What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men

Weiming Tang, Wenting Huang, Haidong Lu, Bolin Cao, Dan Wu, Jason Ong, Hongyun Fu, Ye Zhang, Bin Yang, Cheng Wang, Wei Ma, Chongyi Wei, Joseph D. Tucker

Research output: Contribution to journalArticleResearchpeer-review

Abstract

BACKGROUND: HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. METHODS: We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. RESULTS: We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47-2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13-2.06). CONCLUSION: HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.

Original languageEnglish
Article number807
Number of pages7
JournalBMC Infectious Diseases
Volume19
Issue number1
DOIs
Publication statusPublished - 14 Sep 2019
Externally publishedYes

Keywords

  • Condom use
  • Facility-based testing
  • HIV self-testing (HIVST)
  • Longitudinal study
  • Men who have sex with men

Cite this

Tang, Weiming ; Huang, Wenting ; Lu, Haidong ; Cao, Bolin ; Wu, Dan ; Ong, Jason ; Fu, Hongyun ; Zhang, Ye ; Yang, Bin ; Wang, Cheng ; Ma, Wei ; Wei, Chongyi ; Tucker, Joseph D. / What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men. In: BMC Infectious Diseases. 2019 ; Vol. 19, No. 1.
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title = "What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men",
abstract = "BACKGROUND: HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. METHODS: We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. RESULTS: We included 1219 men. Most men (78.7{\%}) were under 30 years old and had never been married (87.0{\%}). 755 (61.9{\%}) men tested for HIV and 593 (49.3{\%}) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9{\%} (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95{\%} CI: 1.47-2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95{\%} CI: 1.13-2.06). CONCLUSION: HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.",
keywords = "Condom use, Facility-based testing, HIV self-testing (HIVST), Longitudinal study, Men who have sex with men",
author = "Weiming Tang and Wenting Huang and Haidong Lu and Bolin Cao and Dan Wu and Jason Ong and Hongyun Fu and Ye Zhang and Bin Yang and Cheng Wang and Wei Ma and Chongyi Wei and Tucker, {Joseph D.}",
year = "2019",
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Tang, W, Huang, W, Lu, H, Cao, B, Wu, D, Ong, J, Fu, H, Zhang, Y, Yang, B, Wang, C, Ma, W, Wei, C & Tucker, JD 2019, 'What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men', BMC Infectious Diseases, vol. 19, no. 1, 807. https://doi.org/10.1186/s12879-019-4455-8

What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men. / Tang, Weiming; Huang, Wenting; Lu, Haidong; Cao, Bolin; Wu, Dan; Ong, Jason; Fu, Hongyun; Zhang, Ye; Yang, Bin; Wang, Cheng; Ma, Wei; Wei, Chongyi; Tucker, Joseph D.

In: BMC Infectious Diseases, Vol. 19, No. 1, 807, 14.09.2019.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men

AU - Tang, Weiming

AU - Huang, Wenting

AU - Lu, Haidong

AU - Cao, Bolin

AU - Wu, Dan

AU - Ong, Jason

AU - Fu, Hongyun

AU - Zhang, Ye

AU - Yang, Bin

AU - Wang, Cheng

AU - Ma, Wei

AU - Wei, Chongyi

AU - Tucker, Joseph D.

PY - 2019/9/14

Y1 - 2019/9/14

N2 - BACKGROUND: HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. METHODS: We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. RESULTS: We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47-2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13-2.06). CONCLUSION: HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.

AB - BACKGROUND: HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. METHODS: We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. RESULTS: We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47-2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13-2.06). CONCLUSION: HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.

KW - Condom use

KW - Facility-based testing

KW - HIV self-testing (HIVST)

KW - Longitudinal study

KW - Men who have sex with men

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U2 - 10.1186/s12879-019-4455-8

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