dc.contributor.author | Koutentakis, Konstantinos | |
dc.contributor.author | Hoyos, Juan | |
dc.contributor.author | Rosales-Statkus, Maria-Elena | |
dc.contributor.author | Guerras Moreira, Juan Miguel | |
dc.contributor.author | Pulido, Jose | |
dc.contributor.author | Fuente, Luis de la | |
dc.contributor.author | Belza Egozcue, Maria Jose | |
dc.date.accessioned | 2019-04-12T11:13:52Z | |
dc.date.available | 2019-04-12T11:13:52Z | |
dc.date.issued | 2019-02-13 | |
dc.identifier.citation | PLoS One. 2019 Feb 13;14(2):e0210637. | es_ES |
dc.identifier.issn | 1932-6203 | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/7455 | |
dc.description.abstract | 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. | es_ES |
dc.description.sponsorship | This study was funded by the Ministerio de Sanidad, Servicios Sociales e igualdad (https://www.msssi.gob.es/) (MSSSI EC11-279). Work by JP was also partially supported by "Ayuda Juan de la Cierva-Incorporación" (Grant number IJCI-2015-23261). | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Public Library of Science (PLOS) | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.title | HIV self-testing in Spain: A valuable testing option for men-who-have-sex-with-men who have never tested for HIV | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Atribución 4.0 Internacional | * |
dc.identifier.pubmedID | 30759090 | es_ES |
dc.format.volume | 14 | es_ES |
dc.format.number | 2 | es_ES |
dc.format.page | e0210637 | es_ES |
dc.identifier.doi | 10.1371/journal.pone.0210637 | es_ES |
dc.contributor.funder | Ministerio de Sanidad, Servicios Sociales e Igualdad (España) | |
dc.description.peerreviewed | Sí | es_ES |
dc.relation.publisherversion | https://doi.org/10.1371/journal.pone.0210637 | es_ES |
dc.identifier.journal | PloS one | es_ES |
dc.repisalud.centro | ISCIII::Centro Nacional de Epidemiología | es_ES |
dc.repisalud.centro | ISCIII::Escuela Nacional de Sanidad | es_ES |
dc.repisalud.institucion | ISCIII | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/ES/EC11-279 | es_ES |
dc.rights.accessRights | open access | es_ES |