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

作者信息

Zhang Ye, Wiseman Virginia, Applegate Tanya L, Lourenco Richard De Abreu, Street Deborah J, Smith Kirsty, Jamil Muhammad S, Terris-Prestholt Fern, Fairley Christopher K, McNulty Anna, Hynes Adam, Johnson Karl, Chow Eric P F, Bavinton Benjamin R, Grulich Andrew, Stoove Mark, Holt Martin, Kaldor John, Guy Rebecca, Ong Jason J

机构信息

Kirby Institute, The University of New South Wales (UNSW) Sydney, Sydney, NSW, Australia.

Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.

出版信息

Front Med (Lausanne). 2022 Apr 19;9:839479. doi: 10.3389/fmed.2022.839479. eCollection 2022.


DOI:10.3389/fmed.2022.839479
PMID:35514755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9063480/
Abstract

BACKGROUND: In Australia, undiagnosed HIV rates are much higher among migrant gay, bisexual, or other men who have sex with men (GBMSM) than Australian-born GBMSM. HIV self-testing is a promising tool to overcome barriers to HIV testing and improve HIV testing uptake among migrant GBMSM. We compared the preferences for HIV testing services, including HIV self-testing, among migrant and Australian-born GBMSM. METHODS: Preferences were assessed two discrete choice experiments (DCEs). Participants were recruited between December 2017 and January 2018 using online and offline advertising and randomly assigned to complete one of two online DCE surveys. Migrant GBMSM were classified as being born in a country with a reciprocal healthcare agreement (RHCA) with Australia (providing free or subsided health care) or not. Latent class analysis and mixed logit models were used to explore heterogeneity in preferences. FINDINGS: We recruited 1,606 GBMSM, including 583 migrant men of whom 419 (72%) were born in non-RHCA countries. Most participants preferred a free or cheap oral test with higher accuracy and a shorter window period to facilitate early detection of infections. Cost was more important for men born in non-RHCA countries than for men from RHCA countries or Australia. All groups preferred accessing kits through online distributers or off the shelf purchasing from pharmacies. Men born in RHCA countries least preferred accessing HIV self-testing kits from a medical clinic, while more than half of men from non-RHCA countries most preferred sourcing kits from a clinic. Sex-on-premises venues were the least preferred location to access test kits among all groups. In addition, two latent class analyses explored heterogeneity in preferences among men from non-RHCA countries and we found four latent classes for HIV testing services and two latent classes for HIVST distribution. INTERPRETATION: Our findings emphasise the need for high-performing and low-cost HIV self-testing kits that are accessible from a variety of distribution points as a component of Australia's HIV response, especially for those who do not have access to free or subsidised health care in Australia.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/4c8acb7619c0/fmed-09-839479-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/993033a9b58a/fmed-09-839479-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/732b1c93c15a/fmed-09-839479-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/af85fc32f659/fmed-09-839479-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/4c8acb7619c0/fmed-09-839479-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/993033a9b58a/fmed-09-839479-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/732b1c93c15a/fmed-09-839479-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/af85fc32f659/fmed-09-839479-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/964d/9063480/4c8acb7619c0/fmed-09-839479-g0004.jpg

相似文献

[1]
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

[2]
The Preferred Qualities of Human Immunodeficiency Virus Testing and Self-Testing Among Men Who Have Sex With Men: A Discrete Choice Experiment.

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[3]
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[4]
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[5]
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J Med Internet Res. 2020-11-30

[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Evaluating HIV testing preferences and uptake of oral fluid-based HIV self-testing among men who have sex with men and transgender women in the Greater Manila Area of the Philippines: an explanatory sequential mixed-methods research protocol.

BMJ Open. 2025-8-26

[2]
Factors influencing HIV testing choices among Chinese undergraduates: insights from a discrete choice experiment.

BMC Public Health. 2025-6-5

[3]
Trend and Associated Factors for Late and Advanced HIV Diagnoses in 2011-2022 in Melbourne, Australia.

J Med Virol. 2025-6

[4]
HIV-Related Knowledge and Practices among Asian and African Migrants Living in Australia: Results from a Cross-Sectional Survey and Qualitative Study.

Int J Environ Res Public Health. 2023-2-28

本文引用的文献

[1]
A Systematic Review and Network Meta-analyses to Assess the Effectiveness of Human Immunodeficiency Virus (HIV) Self-testing Distribution Strategies.

Clin Infect Dis. 2021-8-16

[2]
HIV self-testing partially filled the HIV testing gap among men who have sex with men in China during the COVID-19 pandemic: results from an online survey.

J Int AIDS Soc. 2021-5

[3]
Community-led HIV self-testing for men who have sex with men in Lebanon: lessons learned and impact of COVID-19.

Health Res Policy Syst. 2021-4-21

[4]
Increased targeted HIV testing and reduced undiagnosed HIV infections among gay and bisexual men.

HIV Med. 2021-8

[5]
'I think they might just go to the doctor': qualitatively examining the (un)acceptability of newer HIV testing approaches among Vietnamese-born migrants in greater-Brisbane, Queensland, Australia.

Sex Health. 2021-3

[6]
Heterogeneity in individual preferences for HIV testing: A systematic literature review of discrete choice experiments.

EClinicalMedicine. 2020-11-30

[7]
High acceptability of PrEP teleconsultation and HIV self-testing among PrEP users during the COVID-19 pandemic in Brazil.

Braz J Infect Dis. 2021

[8]
Access to Subsidized Health Care Affects HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among Gay and Bisexual Men in Australia: Results of National Surveys 2013-2019.

J Acquir Immune Defic Syndr. 2021-4-1

[9]
Secondary distribution of HIV self-tests improves coverage.

Lancet HIV. 2020-11

[10]
Impact of providing free HIV self-testing kits on frequency of testing among men who have sex with men and their sexual partners in China: A randomized controlled trial.

PLoS Med. 2020-10-9

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