Format

Send to

Choose Destination
BMC Public Health. 2016 Jul 8;16:532. doi: 10.1186/s12889-016-3204-9.

Knowledge and use of unauthorized HIV self-test kits among men who have sex with men in Spain, following approval of an over-the-counter self-test in the U.S: a cross-sectional study.

Author information

1
European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
2
National Epidemiology Centre, Carlos III Health Institute, Madrid, Spain.
3
Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), ᅟMadrid, Spain.
4
Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), ᅟMadrid, Spain. jhoyos@externos.isciii.es.
5
National School of Health, Carlos III Health Institute, Madrid, Spain.
6
Centre for Epidemiological Studies on STI/HIV/AIDS in Catalonia (CEEISCAT)-ICO-Agència de Salut Pública de Catalunya, Barcelona, Spain.

Abstract

BACKGROUND:

Shortly after the approval of an over-the-counter HIV self-test in the US, we conducted a study to estimate the proportion of men who have sex with men (MSM) in Spain who knew that unauthorized HIV self-tests could be purchased online, and the proportion that had already used these tests, as well as their socio-demographic and behavioural correlates.

METHODS:

Between September 2012 and February 2013, MSM users of gay dating websites were invited to complete an online questionnaire. We calculated estimates of the knowledge and use of unauthorized HIV self-testing and assessed the associated factors by rare event logit regression models.

RESULTS:

Among 8620 participants, 4.2 % (95 % CI:3.8-4.6) knew they could buy an unauthorized HIV self-test kit online, and 12.7 % (95 % CI:12.0-13.4) thought that such a test might exist, although they had never seen one. Only 0.7 % (95 % CI:0.5-0.9) had ever self-tested. In the multivariable analysis, knowledge of online availability of self-tests was associated with being a non-Latin American foreigner, having at least two previous HIV tests, intending to test for HIV in the next year, and knowing about U.S. approval of self-testing. Ever-use of HIV self-testing was associated with being over 34 years of age, living outside Spain during the last 12 months, and knowing about U.S. approval of self-testing.

CONCLUSIONS:

Both knowledge and use of unauthorized HIV self-testing among MSM in Spain was very low among HIV negative or untested MSM in Spain. The recent approval in the United Kingdom and France might increase the number of MSM seeking such testing and possibly using unauthorized test kits not meeting quality standards.

KEYWORDS:

HIV testing; Men who have sex with men; Preventive behaviour; Self testing

PMID:
27390840
PMCID:
PMC4939036
DOI:
10.1186/s12889-016-3204-9
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center