Experiences of and attitudes towards HIV testing for Asian, Black and Latin American men who have sex with men (MSM) in the SELPHI (HIV Self‐Testing Public Health Intervention) randomized controlled trial in England and Wales: implications for HIV self-testing

Nicholls, Emily Jay; Samba, Phil; McCabe, Leanne; Gafos, Mitzy; Philips, Andrew N; Trevelion, Roy; Rodger, Alison; Burns, Fiona; Weatherburn, Peter; Witzel, T. Charles

doi:10.1186/s12889-022-13189-7

Cited by 21 publications

(16 citation statements)

References 30 publications

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“…Several studies have reported high acceptability, including by transgender communities and for Asian, Black, and Latin American gay and bisexual men. COVID‐19 could easily have further increased the acceptability of home testing by normalizing the use of similar technologies [25, 26].…”

Section: Advantages Of Self‐testingmentioning

confidence: 99%

Late diagnosis of HIV in 2022: Why so little change?

Collins¹,

Namiba

Sparrowhawk³

et al. 2022

HIV Medicine

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Background: The proportion of people who are diagnosed late is a key metric to measure the public health response to HIV. But this percentage remains stubbornly high in nearly every country. Delays in accessing antiretroviral therapy affects both (i) individual health, due to a higher risk of mortality, and (ii) population-based health, due to continued risk of transmission. Despite huge efforts to increase testing, late diagnosis continues to be an indication of a public health failure.Outline: This short review includes community perspectives on why late diagnosis continues and how it may be reduced. We discuss both structural barriers that prevent people from testing earlier and personal reasons why some people still refuse testing when offered. We note that late diagnosis is reported in all countries and in all demographic groups and that sex, gender, age, and sexuality all affect these rates. However, even in groups with high HIV awareness, such as in gay and bisexual men in the UK, more than one in three people with HIV continue to be diagnosed late. Fears and prejudice about HIV based on outdated information are still common among both health workers and people using health services. For example, testing is still not offered in primary or emergency care settings, and even free testing might not be accepted if someone fears the outcome might jeopardize their resident status, employment, relationship, or health.Summary: In addition to developing targeted projects to reach the highest-risk groups, a positive mainstream public campaign could make testing more acceptable at a broad population level across all demographics. This could challenge and repair the media campaigns from the 1980s that still contribute to the stigma that frightens people away from testing now. We hope that an effective approach in one country might also help others.

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Section: Advantages Of Self‐testingmentioning

confidence: 99%

Late diagnosis of HIV in 2022: Why so little change?

Collins¹,

Namiba

Sparrowhawk³

et al. 2022

HIV Medicine

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“…More importantly, differences in access to infrastructure (road, water, electricity, and health facilities) around urban and rural districts widen the disparities, observed from the outcome of the study [ 8 , 55 ]. Furthermore, due to urbanisation and conflict across the globe, migration contributes to diverse cultures which to some extent influence people’s attitudes and knowledge in society towards HIV/AIDS self-testing uptake [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring Determinants of HIV/AIDS Self-Testing Uptake in South Africa Using Generalised Linear Poisson and Geographically Weighted Poisson Regression

et al. 2023

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Increased HIV/AIDS testing is of paramount importance in controlling the HIV/AIDS pandemic and subsequently saving lives. Despite progress in HIV/AIDS testing programmes, most people are still reluctant to test and thus are still unaware of their status. Understanding the factors associated with uptake levels of HIV/AIDS self-testing requires knowledge of people’s perceptions and attitudes, thus informing evidence-based decision making. Using the South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey of 2017 (SABSSM V), this study assessed the efficacy of Generalised Linear Poisson Regression (GLPR) and Geographically Weighted Poisson Regression (GWPR) in modelling the spatial dependence and non-stationary relationships of HIV/AIDS self-testing uptake and covariates. The models were calibrated at the district level across South Africa. Results showed a slightly better performance of GWPR (pseudo R2 = 0.91 and AICc = 390) compared to GLPR (pseudo R2 = 0.88 and AICc = 2552). Estimates of local intercepts derived from GWPR exhibited differences in HIV/AIDS self-testing uptake. Overall, the output of this study displays interesting findings on the levels of spatial heterogeneity of factors associated with HIV/AIDS self-testing uptake across South Africa, which calls for district-specific policies to increase awareness of the need for HIV/AIDS self-testing.

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“…31 In addition, there has been an increase in new HIV diagnoses among newly arrived people born in Latin America or Caribbean in Australia. [32][33][34] Because of cultural factors, stigma, and discrimination, people from these regions may have limited access to sexual health information and resources [35][36][37] ; important sexual health messages and education can be delivered to these clients via SHAVE, and they can review these resources in their private own time to reduce embarrassment and shame.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with consenting to receive an automated email summary following a sexual health clinic visit

Huang¹,

Fairley²,

Lee

et al. 2023

Sexual Trans Dis

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Background Electronic health records allow for inexpensive communication with patients. In March 2021, the Melbourne Sexual Health Centre (MSHC) implemented an automated email summary (“Sexual Health Automated Visit Email” (SHAVE)) of a client’s visit. This study evaluates the proportion of attendees at a sexual health service who opted in or out of SHAVE. Methods This study was conducted at MSHC in Australia between March 2021 and June 2022. Univariable and multivariable logistic regression analyses were used to examine the client characteristics associated with consenting to SHAVE. Results There were 18,528 clients (men: 12,700, women: 5,828) included in the final analysis and 55.2% (n = 10,233) consented to receiving SHAVE. Comparing to those who did not have a new STI diagnosis, clients with a new diagnosis of an STI, but not HIV, had lower odds of consenting to receiving SHAVE (chlamydia [aOR: 0.64; 95% CI: 0.57-0.72]; gonorrhoea [aOR: 0.71; 95% CI: 0.62-0.82]; syphilis [aOR: 0.75; 95% CI: 0.59-0.96]). Men had lower odds of consenting when compared to women (MSW [aOR: 0.77; 95% CI: 0.71-0.84] and MSM [aOR: 0.68; 95% CI: 0.62-0.75]). Comparing to those born in Australia or Oceania, clients born in Europe had lower odds of consenting (aOR: 0.81; 95% CI: 0.70-0.94) , whilst those born in Latin America or Caribbean had higher odds of consenting (aOR: 1.25; 95% CI: 1.04-1.51). Conclusion Email summaries may serve as a valuable strategy to improve health communication and record keeping for clients. Understanding the client characteristics associated with consenting SHAVE will allow for the implementation of strategies to better communicate with clients.

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Experiences of and attitudes towards HIV testing for Asian, Black and Latin American men who have sex with men (MSM) in the SELPHI (HIV Self‐Testing Public Health Intervention) randomized controlled trial in England and Wales: implications for HIV self-testing

Cited by 21 publications

References 30 publications

Late diagnosis of HIV in 2022: Why so little change?

Late diagnosis of HIV in 2022: Why so little change?

Exploring Determinants of HIV/AIDS Self-Testing Uptake in South Africa Using Generalised Linear Poisson and Geographically Weighted Poisson Regression

Factors associated with consenting to receive an automated email summary following a sexual health clinic visit

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