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Uptake of hiv self-testing among Men Who have Sex with Men in Beijing, China： a Cross-sectional Study

Biomedical and Environmental Sciences 2017年第6期30卷 407-417页

作者： REN Xian Long WU Zun You MI Guo Dong MCGOOGAN Jennifer ROU Ke Ming ZHAO Yan Division of Prevention Intervention National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China Office of the Director National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China Division of Treatment and Care National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and Prevention Beijing 102206 China

Objective To examine hiv self-testing uptake and its determinates among men who have sex with men （MSM） in Beijing, China. Methods A cross-sectional online survey was conducted in Beijing, China in 2016. Participants were users of a popular Chinese gay networking application and had an unknown or negative hiv status. Univariate and multivariate logistic regression analyses were conducted to examine factors associated with hiv self-testing based on adjusted odds ratio （AOR） and 95% confidence interval （CI）. Results Among the 5,996 MSM included in the study, 2,383 （39.7%） reported to have used hiv self-testing kits. Willingness to use an hiv self-test kit in the future was expressed by 92% of the participants. High monthly income （AOR = 1.49; CI = 1.10-2.02; P = 0.010）, large number of male sex partners （≥2： AOR = 1.24; CI = 2.09-1.43; P = 0.002）, sexual activity with commercial male sex partners （〉 2： AOR = 1.94; CI = 1.34 -2.82; P = 0.001）, long-term drug use （AOR = 1.42; CI = 1.23-1.62; P 〈 0.001）, and long-term hiv voluntary counseling and testing （VCT） attendance （AOR = 3.62; CI = 3.11-4.22; P 〈 0.001） were all associated with increased odds of hiv self-testing uptake. Conclusion The nearly 40% rate of hiv self-testing uptake among MSM in our sample was high. In addition, an over 90% willingness to use kits in the future was encouraging. hiv self-testing could be an important solution to help China achieve the global target of having 90% of all people living with hiv diagnosed by 2020.

关键词： Men who have sex with men hiv self-testing Associated factors Beijing

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hiv self-testing Kits Uptake in Mashonaland West Province, Zimbabwe, 2019-2020: A Secondary Data Analysis

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World Journal of AIDS 2022年第1期12卷 20-31页

作者： Tendai Hlabangana Owen Mugurungi Howard Nyika Emmanuel Govha Tsitsi Patience Juru Notion Tafara Gombe Addmore Chadambuka Mufuta Tshimanga Department of Family Medicine Global and Public Health Unit University of Zimbabwe Harare Zimbabwe AIDS and TB Unit Directorate Harare Zimbabwe African Field Epidemiology Network Harare Zimbabwe

Background: Human Immuno-Deficiency Virus self-testing (hivST) is a process where an individual who wants to know their hiv status collects a specimen, performs a test and interprets the result by themselves. hivST data from the Zimbabwe AIDS and TB Program (ATP) directorate showed that between 2019-2020, only 31% of the target hivST kits were distributed in the country. Mashonaland West Province was one of the least performing provinces in meeting targets for hivST kits distribution. Gaps in the implementation of the hivST in the province ultimately affect the nationwide scaleup of targeted testing, a key enabler in achieving hiv epidemic control. We analyzed hivST trends in Mashonaland West Province to inform hiv testing services programming. Methods: We conducted a cross-sectional study using hivST secondary data obtained from the District Health Information Software 2 (DHIS2) electronic database. We conducted regression analysis for trends using Epi Info 7.2 and tables, bar graphs, pie charts and linear graphs were used for data presentation. Results: A total of 31,070 clients accessed hivST kits in Mashonaland West Province from 2019-2020. A slightly higher proportion (50.4% and 51.7%) of females as compared to males accessed hivST kits in 2019 and 2020 respectively. Overall, an increase in the trend of hivST kits uptake was recorded (males R2 = 0.3945, p-value = 0.003 and females R2 = 0.4739, p-value = 0.001). There was generally a decline in the trend of community-based distribution of hivST kits from the third quarter of 2019 throughout 2020 (R2 = 0.2441, p-value = 0.006). Primary distribution of hivST kits remained the dominant method of distribution, constituting more than half of the kits distributed in both 2019 (67%) and 2020 (86%). Conclusion: Mashonaland West Province was mainly utilising facility-based distribution model for hivST over the community-based distribution model. We recommended training more community-base

关键词： hiv self-testing Analysis Secondary Data

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hiv care-seeking behaviour after hiv selftesting among men who have sex with men in Beijing,China:a cross-sectional study

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Infectious Diseases of Poverty 2017年第1期6卷 1001-1011页

作者： Xian-Long Ren Zun-You Wu Guo-Dong Mi Jennifer M.McGoogan Ke-Ming Rou Yan Zhao Nanci Zhang Division of Prevention Intervention National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China Office of the Director National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China Division of Treatment and Care National Center for AIDS/STD Control and PreventionChinese Center for Disease Control and Prevention155 Changbai RoadChangping DistrictBeijing 102206People’s Republic of China

Background:Men who have sex with men(MSM)has become the group with the fastest growing hiv epidemic in *** many Chinese MSM are conducting hiv self-testing,we aimed to determine the rate of hiv care seeking after self-testing,examine characteristics of“seekers”compared to“non-seekers,”and explore factors associated with hiv care-seeking ***:A cross-sectional study design was used and an online survey was conducted in Beijing,China in 2016,among users of a popular Chinese gay networking smart phone ***-square test was used to compare characteristics of those who sought hiv care(“seekers”)and those who did not(“non-seekers”).Univariate and multivariate logistic regression analyses were conducted to assess factors associated with hiv care ***:Among 21,785 screened,2383 participants(10.9%)were included in the study.A total of 380 participants(15.9%)reported seeking hiv care after hiv self-testing while 2003(84.1%)did *** of knowledge of the“window period”(adjusted odds ratio[AOR]=0.68,95%confidence interval[95%CI]=0.47-0.97,P=0.04)was associated with reduced odds of seeking hiv care,while lower monthly income(AOR=1.29,95%CI=1.03-1.62,P=0.03)and obtaining hiv self-testing kits from health facilities(AOR=2.40,95%CI=1.81-3.17,Phiv *** those who sought hiv care,a large majority(92.4%)had non-reactive hiv self-testing *** 29 out of 265 with reactive,uncertain,or unknown results sought hiv ***:We found a very low rate of hiv care seeking among our sample of urban Chinese *** observation that most with reactive,uncertain,or unknown results did not seek hiv care is a cause for *** people should be paid more attention and helped to enter the care *** findings highlight that interventions aimed at improving linkage to care after hiv self-testing are urgently n

关键词： Men who have sex with men hiv self-testing hiv care Linkage to care Care cascade China

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Acceptability and strategies for enhancing uptake of human immunodeficiency virus self-testing in Nigeria

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World Journal of Methodology 2023年第3期13卷 127-141页

作者： Victor Abiola Adepoju Chidinma Umebido Ademola Adelekan Ali Johnson Onoja Department of hiv and Infectious Diseases Self testing in Africa(STAR)ProjectJhpiego NigeriaAbuja 900901Federal Capital TerritoryNigeria Department of Public Health and Biological Sciences Blue Gate Research InstituteIbadan 200116Oyo StateNigeria Department of Research African Health ProjectAbuja 900901Federal Capital TerritoryNigeria

BACKGROUND In 2019,the Nigerian Ministry of Health published the first operational guidelines for human immunodeficiency virus self-testing(hivST)to improve access to human immunodeficiency virus(hiv)testing services among undertested populations in the ***,as part of the campaign to increase hiv testing services in Nigeria,the Nigerian Ministry of Health developed standard operating procedures for using hivST *** To systematically review the acceptability and strategies for enhancing the uptake of hivST in *** The systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and *** databases were searched to get the necessary materials needed for this *** forms developed by the authors were used for data extraction to minimize the risk of bias and ensure that the articles used for the study were properly *** articles were first screened using the titles and their *** full papers were screened,and the similarities of the documents were ***,quantitative,and mixed-method studies were evaluated using the Critical Appraisal Skills Programme and Critical Appraisal Framework *** All the publications reviewed were published between 2015 and 2022,with 33.3%published in ***(77.8%)of the studies were cross-sectional,43.3%were conducted in Lagos State,and 26.3%were conducted among young *** study revealed a high level of acceptability of *** factors,such as gender,sexual activity,and previous testing experience,influence the acceptability of hiv self-testing,with some individuals more likely to *** cost of the kit was reported as the strongest factor for choosing hivST services,and this ranged from 200 to 4000 Naira(approximately United States Dollar 0.55-11.07),with the majority willing to pay 500 Naira(approximately United States Dollar 1.38).Privately-owned,registered pharmaci

关键词： Acceptability hiv self-testing Uptake Intention-to-use Regulation Linkage to care

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