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Tytuł:
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HIV self-testing in Spain: A valuable testing option for men-who-have-sex-with-men who have never tested for HIV.
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Autorzy:
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Koutentakis K; Carlos III Health Institute, National Center of Epidemiology, Madrid, Spain.
Hoyos J; Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP),Madrid, Spain.; Department of Public and Mother-child health, Faculty of Medicine, Madrid Complutense University, Madrid, Spain.
Rosales-Statkus ME; Carlos III Health Institute, National Center of Epidemiology, Madrid, Spain.; Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP),Madrid, Spain.
Guerras JM; Carlos III Health Institute, National Center of Epidemiology, Madrid, Spain.
Pulido J; Department of Public and Mother-child health, Faculty of Medicine, Madrid Complutense University, Madrid, Spain.; Carlos III Health Institute, National School of Health, Department of Health Programs, Madrid, Spain.
de la Fuente L; Carlos III Health Institute, National Center of Epidemiology, Madrid, Spain.; Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP),Madrid, Spain.
Belza MJ; Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP),Madrid, Spain.; Carlos III Health Institute, National School of Health, Department of Epidemiology and Biostatistics, Madrid, Spain.
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Źródło:
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PloS one [PLoS One] 2019 Feb 13; Vol. 14 (2), pp. e0210637. Date of Electronic Publication: 2019 Feb 13 (Print Publication: 2019).
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: San Francisco, CA : Public Library of Science
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MeSH Terms:
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Diagnostic Tests, Routine*
HIV Infections/*diagnosis
Adult ; Diagnostic Self Evaluation ; HIV Infections/epidemiology ; Health Knowledge, Attitudes, Practice ; Homosexuality, Male ; Humans ; Male ; Spain/epidemiology ; Surveys and Questionnaires ; Young Adult
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References:
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Entry Date(s):
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Date Created: 20190214 Date Completed: 20191030 Latest Revision: 20200309
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Update Code:
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20240105
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PubMed Central ID:
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PMC6373894
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DOI:
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10.1371/journal.pone.0210637
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PMID:
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30759090
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Background: We assessed the capacity of HIV self-testing to promote testing among untested men who have sex with men (MSM) and determined the most benefited subpopulations.
Methods: An online questionnaire was disseminated on several gay websites in Spain from September 2012 to April 2013. We used Poisson regression to estimate factors associated with the intention to use self-testing if already available. Among those who reported intention of use, we assessed several aspects related to the testing and linkage to care process by type of barrier reported: low perceived risk (LR), structural barriers (SB) and fear of testing positive (FTP).
Results: Of 2589 never-tested MSM, 83% would have used self-testing if already available. Intention of use was associated with age ≥30 (adj.PR, 95%CI: 1.05, 1.01-1.10), having had protected (adj.PR, 95%CI: 1.15, 1.02-1.30) or unprotected (adj.PR, 95%CI: 1.21, 1.07-1.37) anal intercourse and reporting FTP (adj.PR, 95%CI: 1.12, 1.05-1.20) or SB to access HIV testing (adj.PR, 95%CI: 1.23, 1.19-1.28). Among those who reported intention of using a self-testi, 78.3% declared it their preferred option (83.8% in the SB group; p<0.001), and 56.8% would always use this testing option (60.9% among the SB group; p = 0.001). In the case of obtaining a positive self-test, 69.3% would seek confirmatory testing, 15.3% would self-test again before taking any decision and 13.0% reported not being sure of what they would do.
Conclusion: HIV self-testing in Spain has the potential of becoming a highly used testing methodology for untested MSM and could represent the gateway to testing especially among older, at risk MSM who report SB or FTP as main barriers to testing.
Competing Interests: The authors have declared that no competing interests exist.
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