Acceptability and feasibility of using digital vending machines to deliver HIV self-tests to men who have sex with men

Vera, Jaime H.; Soni, Suneeta; Pollard, Alex; Llewellyn, Carrie; Peralta, Carlos; Rodriguez, Liliana; Dean, Gillian

doi:10.1136/sextrans-2018-053857

Cited by 26 publications

(43 citation statements)

References 23 publications

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“…This highlights the role of both demand creation campaigns directed to MSM and support for MSM-friendly NGOs, which unfortunately have been under-and defunded in the past few years in Brazil [53,54]. HIVST should be made available with reinforced HIV/AIDS prevention activities that promote HIVST within a combined prevention strategy, including strengthening and extending health services, targeted health education campaigns and support for community-based organizations and NGOs [55].…”

Section: Discussionmentioning

confidence: 99%

“…Of the MSM we interviewed who had no previous HIV test, self-reported discrimination was one of the factors that increased the likelihood of HIVST acceptability. As pointed out in the literature, stigma, and concerns about con dentiality and privacy are among the barriers to testing confronted by MSM [4,[55][56][57]. Those who have not yet been tested, or were tested a long time ago, may resort to HIVST as a strategy to avoid potential discrimination or con dentiality fears in health services.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Magno

Leal

Knauth

et al. 2020

Preprint

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Background : Brazil has a substantial population living with HIV (PLWH) who are still unaware of their serostatus and has recently added HIV self-test (HIVST) into its public health system for key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and its associated factors among those who had never been tested or had a previous HIV negative result. Methods : Respondent-driven sampling (RDS) was used for behavioral and biological surveillance to recruit 4,176 MSM in 12 Brazilian cities in 2016. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted with Gile’s estimator in RDS Analyst software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or one or more times). Results : We included 3,605 MSM who did not previously know they were PLWH. The acceptability of HIVST was 49.1%, lower among those had never tested compared to those who had a previous HIV negative test. In the subgroup of MSM who had never had an HIV test, those who reported discrimination and who had a medical appointment in the last 12 months reported higher HIVST acceptability. Among MSM who had a previous HIV negative test, only those reporting condomless receptive anal sex had greater HIVST acceptability. In addition, we observed that high levels of knowledge of HIV/AIDS, taking part in LGBT nongovernmental organizations, and complete secondary or incomplete higher school were associated with greater acceptability in both groups. Conclusions : The findings highlight that it is necessary to improve information about HIVST among the most vulnerable MSM in Brazil. Given the acceptability of self-testing and its current promotion in Brazil, we can also point to the need for policies that build on this and enhance timely access to health services and prevention information.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Magno

Leal

Knauth

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…HIVST should be jointly available with reinforced HIV/AIDS prevention activities that promote HIVST within a combined prevention strategy, including strengthening and extending health services, targeted health education campaigns and support for community-based organizations and NGOs [41].…”

Section: Discussionmentioning

confidence: 99%

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Magno

Leal

Knauth

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Brazil has a lot of people living with HIV (PLWH) that are still unaware of their own serostatus and has recently integrated HIV self-test (HIVST) into its public health system and offered to key populations such as men who have sex with men (MSM). This study estimates HIVST acceptability among Brazilian MSM and its associated factors. Methods: Respondent-driven sampling (RDS) was used in behavioral and biological surveillance to recruit 4,176 MSM in 12 Brazilian cities in 2016. Descriptive, bivariate and multivariate analyses were conducted. Overall proportions were weighted according to Gile’s estimator using RDS Analyst Software and 95% confidence intervals were calculated. The analyses of HIVST acceptability were stratified by prior HIV testing (never or at least once in a lifetime). Results: We included 3,605 MSM who did not previously know they were PLWH. The HIVST acceptability was 49.1%, lower among those had done HIV test during lifetime compared to those who have never done it (42.7% vs 50.1%), especially among who are in a less vulnerable social context. In the subgroups of MSM who had never had an HIV test, those with complete secondary or incomplete higher school, who reported discrimination, who with a medical appointment in the last 12 months, with high levels of knowledge of HIV/AIDS and who took part in LGBT nongovernmental organization (LGBT-NGO) had higher HIVST acceptability. Among MSM who had taken an HIV test, those who took part in LGBT NGOs had greater HIVST acceptability. We observed a dose-response effect of schooling and knowledge of HIV/AIDS on HIVST acceptability: an increase in both levels was associated with greater acceptability. Conclusions: The findings highlight that it is necessary to improve information about HIVST among MSM more vulnerable in Brazil. Given the acceptability of self-testing and its current adoption in Brazil, we can also point to the need for policies that build on this and enhance timely access to health services and prevention information.

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“…A positive result on an HIVST is the first step in a testing pathway; diagnosis requires undergoing further testing using a nationally recognised testing algorithm [4]. Free provision of HIVST has been patchy, with pilot and demonstration projects providing limited numbers of kits to specific risk groups in geographically defined areas [4,12].…”

Section: Hiv Self-testing In the Ukmentioning

confidence: 99%

Exploring Mechanisms of Action: Using a Testing Typology to Understand Intervention Performance in an HIV Self-Testing RCT in England and Wales

Witzel

Weatherburn

Bourne

et al. 2020

IJERPH

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SELPHI involves two interventions: A provides one HIV self-testing (HIVST) kit; B offers 3-monthly repeat HIVST kits if participants report ongoing risk. A logic model underpinned by the Behaviour Change Wheel informed the design of the intervention. SELPHI recruited 10,135 cis-men and trans people in England and Wales, all reporting anal sex with a man. This paper explores how the interventions were experienced and the mechanisms of action leading to impact for different groups of trial participants. In-depth interviews with 37 cis-men who have sex with men (MSM) were used to inductively categorise participants based on sexual and HIV testing histories. Themes relating to intervention experiences and impacts were mapped onto SELPHI-hypothesised intermediate outcomes to consider intervention impacts. Three groups were identified: ‘inexperienced testers’ engaged with SELPHI to overcome motivational and social and physical opportunity testing barriers. For ‘pro self-testers’, testing frequency was constrained by psychological and social barriers and lack of opportunity. ‘Opportunistic adopters’ engaged in HIVST for novelty and convenience. Perceived impacts for inexperienced testers were most closely aligned with the logic model, but for opportunistic adopters there was little evidence of impact. Distinctive groups were discernible with divergent intervention experiences. Using COM-B as a model for understanding behaviour change in relation to HIVST, our results indicate how HIVST interventions could be adapted to respond to different needs based on the target population’s demographic and behavioural features.

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Acceptability and feasibility of using digital vending machines to deliver HIV self-tests to men who have sex with men

Cited by 26 publications

References 23 publications

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Exploring Mechanisms of Action: Using a Testing Typology to Understand Intervention Performance in an HIV Self-Testing RCT in England and Wales

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