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Factors Associated with First-Time HIV Testing Among MSM via Secondary Distribution of HIV Self-test Kits in Zhuhai, China

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Abstract

HIV self-testing (HIVST) is an effective method to expand HIV testing coverage worldwide. We analyze the results of HIVST and sexual behaviors of first-time testers among Men who have sex with men (MSM) who participated in a secondary distribution of HIVST kits. A total of 589 participants were recruited, including 173 first-time testers and 416 non-first-time testers. The first-time testers were mainly of Han ethnicity (aOR 1.88, 95% CI 1.10, 3.24), more likely to be HIV positive (aOR 7.18, 95% CI 2.37, 21.72), and had higher income (aOR 2.01, 95% CI 1.10, 3.69). Both groups were less likely to have anal sex with male partners (χ2: 146.24, P < 0.01), (χ2: 582.72, P < 0.01) or have sex with female partners (χ2: 19.01, P < 0.01), (χ2: 35.74, P < 0.01) after HIVST. We should expand HIVST among MSM and other key populations to identify first-time testers.

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Acknowledgements

We are very grateful to all the participants who participated in this study.

Funding

This work was supported by the Medical Science and Technology Foundation of Guangdong Province [Grant Number 20201110143347920].

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Author notes

  1. Hang Lyu and Yunlong Feng have contributed equally to this manuscript.

  2. Weiming Tang and Wenhua Mei have contributed equally to this manuscript.

Authors and Affiliations

  1. Zhuhai Center for Diseases Control and Prevention, and Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, 9 Weikang Road, Zhuhai, 519000, Guangdong Province, China

    Hang Lyu, Yi Zhou, Man Du, Shanzi Huang, Jiarun Li & Wenhua Mei

  2. Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China

    Yunlong Feng, Yuyu Wang & Wenhua Mei

  3. School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, China

    Zhihui Guo & Mingting Cui

  4. Macau University of Science and Technology, Macau, China

    Haotong Tang

  5. Insititute of Global Health and STI Research, Southern Medical University, Guangzhou, China

    Weiming Tang

  6. Dermatology Hospital, Southern Medical University, and the University of North Carolina at Chapel Hill Project-China, 2 Lujing Road, Guangzhou, 510095, China

    Weiming Tang

  7. University of North Carolina Project-China, Guangzhou, China

    Weiming Tang

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  1. Hang Lyu
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Contributions

Conceptualization, YF and HL; Methodology, ZG and MC; Software, YW and HT; Validation, MD and SH; Formal analysis, JL and YF; Data curation, YZ and MD; Writing—original draft preparation, YF and HL; Writing—review and editing, YF and HL; Visualization, SZ and HL; upervision, YZ; Project administration, WM and WT; Funding acquisition, WM and WT; All authors have read and agreed to the published version of the manuscript.

Corresponding authors

Correspondence to Weiming Tang or Wenhua Mei.

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Conflict of interest

All authors have declared no conflicts of interest.

Ethical Approval

Prior to launching the study, ethical approval was obtained from the institutional review board of the Zhuhai Municipal Center for Diseases Prevention and Control in China (ZHCDC2018014).

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Lyu, H., Feng, Y., Zhou, Y. et al. Factors Associated with First-Time HIV Testing Among MSM via Secondary Distribution of HIV Self-test Kits in Zhuhai, China. AIDS Behav 27, 1942–1949 (2023). https://doi.org/10.1007/s10461-022-03927-8

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