Paul Flowers|Julie Riddell|Chan Park|Bipasha Ahmed|Ingrid Young|Jamie Frankis|Mark Davis|Mark Gilbert|Claudia S Estcourt|Lesley Wallace|LM McDaid
Preparedness for use of the rapid result <scp>HIV</scp> self?test by gay men and other men who have sex with men (<scp>MSM</scp>): a mixed methods exploratory study among <scp>MSM</scp> and those involved in <scp>HIV</scp> prevention and care
Glasgow Caledonian University|MRC/CSO Social and Public Health Sciences Unit|University of Glasgow|Glasgow Caledonian University|MRC/CSO Social and Public Health Sciences Unit|University of Glasgow|Glasgow Caledonian University|University of Glasgow|MRC/CSO Social and Public Health Sciences Unit|Glasgow Caledonian University|Monash University|Ontario HIV Treatment Network|Health Protection Scotland|MRC/CSO Social and Public Health Sciences Unit|University of Glasgow
aim study explore preparedness hiv selftest among men sex men msm involved hiv prevention carea mixed methods exploratory research design employed detailing awareness willingness use selftest perceived barriers facilitators implementation quantitative qualitative data collection analysis completed parallel descriptive inferential analysis crosssectional barbased survey data collected msm selfcompleted questionnaire oral fluid specimen collection n 999 combined qualitative thematic analysis data collected 12 expert focus groups n 55 consisting gay men national health service nhs staff community organizations entrepreneurs activists findings subsequently combined assessed synergiesamong msm selftest awareness moderate 55 greater awareness associated increased educational attainment adjusted odds ratio 151 95 confidence interval ci 100230 p 005 previous history sexually transmitted infection sti testing adjusted odds ratio 163 95 ci 111239 p 001 willingness use test high 89 associated meeting sexual partners online unadjusted odds ratio 196 95 ci 131294 p 0001 experts highlighted overall acceptability selftesting understood convenient discreet accessible low burden services however ambivalence towards selftesting reported could reduce opportunities engage wider services wider health issues determinants riskselftesting represents opportunity reduce barriers hiv testing enhance prevention access care levels awareness moderate willingness use high selftesting may amplify health inequalities