Dean Judith, Lui ChiWai, Mutch Allyson, Scott Michael, Howard Chris, Lemoire Jime, Crothers Anna, Fitzgerald Lisa, Williams Owain D
a School of Public Health, Faculty of Medicine , The University of Queensland , Herston , Australia.
b Queensland AIDS Council , Brisbane , Australia.
AIDS Care. 2019 Feb;31(2):224-229. doi: 10.1080/09540121.2018.1524120. Epub 2018 Sep 19.
This paper explores the willingness to use and pay for HIV Self-testing (HIVST) among Australian gay and bisexual men (GBM). Bivariate and univariate multinominal logistic regression of data from an online survey was performed. Thirty-one (13%) had never HIV tested and 41.9% (88) were testing sub-optimally by Australian guidelines. Half (58.4%, 136) had never heard of HIVST, however, 56.2% (131) reported willingness to use HIVST, with sub-optimal (OR=2.13; < 0.01) and never-testers (OR=2.01; < 0.10) significantly more likely to do so than optimal-testers. Most were confident (51.7%, 119) or somewhat confident (29.1%, 67) accessing support following a reactive result, however, never-testers were significantly less confident compared to previous testers (OR=3.47; < 0.05). Less than a quarter (23.6%, 57) were willing to pay for a kit with AUD$15 ( = 0.9882) the estimated preferred price. This research confirms that HIVST is an important and accepted adjunct to established HIV testing modalities, particularly among sub-optimal and never-testers and that online (61.6%, 143) or clinic-based (61.6%, 143) dissemination are preferred. Research examining how best to disseminate HIVST in a range of safe and effective models needs to continue to ensure HIVST is part of a comprehensive strategy that facilitates usage and linkages to care.
本文探讨了澳大利亚男同性恋者和双性恋男性(GBM)使用和购买艾滋病毒自我检测(HIVST)的意愿。对一项在线调查的数据进行了双变量和单变量多项逻辑回归分析。31人(13%)从未进行过艾滋病毒检测,41.9%(88人)按照澳大利亚指南检测情况不理想。一半(58.4%,136人)从未听说过HIVST,然而,56.2%(131人)表示愿意使用HIVST,检测情况不理想者(比值比=2.13;<0.01)和从未检测者(比值比=2.01;<0.10)比检测情况理想者更有可能这样做。大多数人在得到阳性结果后获得支持时很有信心(51.7%,119人)或有些信心(29.1%,67人),然而,与之前的检测者相比,从未检测者的信心明显较低(比值比=3.47;<0.05)。不到四分之一(23.6%,57人)愿意花15澳元购买检测试剂盒(p=0.9882),这是估计的理想价格。这项研究证实,HIVST是现有艾滋病毒检测方式的一项重要且被接受的补充,特别是在检测情况不理想者和从未检测者中,并且在线(61.6%,143人)或基于诊所(61.6%,143人)的传播方式更受青睐。研究如何以一系列安全有效的模式最好地传播HIVST需要继续进行,以确保HIVST成为促进使用和与护理联系的综合战略的一部分。
JMIR Public Health Surveill. 2021-9-30
BMC Health Serv Res. 2019-2-2