Analysis on accuracy and influencing factors of oral fluid-based rapid HIV self-testing among men who have sex with men.

Youfang LI; Yumiao Wang; Renzhong Zhang; Jue Wang; Zhiqing LI; Ling Wang; Songfeng Pan; Yanling Yang; Yanling MA; Manhong Jia

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Analysis on accuracy and influencing factors of oral fluid-based rapid HIV self-testing among men who have sex with men.

Author: Youfang LI ¹ ; Yumiao WANG ² ; Renzhong ZHANG ¹ ; Jue WANG ¹ ; Zhiqing LI ¹ ; Ling WANG ¹ ; Songfeng PAN ¹ ; Yanling YANG ¹ ; Yanling MA ¹ ; Manhong JIA ¹
Author Information

1. STD/AIDS Prevention and Control Institute, Yunnan Provincial Center for Disease Control and Prevention, Kunming 650022, China.
2. School of Public Health, Kunming Medical University, Kunming 650500, China.
Publication Type:Journal Article
MeSH: Adult; Demography; HIV Infections; diagnosis; Homosexuality, Male; Humans; Male; Mass Screening; methods; Saliva; Self Care; Surveys and Questionnaires; Young Adult
From:Chinese Journal of Epidemiology 2016;37(1):72-75
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo understood the accuracy of oral fluid-based rapid HIV self-testing among men who have sex with men (MSM) and related factors.
METHODSSurvey was conducted among MSM selected through non-probability sampling to evaluate the quality of their rapid HIV self-testing, and related information was analyzed.
RESULTSThe most MSM were aged 21-30 years (57.0%). Among them, 45.7% had educational level of college or above, 78.5% were unmarried, 59.3% were casual laborers. The overall accuracy rate of oral fluid based self-testing was 95.0%, the handling of"inserting test paper into tube as indicated by arrow on it"had the highest accuracy rate (98.0%), and the handling of"gently upsetting tube for 3 times"had lowest accuracy rate (65.0%); Chi-square analysis showed that educational level, no touch with middle part of test paper, whether reading the instruction carefully, whether understanding the instruction and inserting test paper into tube as indicated by the arrow on it were associated with the accuracy of oral fluid-based rapid HIV self-testing, (P<0.05). Multivariate logistic regression analysis indicated that educational level, no touch with middle part of test paper and understanding instructions were associated with the accuracy of oral fluid-based rapid HIV self-testing.
CONCLUSIONSThe accuracy of oral fluid-based rapid HIV self-testing was high among MSM, the accuracy varied with the educational level of the MSM. Touch with the middle part of test paper or not and understanding the instructions or not might influence the accuracy of the self-testing.