Marketing the HIV Test to MSM

Lechuga, Julia; Owczarzak, Jill; Petroll, Andrew E.

doi:10.1177/1524839912460870

Cited by 9 publications

(5 citation statements)

References 27 publications

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“…The next best option preferred by MSM and VCT clients was general hospital. This finding differs from results in the U.S. where a physician’s office was the most common HIV testing site [ 38 ]. For FSW, a specialized hospital was their favorite testing site.…”

Section: Discussioncontrasting

confidence: 98%

Factors Associated with Willingness to Accept Oral Fluid HIV Rapid Testing among Most-at-Risk Populations in China

et al. 2013

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BackgroundThe availability of oral fluid HIV rapid testing provides an approach that may have the potential to expand HIV testing in China, especially among most-a-risk populations. There are few investigations about the acceptability of oral fluid HIV testing among most-at-risk populations in China.MethodA cross-sectional study with men who have sex with men (MSM), female sex workers (FSW) and voluntary counseling and testing (VCT) clients was conducted in three cities of Shandong province, China from 2011 to 2012. Data were collected by face-to-face questionnaire.ResultsAbout 71% of participants were willing to accept the oral fluid HIV rapid testing, and home HIV testing was independently associated with acceptability of the new testing method among MSM, FSW and VCT clients (AOR of 4.46, 3.19 and 5.74, respectively). Independent predictors of oral fluid HIV rapid testing acceptability among MSM were having ever taken an oral fluid HIV rapid test (AOR= 15.25), having ever taken an HIV test (AOR= 2.07), and education level (AOR= 1.74). Engagement in HIV-related risk behaviors (AOR= 1.68) was an independent predictor of acceptability for FSW. Having taken an HIV test (AOR= 2.85) was an independent predictor of acceptability for VCT clients. The primary concern about the oral fluid HIV testing was accuracy. The median price they would pay for the testing ranged from 4.8 to 8.1 U.S. dollars.ConclusionHigh acceptability of oral fluid HIV rapid testing was shown among most-at-risk populations. Findings provide support for oral rapid HIV testing as another HIV prevention tool, and provide a backdrop for the implementation of HIV home testing in the near future. Appropriate pricing and increased public education through awareness campaigns that address concerns about the accuracy and safety of the oral fluid HIV rapid testing may help increase acceptability and use among most-at-risk populations in China.

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Section: Discussioncontrasting

confidence: 98%

Factors Associated with Willingness to Accept Oral Fluid HIV Rapid Testing among Most-at-Risk Populations in China

et al. 2013

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“…16–18 Testing done as a part of routine health care should be supplemented with testing outside of traditional healthcare settings. Alternative testing approaches, including outreach testing and distribution of self-testing kits, also have the potential of overcoming real and perceived barriers to traditional testing approaches faced by MSM in the U.S. 57 However, scale-up of alternative testing alone will not reduce the incidence of HIV. 58 Testing services should be coupled with targeted behavioral and education tools, referral to PrEP when appropriate and, for those living with HIV, linkage to care and viral suppression are key to improving health outcomes and reducing the number of HIV transmissions.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated With Repeated HIV Testing Among Internet-Using Men Who Have Sex With Men

Johnson

McKenney

Ricca

et al. 2016

AIDS Education and Prevention

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Background Men who have sex (MSM) with men represent a disproportionately impacted risk group for HIV incidence among at-risk U.S. populations. Few studies have identified risk factors associated with HIV testing frequency both within and outside of traditional healthcare setting. Methods MSM enrolled in a prospective cohort, were mailed at-home specimen collection kit and followed for a year. Incidence density rate ratios (IDRR) of testing were calculated and generalized estimating equations were used to analyze the association between HIV testing and behavioral factors. Results The incidence rate of testing was higher among black MSM, compared to white MSM (IDRR: 1.3, 95% confidence interval (CI): 1.1–1.5) and among MSM who reported 3+ condomless anal intercourse partners (CAI), compared to MSM who reported no CAI (IDRR: 1.6, 95% CI: 1.3–2.0). Conclusion Increasing availability of HIV testing outside traditional healthcare settings, including at-home testing kits, in conjunction with targeted behavioral interventions and biomedical treatment preventions is needed.

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“…Furthermore, some studies have shown that, compared to White MSM, Black MSM are actually more likely to have been tested within the last year [13], [14]. One study of testing frequency found that Black MSM had shorter inter-test intervals than White MSM across a four-city sample of men attending STD clinics [15].…”

Section: Introductionmentioning

confidence: 99%

HIV Testing Patterns among Black Men Who Have Sex with Men: A Qualitative Typology

et al. 2013

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BackgroundBlack men who have sex with men (MSM) in the Southeastern United States are disproportionately affected by HIV. Black MSM are more likely to have unrecognized HIV infection, suggesting that testing may occur later and/or infrequently relative to current recommendations. The objective of this qualitative study was to explore the HIV testing behaviors of Black MSM in Atlanta, Georgia, who were participants in the HIV Prevention Trials Network Brothers Study (HPTN 061).Methods and FindingsWe conducted 29 in-depth interviews and four focus groups with a community-recruited sample. Modified grounded theory methodologies were used to guide our inductive analysis, which yielded a typology comprised of four distinct HIV testing patterns. Participants could be categorized as: (1) Maintenance Testers, who tested regularly as part of routine self-care; (2) Risk-Based Testers, whose testing depended on relationship status or sexual behavior; (3) Convenience Testers, who tested irregularly depending on what testing opportunities arose; or (4) Test Avoiders, who tested infrequently and/or failed to follow up on results. We further characterized these groups with respect to age, socioeconomic factors, identity, stigma and healthcare access.ConclusionsOur findings highlight the heterogeneity of HIV testing patterns among Black MSM, and offer a framework for conceptualizing HIV testing in this group. Public health messaging must account for the diversity of Black MSM's experiences, and multiple testing approaches should be developed and utilized to maximize outreach to different types of testers.

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Marketing the HIV Test to MSM

Cited by 9 publications

References 27 publications

Factors Associated with Willingness to Accept Oral Fluid HIV Rapid Testing among Most-at-Risk Populations in China

Factors Associated with Willingness to Accept Oral Fluid HIV Rapid Testing among Most-at-Risk Populations in China

Risk Factors Associated With Repeated HIV Testing Among Internet-Using Men Who Have Sex With Men

HIV Testing Patterns among Black Men Who Have Sex with Men: A Qualitative Typology

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