Uptake of HIV Self-testing among Men Who have Sex with Men in Beijing, China: a Cross-sectional Study.

Xian Long Ren; Zun You WU; Guo Dong MI; Jennifer Mcgoogan; Ke Ming Rou; Yan Zhao

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Uptake of HIV Self-testing among Men Who have Sex with Men in Beijing, China: a Cross-sectional Study.

Author: Xian Long REN ¹ ; Zun You WU ² ; Guo Dong MI ³ ; Jennifer MCGOOGAN ² ; Ke Ming ROU ¹ ; Yan ZHAO ⁴
Author Information

1. Division of Prevention Intervention, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
2. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
3. Office of the Director, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
4. Division of Treatment and Care, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Publication Type:Journal Article
Keywords: Associated factors; Beijing; HIV self-testing; Men who have sex with men
MeSH: Adolescent; Adult; Beijing; epidemiology; Cross-Sectional Studies; Data Collection; HIV Infections; diagnosis; epidemiology; Homosexuality, Male; Humans; Male; Patient Participation; Reagent Kits, Diagnostic; Risk Factors; Sexual Behavior; Surveys and Questionnaires; Young Adult
From: Biomedical and Environmental Sciences 2017;30(6):407-417
CountryChina
Language:English
Abstract:
OBJECTIVETo examine HIV self-testing uptake and its determinates among men who have sex with men (MSM) in Beijing, China.
METHODSA cross-sectional online survey was conducted in Beijing, China in 2016. Participants were users of a popular Chinese gay networking application and had an unknown or negative HIV status. Univariate and multivariate logistic regression analyses were conducted to examine factors associated with HIV self-testing based on adjusted odds ratio (AOR) and 95% confidence interval (CI).
RESULTSAmong the 5,996 MSM included in the study, 2,383 (39.7%) reported to have used HIV self-testing kits. Willingness to use an HIV self-test kit in the future was expressed by 92% of the participants. High monthly income (AOR = 1.49; CI = 1.10-2.02; P = 0.010), large number of male sex partners (⋝ 2: AOR = 1.24; CI = 1.09-1.43; P = 0.002), sexual activity with commercial male sex partners (⋝ 2: AOR = 1.94; CI = 1.34 -2.82; P = 0.001), long-term drug use (AOR = 1.42; CI = 1.23-1.62; P < 0.001), and long-term HIV voluntary counseling and testing (VCT) attendance (AOR = 3.62; CI = 3.11-4.22; P < 0.001) were all associated with increased odds of HIV self-testing uptake.
CONCLUSIONThe nearly 40% rate of HIV self-testing uptake among MSM in our sample was high. In addition, an over 90% willingness to use kits in the future was encouraging. HIV self-testing could be an important solution to help China achieve the global target of having 90% of all people living with HIV diagnosed by 2020.