Knowledge and Prior Use of HIV Self-Testing in Madrid and Barcelona among Men Who Have Sex with Men More than One Year after Its Legal Authorization in Spain
Guerras, Juan Miguel (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Belza, María José (Instituto de Salud Carlos III)
Fuster, Mría José (Universidad Nacional de Educación a Distancia (Espanya). Departamento de Psicología Social y de las Organizaciones)
de la Fuente Galán, Luis (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
García de Olalla, Patricia (Institut d'Investigació Biomèdica Sant Pau)
Palma, David (Institut d'Investigació Biomèdica Sant Pau)
García-Pérez, Jorge Néstor (Hospital Universitari Vall d'Hebron)
Hoyos, Juan

Data:	2022
Resum:	This study assessed the knowledge and prior use of HIV self-testing in a sample of men who have sex with men (MSM) recruited in a sexual health clinic and two community-based testing sites in Madrid and Barcelona, >12 months after its legal authorization. Between March 2019 and December 2020, we recruited 2044 MSM. Participants completed a self-administered questionnaire while waiting to be tested for HIV and other STIs. We built two Poisson regression models to assess factors associated with prior knowledge and with use. Among those who had used self-testing in the past we assessed frequency of use and several aspects related to the last testing episode. The proportion of participants that knew about the existence of self-testing and had already used it was of 26. 3% and 5. 1% respectively. Both, knowledge and use were independently associated with being born in Spain or other western European countries, university education and more recent HIV testing. Additionally, knowledge was associated with older age, having a more favorable economic situation, and not living sexuality in total secrecy. Use was also associated with having received money in exchange for sex. Most (69. 5%) reported having self-tested once, 64. 8% had self-tested <12 months ago, 63. 8% self-tested alone and 71. 4% acquired the kit at a pharmacy over the counter. In spite of its authorization and becoming legally available, knowledge and use of HIV self-testing remain low among MSM attending sites specialized in the diagnosis of HIV and other STIs. When designing scale-up strategies, lower levels of knowledge and use in less favored subgroups of MSM need to be factored in.
Ajuts:	Ministerio de Sanidad 2019I017
Nota:	Altres ajuts: Delegación del Gobierno para el Plan Nacional sobre Drogas; Plan de Consolidación de la Investigación del IMIENS (2021).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Early diagnosis ; HIV self-testing (HIVST) ; Men who have sex with men (MSM)
Publicat a:	International journal of environmental research and public health, Vol. 19 Núm. 3 (January 2022) , p. 1096, ISSN 1660-4601

DOI: 10.3390/ijerph19031096
PMID: 35162118

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