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AIDS Behav. 2019 Apr;23(4):847-859. doi: 10.1007/s10461-018-2366-0.

No Place Like Home? Disentangling Preferences for HIV Testing Locations and Services Among Men Who Have Sex with Men in China.

Author information

1
Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou Dushu Lake Higher Education Town, Suzhou, 215123, Jiangsu Province, China. stephen.pan@liverpool.ac.uk.
2
UNC-Project China, Guangzhou, China. stephen.pan@liverpool.ac.uk.
3
Department of Economics, Duke University, Durham, NC, USA.
4
Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
5
Central Clinical School, Monash University, Clayton, VIC, Australia.
6
UNC-Project China, Guangzhou, China.
7
Department of Sociology, University of California at San Diego, San Diego, CA, USA.
8
School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
9
Eastern Virginia Medical School, Norfolk, VA, USA.
10
School of Public Health, Rutgers University, New Brunswick, NJ, USA.
11
Dermatology Hospital, Southern Medical University, Guangzhou, China.
12
Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.

Abstract

In China, some health departments and gay community-based organizations have begun to offer home-based HIV testing kits in order to augment test uptake among men who have sex with men (MSM). However, HIV test preferences and motivations for home-testing among MSM in China are not well understood. The HIV testing preferences of 803 MSM throughout China were evaluated using single-item assessment and a discrete choice experiment (DCE). In both the single-item assessment and DCE, participants expressed strong preference for free and anonymous testing by health professionals. Both approaches also indicated that naïve testers most prefer home testing. However, among previous testers, the single-item assessment indicated that "home" was the most preferred testing location (vs. hospital or clinic), while the DCE indicated that "home" was the least preferred testing location after controlling for anonymity. HIV home-testing may have limited appeal to previously tested Chinese MSM if anonymity is not maintained.

KEYWORDS:

Asia; Choice analysis; Gay; Patient centered; Stated choice; Stated preference

PMID:
30565095
PMCID:
PMC6458980
DOI:
10.1007/s10461-018-2366-0
[Indexed for MEDLINE]
Free PMC Article

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