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

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

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

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Value in Health, 2020, 23, (7), pp. 870-879
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	Ong, J
dc.contributor.author	De Abreu Lourenco, R https://orcid.org/0000-0002-5978-8774
dc.contributor.author	Street, D https://orcid.org/0000-0002-4476-0656
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:

http://hdl.handle.net/10453/145851