Access to and use of unauthorised online HIV self-tests by internet-using French-speaking men who have sex with men

Greacen, Tim; Friboulet, David; Fugon, Lionel; Hefez, Serge; Lorente, Nicolas; Spire, Bruno

doi:10.1136/sextrans-2011-050405

Cited by 44 publications

(46 citation statements)

References 26 publications

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“…20 Establishing appropriate HIV testing interventions in the Chinese context may have far-reaching consequences because there are substantial portion of Chinese MSM who have never received HIV testing. Our study extends previous self-testing research 21–23 by examining MSM self-testing practices in a middle income country setting. Furthermore, extensive formative work resulted in a high completion rate that improves on previous online studies.…”

Section: Discussionsupporting

confidence: 59%

“…This finding is consistent with a French study which found that recent unprotected anal intercourse with a casual partner was associated with self-testing. 23 In addition, our study found that HIV self-testers were twice as likely to have received an HIV test in the past 12 months, suggesting that self-testing may increase the frequency of HIV testing. This is consistent with Australian behavioral research demonstrating that MSM perceived self-testing would increase HIV testing frequency.…”

Section: Discussionmentioning

confidence: 60%

“…This is nearly tenfold the frequency of self-testing observed among online French MSM. 23 This finding demonstrates that a relatively large number of Chinese MSM are already using HIV self-tests, but there is also room for improvement in order to expand coverage of testing services among online MSM. 26 HIV self-testing is not illegal in China.…”

Section: Discussionmentioning

confidence: 94%

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HIV Self-Testing Among Online MSM in China

Han

Bien

Wei

et al. 2014

JAIDS Journal of Acquired Immune Deficiency Syndromes

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HIV self-testing offers an alternative to facility-based testing that could expand HIV testing among MSM. We organized an online survey of MSM in China to better understand the frequency and correlates of HIV self-testing. A total of 1342 individuals completed the survey. 20.3% of MSM reported prior HIV self-testing. Self-testing was correlated with being married, having six or greater male anal sex partners in the past three months, and having HIV tested within 12 months in the multivariable analysis. Our study suggests that HIV self-testing may be able to reach sub-groups of high-risk MSM and enable more frequent HIV testing.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 94%

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HIV Self-Testing Among Online MSM in China

Han

Bien

Wei

et al. 2014

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…A majority (87%) of MSM surveyed online in France were interested in self-tests, if available; interested men were more likely to have never tested or to have not tested in the past year, and to live their sex lives with men 'in absolute secrecy' [21]. The small proportion of the MSM (3.5%) in the study who had already accessed unapproved tests online had similar characteristics [22].…”

Section: Introductionmentioning

confidence: 91%

Rapid HIV self-testing

Myers

El‐Sadr

Zerbe

et al. 2013

Aids

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The recent approval by the United States Food and Drug Administration of a rapid HIV self-test marks a significant milestone in the evolution of HIV testing approaches. With nearly one in five people living with HIV in the United States still undiagnosed and an even higher proportion unaware of their infection globally, this decision reflects a new willingness to offer diverse options to get tested for HIV. Rapid self-testing offers several distinct opportunities to improve testing among those with undiagnosed HIV: to encourage testing among those who might not otherwise be tested, to increase the frequency of testing among persons at highest risk for new infection, and to facilitate mutual HIV testing with sex partners. To date, the path to regulatory approval has been long but instructive. The studies and clinical trials required for regulatory approval in the United States provide insight into the performance and potential implications of HIV self-tests as they become available for sale directly to consumers. Although some persistent reservations about self-testing for HIV remain, including the 'window period' of the current test kit, its cost, and its effectiveness for facilitating entry to medical care, others have been dispelled. Self-testing in resource-constrained settings is also promising, including self-testing of health professionals. At present, although the impact has yet to be determined, availability of this new option might offer potential opportunities to improve HIV diagnosis and facilitate both treatment and prevention.

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“…Greacen et al 10 report on use of unauthorised HIV tests, obtained online, among French speaking MSM using the internet. Very few reported using an online HIV test, but those who had reported high rates of unprotected anal intercourse, and were more likely to conceal homosexual behaviour.…”

mentioning

confidence: 99%

Highlights from this issue

Cassell¹

2012

Sex Transm Infect

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We are increasingly recognising that reinfection is common, and so strategies to re-test individuals who have already tested positive are an important part of STI control. This is well recognised in sexual health services, which are increasingly using recalls and messaging to encourage re-attendance. As Bowring et al show this month, 1 this message needs to be promoted to all sexual health providers. In a population of women testing positive for Chlamydia in Australian general practice, 40% attended and were re-tested over the following year, but another 40% reattended and were not re-tested. Sixteen per cent of those re-tested were diagnosed with Chlamydia.The question of where care is, and should be, provided continues to inspire a wide range of research. Obviously patterns of accessing care depend on health systems, accessibility and individual preference.Green et al 2 demonstrate the wide range of services accessed by young women diagnosed with pelvic inflammatory disease in the UK. Four fifths had attended general practice, with 23% attending accident and emergency or an NHS walk-in clinic, and a sixth genitourinary medicine clinics. Women with more partners were more likely to attend both genitourinary medicine or accident and emergency/ walk in.University and college centres, with large concentrations of students, remain a tempting location for STI interventions.

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Access to and use of unauthorised online HIV self-tests by internet-using French-speaking men who have sex with men

Cited by 44 publications

References 26 publications

HIV Self-Testing Among Online MSM in China

HIV Self-Testing Among Online MSM in China

Rapid HIV self-testing

Highlights from this issue

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