HIV self-testing for men who have sex with men in Sweden. A cross-sectional study concerning interest to use HIV self-tests

Kinnman, Elin; Herder, Tobias; Björkman, Per; Månsson, Fredrik; Agardh, Anette

doi:10.1080/16549716.2021.2021631

Cited by 6 publications

(4 citation statements)

References 61 publications

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“…Consistent with previous findings, our study showed that MSM with high-risk sexual behaviors have a lower willingness to test for HIV [ 15 – 17 ]. As a result, MSM who engage in hazardous sexual activity and are sexually active should be the focus of HIV prevention education, which is essential for lowering HIV incidence.…”

Section: Discussionsupporting

confidence: 92%

A structural equation modeling approach to investigate HIV testing willingness for men who have sex with men in China

Jiang,

He,

Pan

et al. 2023

AIDS Res Ther

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Background A substantial risk of contracting Human immunodeficiency virus (HIV) exists among men who have sex with men (MSM), and HIV infection rates have been rising. This study aimed to analyze the factors influencing the Chinese MSM population’s intention to test for HIV. Methods Nonprobability sampling techniques were employed in June 2022 to recruit MSM in Chongqing and Sichuan, China. The data were analyzed using structural equation modeling (SEM), which is based on the knowledge-attitude-behavior (KAB) theory. Results Among 1687 participants, 964 (57.1%) of the MSM were willing to have an HIV test. The results of the structural equation modeling (SEM) showed that knowledge, attitude, and behavior all influenced the testing intention, with attitude having the greatest impact (total effect of 0.22). Conclusion HIV testing needs to be increased among MSM as they exhibit a moderate willingness to test. Improving education on HIV knowledge and risk behavior might enhance the willingness of MSM to test for HIV in China.

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Section: Discussionsupporting

confidence: 92%

A structural equation modeling approach to investigate HIV testing willingness for men who have sex with men in China

Jiang,

He,

Pan

et al. 2023

AIDS Res Ther

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“…Investigators focusing on the high-risk population's (MSM) HIV-testing behavior in China during the COVID-19 pandemic found the use of HIV self-testing increased compared to facility-based HIV testing, which decreased by more than 50% overall [26,27]. Earlier investigations in Sweden and Japan showed the interest and demand for HIV self-testing in high-risk populations such as MSM even before the COVID-19 pandemic [12,28]. A study in France also reported that the number of HIV self-testing kits sold in 2021 increased by 3% compared to 2020 [29].…”

Section: Discussionmentioning

confidence: 99%

Web-Based Search Volume for HIV Tests and HIV-Testing Preferences During the COVID-19 Pandemic in Japan: Infodemiology Study

Kanamori,

Umemura,

Uemura

et al. 2024

JMIR Form Res

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Background Research has found a COVID-19 pandemic–related impact on HIV medical services, including clinic visits, testing, and antiviral therapy initiation in countries including Japan. However, the change in trend for HIV/AIDS testing during the COVID-19 pandemic has not been explored extensively in the Japanese population. Objective This infodemiology study examines the web-based search interest for two types of HIV tests, self-test kits and facility-based tests, before and during the COVID-19 pandemic in Japan. Methods The monthly search volume of queried search terms was obtained from Yahoo! JAPAN. Search volumes for the following terms were collected from November 2017 to October 2018: “HIV test,” “HIV test kit,” and “HIV test health center.” The search term “Corona PCR” and the number of new COVID-19 cases by month were used as a control for the search trends. The number of new HIV cases in the corresponding study period was obtained from the AIDS Trend Committee Quarterly Report from the AIDS Prevention Foundation. Results Compared to the search volume of “corona-PCR,” which roughly fluctuated corresponding to the number of new COVID-19 cases in Japan, the search volume of “HIV test” was relatively stable from 2019 to 2022. When we further stratified by the type of HIV test, the respective web-based search interest in HIV self-testing and facility-based testing showed distinct patterns from 2018 to 2022. While the search volume of “HIV test kit” remained stable, that of “HIV test health center” displayed a decreasing trend starting in 2018 and has remained low since the beginning of the COVID-19 pandemic. Around 66%-71% of the search volume of “HIV test kits” was attributable to searches made by male internet users from 2018 to 2022, and the top three contributing age groups were those aged 30-39 (27%-32%), 20-29 (19%-32%), and 40-49 (19%-25%) years. On the other hand, the search volume of “HIV test health centers” by male users decreased from more than 500 from 2018 to 2019 to fewer than 300 from 2020 to 2022. Conclusions Our study found a notable decrease in the search volume of “HIV test health center” during the pandemic, while the search volume for HIV self-testing kits remained stable before and during the COVID-19 crisis in Japan. This suggests that the previously reported COVID-19–related decrease in the number of HIV tests mostly likely referred to facility-based testing. This sheds light on the change in HIV-testing preferences in Japan, calling for a more comprehensive application and regulatory acceptance of HIV self-instructed tests.

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“…Global public health system is facing a huge challenge of in HIV prophylaxis and control. The proactive detection of HIV is critical to cut off the transmission and end the pandemic [ 44 ]. However, young students are less likely to uptake HIV testing, though they have a greater risk of exposure [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptance and associated factors of HIV testing among college students in China: A systematic review and meta-analysis

Liao

Liu

et al. 2023

PLoS ONE

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Background Although HIV testing is helpful for early detection and treatment of HIV, its utilization rate is low among college students in China. Understanding the acceptance and associated factors of HIV testing is the key to improve the detection rate. The purpose of the systematic review was to examine the acceptance and associated factors of HIV testing (including HIV self-testing and HIV counseling and testing services) among college students in China. Methods This systematic review was reported following PRISMA guidelines 2020. Electronic sources such as PubMed, Embase, Web of Science, CNKI, CBM, Wanfang Database and VIP Database were searched for relevant studies published before September 2022. The tool by Agency for Healthcare Research and Quality (AHRQ) was used to assess quality for cross-sectional studies. The random-effects and fixed-effect model were employed to estimate the pooled proportions and associated factor of HIV testing acceptance. The Cochrane’s Q statistic and I2 test were used to examine heterogeneity. All the quantitative meta analyses were conducted using STATA version 12 software. Results A total of 21 eligible studies with 100, 821 participants were included in the systematic review. The pooled acceptance rate of HIV testing was 68% (95% CI = 60, 76), and varies between regions in China. Male, heterosexual and urban college students had higher HIV testing acceptance. Gender, medical specialty, sexual education, sexual behavior, HIV/AIDS knowledge, perception HIV risk, and previous HIV testing were the factors associated with HIV testing acceptance. Conclusion The review revealed that most of the college students intend to accept HIV detection, and the proportion of acceptance influenced by different factors. Therefore, the government and universities should implement targeted measures, improve HIV testing services, and promote HIV testing behavior. Systematic review registration PROSPERO CRD42022367976.

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HIV self-testing for men who have sex with men in Sweden. A cross-sectional study concerning interest to use HIV self-tests

Cited by 6 publications

References 61 publications

A structural equation modeling approach to investigate HIV testing willingness for men who have sex with men in China

A structural equation modeling approach to investigate HIV testing willingness for men who have sex with men in China

Web-Based Search Volume for HIV Tests and HIV-Testing Preferences During the COVID-19 Pandemic in Japan: Infodemiology Study

Acceptance and associated factors of HIV testing among college students in China: A systematic review and meta-analysis

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