Five Waves of an Online HIV Self-Test Giveaway in New York City, 2015 to 2018

Edelstein, Zoe R.; Wahnich, Amanda; Purpura, Lawrence; Salcuni, Paul; Tsoi, Benjamin; Kobrak, Paul; Santos, Paul A; Andaluz, Adriana; MacGregor, Jennifer; Matsuki, Jennifer D M; Katz, David A.; Daskalakis, Demetre; Myers, Julie E.

doi:10.1097/olq.0000000000001144

Cited by 17 publications

(25 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Frequent testers were easier to recruit than infrequent or never testers, suggesting that routine testing may be more common among MSM in NYC than among the men in this study. To recruit never or infrequent testers, we relied on 16 referrals from a study evaluating the NYC Home Test Giveaway [ 47 ], including 10 men who reported that they had never had an HIV test before receiving their self-test kit. Home delivery of a free test kit was an intervention that only 16 men received, and could be viewed as a source of bias as it altered these men’s experience of HIV testing.…”

Section: Discussionmentioning

confidence: 99%

“…We recruited 71 participants through a variety of sources: 20 through Grindr, Jack’d, and Adam4Adam—online sex hook-up apps and websites used by MSM; 11 from the Craigslist.com volunteer opportunities board; 7 during in-person outreach in public places and events where MSM socialize; 6 at gay bars; 1 through passive distribution of recruitment cards at an NYC Sexual Health Clinic; and the rest through referrals, including from an NYC Health Department study evaluating the HIV Home Test Giveaway [ 47 ] (16), another study of HIV self-testing (3), an HIV prevention and care clinic (3), study personnel (3), and from other participants (1). With referrals from the NYC Health Department Home Test Giveaway, we sought out MSM who had never tested prior to their home test (10 of 16), again due to difficulty recruiting men who never tested or tested infrequently.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Motivations and Barriers to Routine HIV Testing Among Men Who Have Sex with Men in New York City

et al. 2022

Self Cite

View full text Add to dashboard Cite

In-depth qualitative interviews explored the experiences and understandings of men 18–39 years old who have sex with men that could facilitate or prevent HIV testing and routine HIV testing. For many men who tested frequently, testing and routine testing were motivated by awareness of the benefit of prompt treatment; public health and provider encouragement to test periodically; responsibility towards sexual partners; and wanting to share a recent HIV-negative test result when seeking sex online. For some men, any testing was impeded by anxiety around possible HIV diagnosis that made testing a stressful occasion that required time and energy to prepare for. This anxiety was often compounded by stigma related to sex between men, having condomless sex, or having HIV. Routine testing could be further stigmatized as some men felt judged by testing providers or partners if they asked for a test or said they tested frequently. We describe efforts to promote testing and routine testing by countering fear and stigma associated with HIV and testing.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Motivations and Barriers to Routine HIV Testing Among Men Who Have Sex with Men in New York City

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Previous studies showed that significant barriers to HIV testing included stigma, confidentiality issues and inconvenience accessing a testing facility [ 38 , 39 ]. In Western countries, specific populations, such as MSM, tend to accept HIV self‐testing and have high testing rates through free online ordering or outreach services [ 15 , 16 , 17 ]. In Taiwan, the official estimate of the MSM population is approximately 1.7% of the adult male population [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, in Asia, some countries, including Thailand and Vietnam, have started HIVST pilot programs or studies [ 7 , 8 , 9 ], but most countries remain in the pre‐implementation stage [ 10 , 11 , 12 , 13 , 14 ]. In Western countries, men who have sex with men (MSM) tend to utilize HIVST through free online ordering or outreach services [ 15 , 16 , 17 , 18 ]. However, these studies rarely measured the association between HIVST access and the trends of annual new HIV diagnosis at the population level.…”

Section: Introductionmentioning

confidence: 99%

Towards the first 90: impact of the national HIV self‐test program on case finding and factors associated with linkage to confirmatory diagnosis in Taiwan

Huang

et al. 2022

J Int AIDS Soc.

View full text Add to dashboard Cite

Introduction:Being aware of one's HIV-positive status can help reduce unprotected sex and promote early treatment seeking. Therefore, HIV self-test (HIVST) programs may help control the HIV epidemic by case finding. The aims of this study were to determine the effect of HIVST programs on HIV case finding, time to confirmatory diagnosis and factors associated with linkage to confirmatory diagnosis in Taiwan. Methods: The Centers for Disease Control in Taiwan initiated HIVST programs and imported 78,000 self-test kits in 2017 and 2019. Clients paid 7 US dollars for a self-test kit at facilities, vending machines or online. The programs set up an HIVST logistics management system; each kit had a unique barcode for monitoring the programs because purchases were anonymous. When clients provided their test results with photo barcodes online or at HIV/AIDS-designated hospitals, they received full monetary reimbursement. We conducted a quasi-experimental interrupted time-series (ITS) analysis that covered a period of 60 months from 2015 to 2019. We enrolled a retrospective cohort of reported HIV cases with initial positive results from HIVST programs between March 2017 and July 2020. Results:The ITS analysis included data from 10,976 reported HIV cases from 2015 to 2019. The HIVST-positive cohort included 386 reported HIV cases, of whom 99.7% were males and 97% were men who have sex with men (MSM); the median age was 28 years. The ITS analysis showed a positive slope change in the number of reported HIV cases immediately in the beginning implementation month (coefficient: 51.09 in 2017 and 3.62 in 2019), but there was a significant decrease over time. It was a negative slope change by 9.52 cases per month in 2017 and 5.56 cases per month in 2019. In the HIVST-positive cohort, three of five individuals linked to HIV confirmatory diagnosis within 1 month after a positive self-test result, and an early linkage to confirmatory diagnosis was associated with HIVST disclosure (adjusted OR = 6.5; 95% CI: 3.9-10.6). Conclusions: HIVST programs were associated with an increase in HIV case finding. Our findings suggest that countries with a high incidence of HIV among MSM populations should offer multichannel HIVST services.

show abstract

“…Different diagnostic technologies in rapid diagnostic methods can help improve the diagnosis and ultimately control the disease. In March 2004, the HIV Antibody Rapid Detection Kit, introduced by the US Food and Drug Administration for salivary uid samples in all individuals, became the rst HIV Self-Test, or home testing [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

The Study of Feasibility and Acceptability of using HIV Self-Tests in High-Risk Iranian Populations (FSWs, MSM, and TG Populations): A Cross-Sectional Study

Moradi

Amini

Valipour

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: This study aimed to evaluate the feasibility of using the HIV Self-Test in high-risk Iranian groups (MSM, FSWs, and TG people).Methods: This study was conducted in 2 main steps (the pre and post HIVST intervention and the qualitative method) between 1 October 2020 and 22 June 2021 in Tehran, Iran. The sample size needed for this study generally was 1000 people, including FSWs, MSM, and transgender individuals. The sampling method in this study was convenience sampling, while snowball sampling was used to complete the number of samples.Results: A total of 930 eligible respondents were enrolled in the study, of whom 456 (49%) were female, 49 (5.3%) were transgender (98% of TGs were male to female). The median age was 33.63 ±10.54 SD. The feasibility of the use of HIV self-tests in Iranian high-risk groups was significantly high. The majority of participants (97%) did not have any confidentiality problems while preparing or performing the test. In general, feasibility was assessed based on five questions. The overall feasibility score was 6.33 (0.824 SD). Taking tests, reading HIV test results, finding a safe place to do the test, and accessing HIV self-testing showed a high average. Conclusion: HIV self-testing was highly acceptable and feasible to permit routine HIV testing between high-risk populations efficiently.

show abstract

Five Waves of an Online HIV Self-Test Giveaway in New York City, 2015 to 2018

Cited by 17 publications

References 14 publications

Motivations and Barriers to Routine HIV Testing Among Men Who Have Sex with Men in New York City

Motivations and Barriers to Routine HIV Testing Among Men Who Have Sex with Men in New York City

Towards the first 90: impact of the national HIV self‐test program on case finding and factors associated with linkage to confirmatory diagnosis in Taiwan

The Study of Feasibility and Acceptability of using HIV Self-Tests in High-Risk Iranian Populations (FSWs, MSM, and TG Populations): A Cross-Sectional Study

Contact Info

Product

Resources

About