The preferred qualities of HIV testing and self-testing among men who have sex with men: a discrete choice experiment
Ong, J
De Abreu Lourenco, R
Street, D
Smith, K
Jamil, M
Terris-Prestholt, F
Fairley, C
McNulty, A
Hynes, A
Johnson, K
Chow, E
Bavinton, BR
Grulich, A
Stoove, M
Holt, M
Kaldor, J
Guy, R
- Publisher:
- Elsevier
- Publication Type:
- Journal Article
- Citation:
- Value in Health, 2020, 23, (7), pp. 870-879
- Issue Date:
- 2020
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Filename | Description | Size | |||
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OngDeAbreuLourencoStreetetal2020 DCE HIV.pdf | Published Version | 1.58 MB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Ong, J | |
dc.contributor.author |
De Abreu Lourenco, R |
|
dc.contributor.author |
Street, D |
|
dc.contributor.author | Smith, K | |
dc.contributor.author | Jamil, M | |
dc.contributor.author | Terris-Prestholt, F | |
dc.contributor.author | Fairley, C | |
dc.contributor.author | McNulty, A | |
dc.contributor.author | Hynes, A | |
dc.contributor.author | Johnson, K | |
dc.contributor.author | Chow, E | |
dc.contributor.author | Bavinton, BR | |
dc.contributor.author | Grulich, A | |
dc.contributor.author | Stoove, M | |
dc.contributor.author | Holt, M | |
dc.contributor.author | Kaldor, J | |
dc.contributor.author | Guy, R | |
dc.date.accessioned | 2021-02-04T23:20:35Z | |
dc.date.available | 2020-04-11 | |
dc.date.available | 2021-02-04T23:20:35Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Value in Health, 2020, 23, (7), pp. 870-879 | |
dc.identifier.issn | 1098-3015 | |
dc.identifier.issn | 1524-4733 | |
dc.identifier.uri | http://hdl.handle.net/10453/145851 | |
dc.description.abstract | <h4>Objectives</h4>Human immunodeficiency virus self-testing (HIVST) is a promising approach to improve HIV testing coverage. We aimed to understand HIV testing preferences of men who have sex with men (MSM) to optimize HIVST implementation.<h4>Methods</h4>Discrete choice experiments (DCEs) were conducted among HIV-negative MSM living in Australia and aged ≥18 years. Men completed 1 of 2 DCEs: DCETest for preferred qualities of HIV testing (price, speed, window period, test type, and collector of specimen) and DCEKits for preferred qualities of HIVST kits (price, location of access, packaging, and usage instructions). Latent class conditional logit regression was used to explore similarities (or "classes") in preference behavior.<h4>Results</h4>Overall, the study recruited 1606 men: 62% born in Australia, who had an average age of 36.0 years (SD 11.7), and a self-reported median of 4 (interquartile range 2-8) sexual partners in the last 6 months. The respondents to DCETest was described by 4 classes: "prefer shorter window period" (36%), "prefer self-testing" (27%), "prefer highly accurate tests" (22%), and "prefer low prices" (15%). Respondents to DCEKits were described by 4 classes: "prefer low prices" (48%), "prefer retail access (from pharmacy or online stores)" (29%), "prefer access at sex venues" (15%), and "prefer to buy from healthcare staff" (12%). Preferences varied by when someone migrated to Australia, age, frequency of testing, and number of sexual partners.<h4>Conclusion</h4>A subset of MSM, particularly infrequent testers, value access to HIVST. Expanding access to HIVST kits through online portals and pharmacies and at sex venues should be considered. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartof | Value in Health | |
dc.relation.isbasedon | 10.1016/j.jval.2020.04.1826 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1117 Public Health and Health Services, 1402 Applied Economics | |
dc.subject.classification | Health Policy & Services | |
dc.subject.mesh | Humans | |
dc.subject.mesh | HIV Infections | |
dc.subject.mesh | Reagent Kits, Diagnostic | |
dc.subject.mesh | Mass Screening | |
dc.subject.mesh | Self Care | |
dc.subject.mesh | Homosexuality, Male | |
dc.subject.mesh | Choice Behavior | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Sexual Partners | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Male | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Patient Preference | |
dc.subject.mesh | Sexual and Gender Minorities | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Choice Behavior | |
dc.subject.mesh | HIV Infections | |
dc.subject.mesh | Homosexuality, Male | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Mass Screening | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Patient Preference | |
dc.subject.mesh | Reagent Kits, Diagnostic | |
dc.subject.mesh | Self Care | |
dc.subject.mesh | Sexual Partners | |
dc.subject.mesh | Sexual and Gender Minorities | |
dc.subject.mesh | Young Adult | |
dc.title | The preferred qualities of HIV testing and self-testing among men who have sex with men: a discrete choice experiment | |
dc.type | Journal Article | |
utslib.citation.volume | 23 | |
utslib.location.activity | United States | |
utslib.for | 1117 Public Health and Health Services | |
utslib.for | 1402 Applied Economics | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Business | |
pubs.organisational-group | /University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation | |
pubs.organisational-group | /University of Technology Sydney/Strength - CHT - Health Technologies | |
pubs.organisational-group | /University of Technology Sydney | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2021-02-04T23:20:17Z | |
pubs.issue | 7 | |
pubs.publication-status | Accepted | |
pubs.volume | 23 | |
utslib.citation.issue | 7 |
Abstract:
Objectives
Human immunodeficiency virus self-testing (HIVST) is a promising approach to improve HIV testing coverage. We aimed to understand HIV testing preferences of men who have sex with men (MSM) to optimize HIVST implementation.Methods
Discrete choice experiments (DCEs) were conducted among HIV-negative MSM living in Australia and aged ≥18 years. Men completed 1 of 2 DCEs: DCETest for preferred qualities of HIV testing (price, speed, window period, test type, and collector of specimen) and DCEKits for preferred qualities of HIVST kits (price, location of access, packaging, and usage instructions). Latent class conditional logit regression was used to explore similarities (or "classes") in preference behavior.Results
Overall, the study recruited 1606 men: 62% born in Australia, who had an average age of 36.0 years (SD 11.7), and a self-reported median of 4 (interquartile range 2-8) sexual partners in the last 6 months. The respondents to DCETest was described by 4 classes: "prefer shorter window period" (36%), "prefer self-testing" (27%), "prefer highly accurate tests" (22%), and "prefer low prices" (15%). Respondents to DCEKits were described by 4 classes: "prefer low prices" (48%), "prefer retail access (from pharmacy or online stores)" (29%), "prefer access at sex venues" (15%), and "prefer to buy from healthcare staff" (12%). Preferences varied by when someone migrated to Australia, age, frequency of testing, and number of sexual partners.Conclusion
A subset of MSM, particularly infrequent testers, value access to HIVST. Expanding access to HIVST kits through online portals and pharmacies and at sex venues should be considered.Please use this identifier to cite or link to this item:
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