The characteristics of HIV self-testing and its related factors among men who have sex with men in Zhejiang Province
Objective To understand the current status of self-testing for HIV among men who have sex with men(MSM)and its associated factors,in order to provide scientific evidence for expanding HIV self-testing among MSM.Methods A cross-sectional survey was conducted from April 2022 to October 2023.MSM were recruited using a snowball sampling method,and a questionnaire survey was conducted,which included general demographic information,sexual behavior characteristics,and HIV testing behavior characteristics.Multivariable logistic regression models were used to analyze the factors associated with recent self-testing for HIV among MSM.Results A total of 806 MSM with a mean age of(35.1±10.1)years were recruited.The age group of 25-39 years accounted for 51.2％,and those with local household registration accounted for 62.0％.In the last three months,90.3％of MSM had sought sexual partners through the Internet.The proportion of MSM who had performed self-testing for HIV in the last year was 42.7％(344/806).Multivariable logistic regression model revealed that MSM with a college degree or above(aOR=2.21,95％CI:1.41-3.48),those who identified as"insertive only"in their sexual role(aOR=1.97,95％CI:1.30-2.99),those with thorough awareness of knowledge HIV(aOR=2.29,95％CI:1.65-3.18),those who had used the internet for dating in the past three months(aOR=2.84,95％CI:1.40-5.75),and those who had previously been tested for HIV in medical institutions(aOR=2.04,95％CI:1.46-2.84)were more likely to have performed self-testing for HIV in the last year.Conclusions The proportion of MSM self-testing for HIV in Zhejiang Province is relatively low.It is recommended to explore the use of internet platforms,especially MSM dating APPs,for HIV-related knowledge promotion and education.Special attention should be given to MSM with lower education levels in HIV testing knowledge promotion and education.Self-testing for HIV among MSM after engaging in high-risk behaviors should be advocated.
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