scholarly journals Preference towards HIV Self-Testing above Other Testing Options in a Sample of Men Who Have Sex with Men from Five European Countries

2021 ◽  
Vol 18 (9) ◽  
pp. 4804
Author(s):  
Juan Hoyos ◽  
Tomás Maté ◽  
Juan-Miguel Guerras ◽  
Marta Donat ◽  
Cristina Agustí ◽  
...  
Keyword(s):  
Primary Care ◽  
Sexual Behaviors ◽  
Poisson Regression ◽  
Older Age ◽  
The Internet ◽  
Factors Associated ◽  
Testing Method ◽  
Self Testing ◽  
Sex With Men ◽  
Hiv Negative

We analyzed men who have sex with men (MSM) from Denmark, Germany, Greece, Portugal and Spain to identify who would choose HIV self-testing as their preferred testing method and assessed their preferred setting to acquire a self-testing kit and to confirm a reactive result. In 2016, we recruited an online sample of 3725 HIV-negative MSM. We used Poisson regression to identify factors associated with choosing self-testing as the preferred testing option. For those choosing it as their preferred option, we assessed the preferred settings to acquire a self-testing kit and to confirm a reactive result. Not being open about one’s sexual behaviors with men was associated with choosing self-testing as the preferred option, except in Greece; older age in Greece and Spain; reporting condomless anal intercourses (CAI) in Germany and Portugal; reporting one previous test in Greece; between 2 and 5 in Spain and with having been tested ≥ 12 months ago in Germany, Portugal and Spain. The internet (32.8%) was the preferred place to acquire a self-testing kit and primary care (34.0%) for confirmation purposes. Self-testing was highly valued, especially among individuals who were not open about their sexual behaviors with men. In certain countries, it was also associated with older age, CAI and being undertested.

scholarly journals Anticipated HIV Stigma Among HIV Negative Men Who Have Sex with Men in China: A Cross-Sectional Study

2019 ◽  
Author(s):  
Chuncheng Liu ◽  
Ye Zhang ◽  
Stepen W Pan ◽  
Bolin Cao ◽  
Jason J Ong ◽  
...  
Keyword(s):  
Social Media ◽  
Sexual Behaviors ◽  
Linear Models ◽  
Negative Attitude ◽  
Hiv Stigma ◽  
Cross Sectional ◽  
Self Testing ◽  
The Mean ◽  
Sex With Men ◽  
Hiv Negative

Abstract Background: Anticipated HIV stigma, i.e., the expectation of adverse experiences from one’s seroconversion, is associated with both negative psychological and behavioral outcomes. We know little about anticipated HIV stigma’s relationship with emerging technologies, such as HIV self-testing (HIVST) and online sex-seeking platforms, that have become popular among populations that are disproportionately affected by HIV/AIDS. This study examined correlates of anticipated HIV stigma among Chinese men who have sex with men (MSM). Methods: In July 2016, MSM who were ≥ 16 years old and self-reported as HIV negative or unknown were recruited from a gay mobile phone application in China. Information regarding socio-demographics, sexual behaviors, sexual health service utilization, and anticipated HIV stigma were collected. Anticipated HIV stigma (i.e., negative attitude toward future stigmatization of HIV seroconversion by others) was measured as the mean score from a 7-item Likert-scale ranging from 1 (low) to 4 (high). Generalized linear models were conducted to examine the factors associated with the anticipated HIV stigma scores. Results: Overall, 2006 men were recruited. Most men completed high school (1308/2006, 65.2%) and had an annual personal income of ≤ 9200 USD (1431/2006, 71.3%). The mean anticipated HIV stigma score for the participants was 2.98±0.64. Using social media to seek sexual partners was associated with higher anticipated HIV stigma (Adjusted β=0.11, 95% confidence interval (CI): 0.05 to 0.17, p=0.001). HIV self-testing (Adjusted β=–0.07, 95%CI: -0.13 to -0.01, p=0.02) and having disclosed one’s sexual orientation to a healthcare provider (Adjusted β=-0.16, 95%CI: -0.22 to -0.96, p<0.001) were associated with lower anticipated HIV stigma. Conclusion: Our data suggested that anticipated HIV stigma is still common among Chinese MSM not living with HIV. Tailored anti-HIV stigma campaigns on social media are especially needed, and promotion of HIVST may be a promising approach.

scholarly journals Anticipated HIV Stigma Among HIV Negative Men Who Have Sex with Men in China: A Cross-Sectional Study

2019 ◽  
Author(s):  
Chuncheng Liu ◽  
Ye Zhang ◽  
Stepen W Pan ◽  
Bolin Cao ◽  
Jason J Ong ◽  
...  
Keyword(s):  
Social Media ◽  
Sexual Behaviors ◽  
Linear Models ◽  
Negative Attitude ◽  
Hiv Stigma ◽  
Cross Sectional ◽  
Self Testing ◽  
The Mean ◽  
Sex With Men ◽  
Hiv Negative

Abstract Background: Anticipated HIV stigma, i.e., the expectation of adverse experiences from one’s seroconversion, is associated with both negative psychological and behavioral outcomes. We know little about anticipated HIV stigma’s relationship with emerging technologies, such as HIV self-testing (HIVST) and online sex-seeking platforms, that have become popular among populations that are disproportionately affected by HIV/AIDS. This study examined correlates of anticipated HIV stigma among Chinese men who have sex with men (MSM). Methods: In July 2016, MSM, who were ≥ 16 years old and self-reported as HIV negative or unknown, were recruited from a gay mobile phone application in China. Information regarding socio-demographics, sexual behaviors, sexual health service utilization, and anticipated HIV stigma were collected. Anticipated HIV stigma (i.e., negative attitude toward future stigmatization of HIV seroconversion by others) was measured as the mean score from a 7-item Likert-scale ranging from 1 (low) to 4 (high). Generalized linear models were conducted to examine the factors associated with the anticipated HIV stigma scores. Results: Overall, 2006 men completed the survey. Most men completed high school (1308/2006, 65.2%) and had an annual personal income of ≤ 9200 USD (1431/2006, 71.3%). The mean anticipated HIV stigma score for the participants was 2.98±0.64. Using social media to seek sexual partners was associated with higher anticipated HIV stigma (Adjusted β=0.11, 95% confidence interval (CI): 0.05 to 0.17, p=0.001). HIV self-testing (Adjusted β=–0.07, 95%CI: -0.13 to -0.01, p=0.02) and having disclosed one’s sexual orientation to a healthcare provider (Adjusted β=-0.16, 95%CI: -0.22 to -0.96, p<0.001) were associated with lower anticipated HIV stigma. Conclusion: Our data suggested that anticipated HIV stigma is still common among Chinese MSM not living with HIV. Tailored anti-HIV stigma campaigns on social media are especially needed, and the promotion of HIVST may be a promising approach.

scholarly journals Human Papillomavirus Positivity in the Anal Canal in HIV-Infected and HIV-Uninfected Men Who Have Anal Sex with Men in Guangzhou, China: Implication for Anal Exams and Early Vaccination

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Xuqi Ren ◽  
Wujian Ke ◽  
Heping Zheng ◽  
Ligang Yang ◽  
Shujie Huang ◽  
...  
Keyword(s):  
Sexual Behaviors ◽  
Bacterial Infections ◽  
Hpv Vaccination ◽  
Great Majority ◽  
Vaccine Type ◽  
High Risk Type ◽  
Hpv Types ◽  
Hpv In Men ◽  
Sex With Men ◽  
Hiv Negative

Background. The epidemiology of HPV in men who have sex with men (MSM) in Guangzhou, China, had not been reported previously. Methods. HIV-infected and HIV-uninfected MSM were recruited from a Guangzhou-based MSM clinic in 2013. Sociodemographic characteristics and sexual behaviors were collected. An anal cytological sample was taken for HPV testing. Results. We recruited 79 HIV-infected and 85 HIV-uninfected MSM. The median age was 26 years in both groups. The positivities of anal HPV of any type (81.0% versus 48.2%), any high risk type (50.6% versus 27.1%), any low risk type (55.7% versus 31.8%), and any 9-valent vaccine type (74.7% versus 36.5%) were all significantly higher among HIV-infected compared to that among HIV-negative MSM (p for all < 0.05). The great majority of HPV-infected MSM were infected with 9-valent vaccine types (59 out of 64 HIV-infected and 31 out of 41 HIV-uninfected). Anal bacterial infections were associated with higher anal HPV positivity and greater number of anal HPV types. Conclusion. Sexually active MSM in Guangzhou, especially those infected with HIV, had high and multiple HPV detections. The majority of these cases were potentially preventable by HPV vaccine. Regular anal exams and early HPV vaccination are warranted in this population.

scholarly journals Prevalence and Factors Associated With HIV Self-testing Uptake Among Men Who Have Sex With Men in Ningbo, China: A Cross-sectional Study

2020 ◽  
Author(s):  
Hang Hong ◽  
Hong-bo Shi ◽  
Hai-bo Jiang ◽  
Hong-jun Dong ◽  
Yun-liang Shen
Keyword(s):  
Hiv Testing ◽  
Cross Sectional Study ◽  
Sexual Contact ◽  
Categorical Variables ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Past ◽  
Self Testing ◽  
Sex With Men

Abstract BackgroundHIV testing and early linkage to care are critical for reducing the risk of HIV transmission. HIV self-testing (HIVST) is an useful tool for increasing HIV testing frequency.This study aimed to investigate HIVST rates among men who have sex with men (MSM), the characteristics of MSM who had HIVST, and factors associated with HIVST uptake among MSM in Ningbo, China. MethodsA cross-sectional study was conducted from April to October 2019 in Ningbo,China. Participants were aged at least 18 years and having had sexual contact with men in the past year. Proportions were used for categorical variables. Adjusted Odds Ratio (AOR) and 95% Confidence Interval (CI) for characteristics associated with HIVST uptake was processed by multiple logistic regression models.ResultsAmong a sample of 699 MSM recruited, 38.2% had reported previous use of an HIV self-test kit. A greater proportion of HIVST Users had a higher frequency of HIV testing(≥2 times: 70.0% versus 41.2%, p<0.001) in the past one year. Factor associated with HIVST uptake was gay apps use(AOR=1.86,CI=1.13-3.05), multiple male sex partners (AOR=1.90,CI=1.29-2.80), frequency of male-male sexual contact ≥1 times per week(AOR=1.86, CI=1.30-2.66), syphilis infection(AOR=5.48, CI=2.53-11.88).ConclusionsFurther HIVST education should be strengthened for school-aged children and teenagers, and free HIVST kits may be provided to low-income high-risk MSM through gay apps and NGOs to achieve the increased HIV testing frequency.

scholarly journals Willingness to use HIV pre-exposure prophylaxis and associated factors among men who have sex with men in Liuzhou, China

2021 ◽  
Author(s):  
Yuansheng Fu ◽  
Akililu Alemu Ashuro ◽  
Xianxiang Feng ◽  
Ting Wang ◽  
Sichen Zhang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Sexual Behaviors ◽  
Study Participant ◽  
Casual Sex ◽  
Multivariate Logistic Regression ◽  
Factors Associated ◽  
Hiv Test ◽  
Sex With Men ◽  
Willingness To Use ◽  
Exposure Prophylaxis

Abstract Background: HIV pre-exposure prophylaxis (PrEP) is a key component of HIV combination prevention strategies, which has the potential to decrease the incidence of HIV in men who have sex with men (MSM). This study aimed to evaluate the levels of PrEP acceptability and explore the factors associated with willingness to use PrEP among MSM in Liuzhou, China.Methods: Between November 2017 and May 2019, a cross-sectional survey was conducted among 829 MSM. The study participant were recruited through nonprobability sampling method. Participants’ demographics, HIV/AIDS knowledge, sexual behaviors, drug use and HIV test history were collected. Multivariate logistic regression was performed to identify factors associated with willingness to use PrEP.Results: A total of 829 MSM completed the survey, and 30.28%(95%CI: 27.3-33.4) were willing to use PrEP. In multivariate logistic regression, factors associated with a higher willingness to use PrEP include, being Zhuang or Han ethnic origin, recruited through peer introduction or gay venues, pursing higher education level, previous HIV testing and having oral sex with a man. However, had a casual sex in the past six months were associated with lower willingness to use PrEP.Conclusions: MSM in Liuzhou reported a relatively low level of willingness to use PrEP. The results indicate the need for effective education, targeted intervention, and define implementation strategies to promote PrEP acceptance among MSM.

scholarly journals Knowledge of and willingness to take pre-exposure prophylaxis among men who have sex with men in Israel

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Mor Zohar ◽  
Shilo Guy ◽  
Levy Itzchak
Keyword(s):  
High Risk ◽  
Sexual Behaviors ◽  
Post Exposure Prophylaxis ◽  
Structural Barriers ◽  
Cross Sectional ◽  
Academic Degree ◽  
Prior Use ◽  
Sex With Men ◽  
Exposure Prophylaxis ◽  
Hiv Negative

Abstract Background Oral pre-exposure prophylaxis (PrEP) with tenofovir disoproxil fumarate and emtricitabine (TDF/FTC) has been found to reduce viral acquisition among HIV-negative MSM. This cross-sectional study was conducted before pre-exposure prophylaxis (PrEP) licensure in Israel, and aimed to compare men who have sex with men (MSM) who had heard of PrEP with those who had not, as well as MSM willing to take PrEP with those who were hesitant or not willing to take PrEP. Methods HIV-negative MSM responded anonymously to questionnaires in 2017 regarding their knowledge of and willingness to take PrEP, prior use of PrEP and post-exposure prophylaxis (PEP), and their sexual behaviors. Results Among 1705 participants, 1431 (83.9%) had heard about PrEP. They were older and more often reported being Jewish, having an academic degree, self-identifying as gay/bisexual, being tested for HIV in the last year, participating in group sex, using alcohol or drugs before or during sex, and having prior use of PrEP/PEP compared with MSM who had not heard about PrEP. A total of 760 (44.8%) participants indicated that they would consider taking PrEP, 567 (33.5%) maybe would consider taking PrEP, and 367 (21.7%) would not take PrEP. Those who were willing to take PrEP had a lower level of education, were involved in high-risk sexual behaviors, used alcohol or drugs before or during sex, and had previously used PrEP/PEP compared with participants who maybe would consider taking or would not take PrEP. When participants were asked to indicate if they were willing to take PrEP at different potential efficacies and costs, the willingness to using PrEP increased with the potential efficacy of the drug and adversely related to its cost. Conclusions PrEP awareness was high, and 44.8% indicated willingness to take PrEP, especially those who reported high-risk sexual behaviors. This supports the current policy in Israel to allow PrEP to MSM who are at high-risk. In order to maintain a high level of PrEP-adherence, physicians should consider structural barriers, such as negative stigma of being promiscuous, lack of perceived HIV-risk, difficulties in accessing clinics or paying for PrEP, inability to follow-up or low tolerability of the medication.

Promoting oral HIV self‐testing via the internet among men who have sex with men in China: a feasibility assessment

HIV Medicine ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 322-333
Author(s):  
X Wang ◽  
Z Tang ◽  
Z Wu ◽  
Q Nong ◽  
Y Li
Keyword(s):  
The Internet ◽  
Feasibility Assessment ◽  
Self Testing ◽  
Sex With Men
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