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.
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。