Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study
Abstract Background HIV testing and early linkage to care are critical for reducing the risk of HIV transmission. HIV self-testing (HIVST) is a useful tool for increasing HIV testing frequency.This study aimed to investigate HIVST rates among men who have sex with men (MSM), the characteristics of M...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | AIDS Research and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12981-021-00339-x |
| _version_ | 1818961192431910912 |
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| author | Hang Hong Hong-bo Shi Hai-bo Jiang Hong-jun Dong Yun-liang Shen |
| author_facet | Hang Hong Hong-bo Shi Hai-bo Jiang Hong-jun Dong Yun-liang Shen |
| author_sort | Hang Hong |
| collection | DOAJ |
| description | Abstract Background HIV testing and early linkage to care are critical for reducing the risk of HIV transmission. HIV self-testing (HIVST) is a useful tool for increasing HIV testing frequency.This study aimed to investigate HIVST rates among men who have sex with men (MSM), the characteristics of MSM who had HIVST, and factors associated with HIVST uptake among MSM in Ningbo, China. Methods A cross-sectional study was conducted from April to October 2019 in Ningbo,China. Participants were aged at least 18 years and having had sexual contact with men in the past year. Proportions were used for categorical variables. Adjusted Odds Ratio (AOR) and 95% Confidence Interval (CI) for characteristics associated with HIVST uptake was processed by multivariable logistic regression models. Results Among a sample of 699 MSM recruited, 38.2% had reported previous use of an HIV self-test kit. A greater proportion of HIVST users had a higher frequency of HIV testing (≥ 2 times: 70.0% versus 41.2%, p < 0.001) in the past 1 year. The odds of older age (30–39 years: AOR = 0.49, CI 0.32–0.76; more than 40 years: AOR = 0.07, CI 0.04–0.14, compared to 18–29 years), bisexual (AOR = 0.49, CI 0.29–0.84) were lower among HIVST users,and were higher among MSM who were higher education level (high school: AOR = 2.82, CI 1.70–4.69, compared to middle school or less), gay apps use (AOR = 1.86, CI 1.13–3.05), multiple male sex partners (AOR = 1.90, CI 1.29–2.80), frequency of male–male sexual contact ≥ 1 times per week (AOR = 1.86, CI 1.30–2.66), syphilis infection (AOR = 5.48, CI 2.53–11.88). Conclusions Further HIVST education should be strengthened for school-aged children and teenagers, and free HIVST kits may be provided to high-risk MSM through gay apps and CBO to achieve the increased HIV testing frequency. |
| first_indexed | 2024-12-20T12:09:31Z |
| format | Article |
| id | doaj.art-71886939b5cd408fbb99d7c529e82157 |
| institution | Directory Open Access Journal |
| issn | 1742-6405 |
| language | English |
| last_indexed | 2024-12-20T12:09:31Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | AIDS Research and Therapy |
| spelling | doaj.art-71886939b5cd408fbb99d7c529e821572022-12-21T19:41:16ZengBMCAIDS Research and Therapy1742-64052021-04-011811810.1186/s12981-021-00339-xPrevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional studyHang Hong0Hong-bo Shi1Hai-bo Jiang2Hong-jun Dong3Yun-liang Shen4Ningbo Municipal Center for Disease Control and PreventionNingbo Municipal Center for Disease Control and PreventionNingbo Municipal Center for Disease Control and PreventionNingbo Municipal Center for Disease Control and PreventionZhejiang Provincial Institute of DermatologyAbstract Background HIV testing and early linkage to care are critical for reducing the risk of HIV transmission. HIV self-testing (HIVST) is a useful tool for increasing HIV testing frequency.This study aimed to investigate HIVST rates among men who have sex with men (MSM), the characteristics of MSM who had HIVST, and factors associated with HIVST uptake among MSM in Ningbo, China. Methods A cross-sectional study was conducted from April to October 2019 in Ningbo,China. Participants were aged at least 18 years and having had sexual contact with men in the past year. Proportions were used for categorical variables. Adjusted Odds Ratio (AOR) and 95% Confidence Interval (CI) for characteristics associated with HIVST uptake was processed by multivariable logistic regression models. Results Among a sample of 699 MSM recruited, 38.2% had reported previous use of an HIV self-test kit. A greater proportion of HIVST users had a higher frequency of HIV testing (≥ 2 times: 70.0% versus 41.2%, p < 0.001) in the past 1 year. The odds of older age (30–39 years: AOR = 0.49, CI 0.32–0.76; more than 40 years: AOR = 0.07, CI 0.04–0.14, compared to 18–29 years), bisexual (AOR = 0.49, CI 0.29–0.84) were lower among HIVST users,and were higher among MSM who were higher education level (high school: AOR = 2.82, CI 1.70–4.69, compared to middle school or less), gay apps use (AOR = 1.86, CI 1.13–3.05), multiple male sex partners (AOR = 1.90, CI 1.29–2.80), frequency of male–male sexual contact ≥ 1 times per week (AOR = 1.86, CI 1.30–2.66), syphilis infection (AOR = 5.48, CI 2.53–11.88). Conclusions Further HIVST education should be strengthened for school-aged children and teenagers, and free HIVST kits may be provided to high-risk MSM through gay apps and CBO to achieve the increased HIV testing frequency.https://doi.org/10.1186/s12981-021-00339-xMSMHIV self-testingGay appsAssociated factorsChina |
| spellingShingle | Hang Hong Hong-bo Shi Hai-bo Jiang Hong-jun Dong Yun-liang Shen Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study AIDS Research and Therapy MSM HIV self-testing Gay apps Associated factors China |
| title | Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study |
| title_full | Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study |
| title_fullStr | Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study |
| title_full_unstemmed | Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study |
| title_short | Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study |
| title_sort | prevalence and associated factors of hiv self testing among men who have sex with men in ningbo china a cross sectional study |
| topic | MSM HIV self-testing Gay apps Associated factors China |
| url | https://doi.org/10.1186/s12981-021-00339-x |
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