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男男性行为者对人类免疫缺陷病毒检测和自我检测的偏好特质:一项离散选择实验。

The Preferred Qualities of Human Immunodeficiency Virus Testing and Self-Testing Among Men Who Have Sex With Men: A Discrete Choice Experiment.

机构信息

Monash University, Melbourne, Australia.

University of Technology, Sydney, Australia.

出版信息

Value Health. 2020 Jul;23(7):870-879. doi: 10.1016/j.jval.2020.04.1826. Epub 2020 Jul 17.


DOI:10.1016/j.jval.2020.04.1826
PMID:32762988
Abstract

OBJECTIVES: Human immunodeficiency virus self-testing (HIVST) is a promising approach to improve HIV testing coverage. We aimed to understand HIV testing preferences of men who have sex with men (MSM) to optimize HIVST implementation. METHODS: Discrete choice experiments (DCEs) were conducted among HIV-negative MSM living in Australia and aged ≥18 years. Men completed 1 of 2 DCEs: DCETest for preferred qualities of HIV testing (price, speed, window period, test type, and collector of specimen) and DCEKits for preferred qualities of HIVST kits (price, location of access, packaging, and usage instructions). Latent class conditional logit regression was used to explore similarities (or "classes") in preference behavior. RESULTS: Overall, the study recruited 1606 men: 62% born in Australia, who had an average age of 36.0 years (SD 11.7), and a self-reported median of 4 (interquartile range 2-8) sexual partners in the last 6 months. The respondents to DCETest was described by 4 classes: "prefer shorter window period" (36%), "prefer self-testing" (27%), "prefer highly accurate tests" (22%), and "prefer low prices" (15%). Respondents to DCEKits were described by 4 classes: "prefer low prices" (48%), "prefer retail access (from pharmacy or online stores)" (29%), "prefer access at sex venues" (15%), and "prefer to buy from healthcare staff" (12%). Preferences varied by when someone migrated to Australia, age, frequency of testing, and number of sexual partners. CONCLUSION: A subset of MSM, particularly infrequent testers, value access to HIVST. Expanding access to HIVST kits through online portals and pharmacies and at sex venues should be considered.

摘要

目的:人类免疫缺陷病毒自我检测(HIVST)是提高 HIV 检测覆盖率的一种很有前景的方法。我们旨在了解男男性行为者(MSM)对 HIV 检测的偏好,以优化 HIVST 的实施。

方法:在澳大利亚居住的 HIV 阴性、年龄≥18 岁的 MSM 中进行了离散选择实验(DCE)。男性完成了 1 项 DCE 中的 1 项:DCETest 用于评估 HIV 检测的首选质量(价格、速度、窗口期、检测类型和标本采集者)和 DCEKits 用于评估 HIVST 试剂盒的首选质量(价格、获取地点、包装和使用说明)。潜在类别条件逻辑回归用于探索偏好行为的相似性(或“类别”)。

结果:总体而言,该研究共招募了 1606 名男性:62%出生于澳大利亚,平均年龄为 36.0 岁(标准差 11.7),自我报告的近 6 个月内性伴侣中位数为 4 个(四分位距 2-8)。DCETest 的回答者被描述为 4 个类别:“更喜欢较短的窗口期”(36%)、“更喜欢自我检测”(27%)、“更喜欢高度准确的检测”(22%)和“更喜欢低价格”(15%)。DCEKits 的回答者被描述为 4 个类别:“更喜欢低价格”(48%)、“更喜欢零售途径(从药店或在线商店购买)”(29%)、“更喜欢在性场所获得”(15%)和“更喜欢从医护人员处购买”(12%)。偏好因移民澳大利亚的时间、年龄、检测频率和性伴侣数量而异。

结论:一小部分 MSM,特别是检测频率较低的 MSM,重视获得 HIVST 的机会。应考虑通过在线门户和药店以及性场所扩大 HIVST 试剂盒的获取途径。

相似文献

[1]
The Preferred Qualities of Human Immunodeficiency Virus Testing and Self-Testing Among Men Who Have Sex With Men: A Discrete Choice Experiment.

Value Health. 2020-7-17

[2]
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PLoS Med. 2020-10-9

[3]
Preferences for HIV testing services among men who have sex with men in the UK: A discrete choice experiment.

PLoS Med. 2019-4-11

[4]
Benefits and Potential Harms of Human Immunodeficiency Virus Self-Testing Among Men Who Have Sex With Men in China: An Implementation Perspective.

Sex Transm Dis. 2017-4

[5]
Sexual network distribution of HIV self-testing kits: Findings from the process evaluation of an intervention for men who have sex with men in China.

PLoS One. 2020-4-22

[6]
Prevalence and Correlates of Point-of-sex Human Immunodeficiency Virus Self-testing Among Human Immunodeficiency Virus-negative Men Who Have Sex With Men in China.

Sex Transm Dis. 2018-12

[7]
Preferences for HIV Testing Services and HIV Self-Testing Distribution Among Migrant Gay, Bisexual, and Other Men Who Have Sex With Men in Australia.

Front Med (Lausanne). 2022-4-19

[8]
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J Int AIDS Soc. 2018-7

[9]
Evaluation of factors associated with HIV self-testing Acceptability and Uptake among the MSM community in Nairobi, Kenya: A cross sectional study.

PLoS One. 2023

[10]
Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study.

PLoS One. 2020-1-23

引用本文的文献

[1]
Trend and Associated Factors for Late and Advanced HIV Diagnoses in 2011-2022 in Melbourne, Australia.

J Med Virol. 2025-6

[2]
The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.

Pharmacoeconomics. 2025-5-21

[3]
Preferences for attributes of an artificial intelligence-based risk assessment tool for HIV and sexually transmitted infections: a discrete choice experiment.

BMC Public Health. 2024-11-21

[4]
What Do People Want from an AI-Assisted Screening App for Sexually Transmitted Infection-Related Anogenital Lesions: A Discrete Choice Experiment.

Patient. 2025-3

[5]
HIV self-testing knowledge, attitudes, and practices among Asian-born gay, bisexual, and other men who have sex with men in Australia: a qualitative study.

Front Public Health. 2024

[6]
National Surveillance of Home-Based HIV Testing Among Australian Gay and Bisexual Men, 2018-2020: Uptake After Commercial Availability of HIV Self-Tests.

AIDS Behav. 2023-12

[7]
Preferences for pre-exposure prophylaxis for HIV: A systematic review of discrete choice experiments.

EClinicalMedicine. 2022-7-9

[8]
The acceptability and usability of two HIV self-test kits among men who have sex with men: a randomised crossover trial.

Med J Aust. 2022-8-1

[9]
Usability and acceptability of oral-based HCV self-testing among key populations: a mixed-methods evaluation in Tbilisi, Georgia.

BMC Infect Dis. 2022-5-31

[10]
Preferences for HIV Testing Services and HIV Self-Testing Distribution Among Migrant Gay, Bisexual, and Other Men Who Have Sex With Men in Australia.

Front Med (Lausanne). 2022-4-19

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