The impact of HIV self-testing on risk behaviors among men who have sex with men
A mixed-methods study
Bibliographic Data
| ID | 22074016 |
|---|---|
| Authors | Rong Su (0000-0003-4520-9134), Yi Liu (0000-0001-7733-3290), Peilong Li (0000-0002-7441-6514), Lin Ge (0000-0002-3732-1890), Meizhen Liao (0000-0003-0900-7471, Shandong Center for Disease Control and Prevention), Yong Fu (0000-0002-8256-201X, Qingdao Municipal Center for Disease Control and Prevention), Xin Song (0000-0003-3491-5324, Qingdao Municipal Center for Disease Control and Prevention), Duo Shan (0000-0002-7883-0157), Houlin Tang (0000-0001-5762-5464), Dongmin Li (0000-0002-8002-9473, corresponding author) |
| Year | 2024 |
| Volume | 12 |
| Pages | 1369931-1369931 |
| Publication date | 2024-02-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2024.1369931 |
| PMID | 38476479 |
| OpenAlex | W4392195730 |
| Language | EN |
| Citations received | 2 |
| References cited | 31 |
Background Men who have sex with men (MSM) have a high prevalence of HIV and a low rate of HIV testing in China. HIV self-testing (HIVST) presents a viable strategy for expanding HIV testing among MSM. However, the impact of HIVST on risk behaviors among MSM remains controversial. Our study sought to ascertain this impact. Methods From April 2021 to January 2022, a mixed-methods study was conducted in Qingdao City, employing both quantitative and qualitative methodologies. The quantitative component entailed a cohort study among MSM who had used HIVST. Generalized estimating equations fitting Poisson regressions were used to analyze the changes in risk behaviors of MSM in short time after HIVST (ST-HIVST) and longer time after HIVST (LT-HIVST) compared to before HIVST. Subsequently, we conducted in-depth interviews with 18 MSM who completed the follow-up to delve deeper into the impact of HIVST on MSM. Results A total of 410 MSM were recruited in the cohort, of whom 83 were lost to follow-up. Compared to before HIVST, there were no significant changes in risk behaviors in ST-HIVST ( p > 0.05), while the proportion of recreational drugs abuse (20.7% vs. 33.3%), commercial sex (14.6% vs. 22.9%), and unprotected anal sex (95.9% vs. 98.5%) increased significantly in LT-HIVST ( p < 0.05). Specific changes varied across demographic characteristics. According to qualitative interviews, MSM might have decreased risk perception and increased risk behaviors after HIVST. Conclusion The use of HIVST may promote MSM to engage in risk behaviors. In the future, customized HIVST promotion programs need to be developed to expand HIV testing among MSM and simultaneously control their risk behaviors
Cohort · Family medicine · Men who have sex with men · Demography · HIV Research and Treatment · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine · Internal Medicine
Determinants of Recent HIV Self-Testing Uptake Among Men Who Have Sex With Men in Jiangsu Province, China
Sociocultural facilitators and barriers to condom use during anal sex among men who have sex with men in Guangzhou, China
Facilitators and Barriers Associated with Uptake of HIV Self-Testing among Men Who Have Sex with Men in Chongqing, China
Correlates of group sex participation among men who have sex with men in Chongqing, Southwestern China
Usage and Acceptability of HIV Self-testing in Men who have Sex with Men in Hong Kong
HIV Testing Among Chinese Men Who Have Sex with Men
Attitude and Behavior Changes Among Gay and Bisexual Men After Use of Rapid Home HIV Tests to Screen Sexual Partners
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |