Abstract：
HIV self-testing (HIVST) has been found to have high acceptability among men who have sex with men (MSM) internationally and might contribute to increase testing frequencies, but many countries, including Sweden, lack policies for using HIVST.
To examine interest to use and willingness to pay for HIVST, and associated factors, among MSM attending HIV testing venues in Sweden.
This cross-sectional study analyzed data from a self-administered survey, consisting of 33 questions, collected at six HIV testing venues in Sweden in 2018. The sample consisted of sexually active men who have sex with men, aged ≥ 18 years, and not diagnosed with HIV. Data were analyzed descriptively and by univariable and multivariable logistic regression.
Among 663 participants (median age 33 years), 436 respondents (65.8%) expressed interest to use HIVST. Among those interested, less than half, 205 (47.0%), were willing to pay for HIVST. Being interested in HIVST was found to be negatively associated with being in the 55 years or older age group (AOR 0.31, CI 0.14-0.71), and having had syphilis, rectal chlamydia, or rectal gonorrhea in the preceding 12 months (AOR 0.56, CI 0.32-0.99). In the sample of MSM interested in HIVST, willingness to pay was positively associated with being in the age groups 35-44 years (AOR 2.94, CI 1.40-6.21), 45-54 years (AOR 2.82, CI 1.16-6.90), and 55 years or above (AOR 3.90, CI 1.19-12.81), and negatively associated with being single (AOR 0.56, CI 0.36-0.88).
This study found high interest for HIVST in a sample of MSM in Sweden. However, HIVST offered at a cost is likely to negatively affect uptake among MSM broadly, compared with free availability.
To examine interest to use and willingness to pay for HIVST, and associated factors, among MSM attending HIV testing venues in Sweden.
This cross-sectional study analyzed data from a self-administered survey, consisting of 33 questions, collected at six HIV testing venues in Sweden in 2018. The sample consisted of sexually active men who have sex with men, aged ≥ 18 years, and not diagnosed with HIV. Data were analyzed descriptively and by univariable and multivariable logistic regression.
Among 663 participants (median age 33 years), 436 respondents (65.8%) expressed interest to use HIVST. Among those interested, less than half, 205 (47.0%), were willing to pay for HIVST. Being interested in HIVST was found to be negatively associated with being in the 55 years or older age group (AOR 0.31, CI 0.14-0.71), and having had syphilis, rectal chlamydia, or rectal gonorrhea in the preceding 12 months (AOR 0.56, CI 0.32-0.99). In the sample of MSM interested in HIVST, willingness to pay was positively associated with being in the age groups 35-44 years (AOR 2.94, CI 1.40-6.21), 45-54 years (AOR 2.82, CI 1.16-6.90), and 55 years or above (AOR 3.90, CI 1.19-12.81), and negatively associated with being single (AOR 0.56, CI 0.36-0.88).
This study found high interest for HIVST in a sample of MSM in Sweden. However, HIVST offered at a cost is likely to negatively affect uptake among MSM broadly, compared with free availability.
摘要：
艾滋病毒自我检测（HIVST）已被发现在国际上与男性发生性关系的男性（MSM）中具有很高的可接受性，并可能有助于增加检测频率，但是很多国家,包括瑞典,缺乏使用HIVST的政策。
为了检查使用HIVST的兴趣和支付意愿，和相关因素，在瑞典参加艾滋病毒检测场所的MSM中。
这项横断面研究分析了一项自我管理调查的数据，由33个问题组成，2018年在瑞典的六个艾滋病毒检测场所收集。样本包括与男性发生性关系的性活跃男性，年龄≥18岁，并没有被诊断出感染艾滋病毒。数据进行描述性分析，并通过单变量和多变量逻辑回归进行分析。
在663名参与者（平均年龄33岁）中，436名受访者（65.8%）表示有兴趣使用HIVST。在那些感兴趣的人中，不到一半,205（47.0%），愿意为HIVST买单.发现对HIVST感兴趣与55岁或以上年龄组呈负相关（AOR0.31，CI0.14-0.71），得了梅毒,直肠衣原体,或前12个月的直肠淋病（AOR0.56，CI0.32-0.99）。在对HIVST感兴趣的MSM样本中，支付意愿与35-44岁年龄组呈正相关(AOR2.94，CI1.40-6.21)，45-54年（AOR2.82，CI1.16-6.90），55年或以上(AOR3.90，CI1.19-12.81)，与单身呈负相关(AOR0.56，CI0.36-0.88)。
这项研究在瑞典的MSM样本中发现了对HIVST的高度兴趣。然而,以一定成本提供的HIVST可能会对MSM的吸收产生负面影响，与免费提供相比。
为了检查使用HIVST的兴趣和支付意愿，和相关因素，在瑞典参加艾滋病毒检测场所的MSM中。
这项横断面研究分析了一项自我管理调查的数据，由33个问题组成，2018年在瑞典的六个艾滋病毒检测场所收集。样本包括与男性发生性关系的性活跃男性，年龄≥18岁，并没有被诊断出感染艾滋病毒。数据进行描述性分析，并通过单变量和多变量逻辑回归进行分析。
在663名参与者（平均年龄33岁）中，436名受访者（65.8%）表示有兴趣使用HIVST。在那些感兴趣的人中，不到一半,205（47.0%），愿意为HIVST买单.发现对HIVST感兴趣与55岁或以上年龄组呈负相关（AOR0.31，CI0.14-0.71），得了梅毒,直肠衣原体,或前12个月的直肠淋病（AOR0.56，CI0.32-0.99）。在对HIVST感兴趣的MSM样本中，支付意愿与35-44岁年龄组呈正相关(AOR2.94，CI1.40-6.21)，45-54年（AOR2.82，CI1.16-6.90），55年或以上(AOR3.90，CI1.19-12.81)，与单身呈负相关(AOR0.56，CI0.36-0.88)。
这项研究在瑞典的MSM样本中发现了对HIVST的高度兴趣。然而,以一定成本提供的HIVST可能会对MSM的吸收产生负面影响，与免费提供相比。
