2026-05-17T01:18:34Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/158562025-05-08T07:57:56Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608col_20.500.12105_19613
Repisalud
author
Guerras Moreira, Juan Miguel
author
Hoyos, Juan
author
Fuente, Luis de la
author
Donat López, Marta
author
Pulido, Jose
author
Sordo, Luis
author
García de Olalla, Patricia
author
Belza Egozcue, Maria Jose
author
Methysos Project Group
funder
Plan Nacional de Drogas (España)
2023-04-20T11:02:49Z
2023-04-20T11:02:49Z
2022-06
Front Public Health. 2022 Jun 17;10:888059.
10.3389/fpubh.2022.888059
2296-2565
Frontiers in public health
35784245
http://hdl.handle.net/20.500.12105/15856
Objectives: HIV self-testing has been available in Spain since 2017 as a diagnostic tool to promote earlier diagnosis. We aimed to assess awareness and previous use of HIV self-testing in a sample of men who have sex with men (MSM) recruited online more than 2 years after its legal authorization in Spain. Methods: We analyzed 5,492 MSM recruited between May and July 2020 in gay dating apps/websites and other social networks. We estimated the proportion of participants who were aware of the existence of HIV self-testing and the proportion who reported previous use. To identify factors associated with both outcomes we built two Poisson regression models. Among those who reported previous use we described several aspects related to their last self-test. Results: Awareness of HIV self-test was reported by 29.7% and its previous use by 5% of participants. Awareness was independently associated with recruitment in gay dating apps/websites, being ≥40 years old, born in Spain-other European countries, having higher educational level, living in medium-small municipalities and living sex life openly. Independent associations were also found with having received a sexually transmitted infection diagnosis (STI) or an HIV negative test in the last 12 months, and being HIV positive. Use was significantly higher among participants who were paid for sex or diagnosed with an STI in the last 12 months and who received their last HIV test in the preceding year. Self-testing occurred recently, with kits acquired at pharmacies and carried out alone. Conclusion: Awareness and use probably have not increased sufficiently in order to make a relevant impact to the promotion of early HIV diagnosis. Additional efforts, mainly focused on less favored MSM, should be made to take better advantage of the possibilities offered by this testing option.
eng
Early diagnosis
HIV self-testing (HIVST)
Self-diagnosis
Infectious disease
Men who have sex with men (MSM)
Awareness and Use of HIV Self-Testing Among Men Who Have Sex With Men Remains Low in Spain 2 Years After Its Authorization
research article
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https://repisalud.isciii.es/bitstreams/2813e696-745c-496a-ae81-1c6e1cf397da/download
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AwarenessUseHIVSelf-Testing_2022.pdf
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https://repisalud.isciii.es/bitstreams/a0c152d6-6012-4f13-90b8-3cf9a527a4bb/download
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AwarenessUseHIVSelf-Testing_2022.pdf.txt