated with a preference for HIVST. There was a positive, additive interaction between provider mistrust and anticipated HIV testing stigma on preference for HIVST (RERI = 1.13, 95% CI: 0.20–2.06; p = 0.017), indicating that the association between anticipated HIV testing stigma and preference for HIVST is greater among those with provider mistrust compared to those without provider mistrust. CONCLUSIONS: HIVST should be offered as a supplement to traditional facility-based HIV testing services in the Philippines to expand testing and reach individuals who may not undergo testing due to anticipated HIV testing stigma and provider mistrust. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14834-x. BioMed Central 2022-12-16 /pmc/articles/PMC9756449/ /pubmed/36527003 http://dx.doi.org/10.1186/s12889-022-14834-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Sison, Olivia T.
Baja, Emmanuel S.
Bermudez, Amiel Nazer C.
Quilantang, Ma. Irene N.
Dalmacion, Godofreda V.
Guevara, Ernest Genesis
Garces-Bacsal, Rhoda Myra
Hemingway, Charlotte
Taegtmeyer, Miriam
Operario, Don
Biello, Katie B.
Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines
title Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines
title_full Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines
title_fullStr Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines
title_full_unstemmed Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines
title_short Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines
title_sort association of anticipated hiv testing stigma and provider mistrust on preference for hiv self-testing among cisgender men who have sex with men in the philippines
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756449/
https://www.ncbi.nlm.nih.gov/pubmed/36527003
http://dx.doi.org/10.1186/s12889-022-14834-x
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