Liu Fengying, Qin Yilu, Meng Siyan, Zhang Wei, Tang Weiming, Han Larry, Liu Chuncheng, Zhang Ye, Huang Shujie, Zheng Heping, Yang Bin, Tucker Joseph D
STD Control Department, Dermatology Hospital of Southern Medical University, Guangzhou, China.
STD Control Department, Guangdong Provincial Dermatology Hospital, Guangzhou, China.
J Virus Erad. 2019 Nov 4;5(4):220-224. doi: 10.1016/S2055-6640(20)30034-0.
HIV self-testing (HIVST) may expand HIV testing, but there have been few pilot programmes among men who have sex with men (MSM). This purpose of this study was to evaluate HIVST implementation among MSM in China using qualitative methods.
We undertook semistructured interviews among MSM and those organising HIVST programmes for MSM. Purposive sampling method was used to ensure men with different HIV serostatuses, ages and HIVST frequencies were included. Men were recruited from MSM community-based organisations and a local HIV clinic. An implementation science framework was used to interpret the findings. Two individuals used a standard code-based methodology to identify themes.
Forty-two MSM and six stakeholders were interviewed. Our data showed many MSM and stakeholders preferred HIVST to facility-based testing. Most men reported that HIVST empowered MSM and informed sexual decision making. Many men noted that decreasing the HIVST price may increase demand. Some men noted that HIVST could be scaled up through social media and by modifying bulky packaging. Minimal adverse events were reported.
HIVST may expand HIV testing and promote empowerment of MSM. Minimal adverse outcomes were noted, but further implementation research is needed.
艾滋病毒自我检测（HIVST）可能会扩大艾滋病毒检测范围，但男男性行为者（MSM）中开展的试点项目较少。本研究旨在采用定性方法评估中国男男性行为者中HIVST的实施情况。
我们对男男性行为者以及为男男性行为者组织HIVST项目的人员进行了半结构化访谈。采用目的抽样方法，以确保纳入不同艾滋病毒血清学状态、年龄和HIVST频率的男性。研究对象从男男性行为者社区组织和当地一家艾滋病毒诊所招募。采用实施科学框架对研究结果进行解读。两名研究人员使用基于标准编码的方法来确定主题。
共访谈了42名男男性行为者和6名利益相关者。我们的数据显示，许多男男性行为者和利益相关者更倾向于HIVST而非机构检测。大多数男性报告称，HIVST增强了男男性行为者的能力，并为性决策提供了信息。许多男性指出，降低HIVST价格可能会增加需求。一些男性指出，可以通过社交媒体和改进笨重的包装来扩大HIVST的推广。报告的不良事件极少。
HIVST可能会扩大艾滋病毒检测范围，并增强男男性行为者的能力。不良后果极少，但仍需进一步开展实施研究。
