2026-06-14T06:44:09Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/74552025-06-19T10:12:42Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608col_20.500.12105_19613
Repisalud
author
Koutentakis, Konstantinos
author
Hoyos, Juan
author
Rosales-Statkus, Maria-Elena
author
Guerras Moreira, Juan Miguel
author
Pulido, Jose
author
Fuente, Luis de la
author
Belza Egozcue, Maria Jose
funder
Ministerio de Sanidad, Servicios Sociales e Igualdad (España)
2019-04-12T11:13:52Z
2019-04-12T11:13:52Z
2019-02-13
PLoS One. 2019 Feb 13;14(2):e0210637.
10.1371/journal.pone.0210637
1932-6203
PloS one
30759090
http://hdl.handle.net/20.500.12105/7455
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.
eng
HIV self-testing in Spain: A valuable testing option for men-who-have-sex-with-men who have never tested for HIV
research article
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URL
https://repisalud.isciii.es/bitstreams/3e4538cc-fd30-4bd8-8f03-55201864f949/download
File
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application/pdf
HIVSelftestingInSpain_2019.pdf
URL
https://repisalud.isciii.es/bitstreams/72348ec4-9989-45c0-b8aa-7525a931d439/download
File
MD5
cd7f49f08dbd410eb81da4bcfc290829
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text/plain
HIVSelftestingInSpain_2019.pdf.txt