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HIV care-seeking behaviour after HIV self-testing among men who have sex with men in Beijing, China: a cross-sectional study

Overview of attention for article published in Infectious Diseases of Poverty, June 2017
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2 tweeters

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Title
HIV care-seeking behaviour after HIV self-testing among men who have sex with men in Beijing, China: a cross-sectional study
Published in
Infectious Diseases of Poverty, June 2017
DOI 10.1186/s40249-017-0326-y
Pubmed ID
Authors

Xian-Long Ren, Zun-You Wu, Guo-Dong Mi, Jennifer M. McGoogan, Ke-Ming Rou, Yan Zhao, Nanci Zhang

Abstract

Men who have sex with men (MSM) has become the group with the fastest growing HIV epidemic in China. Since many Chinese MSM are conducting HIV self-testing, we aimed to determine the rate of HIV care seeking after self-testing, examine characteristics of "seekers" compared to "non-seekers," and explore factors associated with HIV care-seeking behaviour. A cross-sectional study design was used and an online survey was conducted in Beijing, China in 2016, among users of a popular Chinese gay networking smart phone application. Chi-square test was used to compare characteristics of those who sought HIV care ("seekers") and those who did not ("non-seekers"). Univariate and multivariate logistic regression analyses were conducted to assess factors associated with HIV care seeking. Among 21,785 screened, 2383 participants (10.9%) were included in the study. A total of 380 participants (15.9%) reported seeking HIV care after HIV self-testing while 2003 (84.1%) did not. Lack of knowledge of the "window period" (adjusted odds ratio [AOR] = 0.68, 95% confidence interval [95% CI] = 0.47-0.97, P = 0.04) was associated with reduced odds of seeking HIV care, while lower monthly income (AOR = 1.29, 95% CI = 1.03-1.62, P = 0.03) and obtaining HIV self-testing kits from health facilities (AOR = 2.40, 95% CI = 1.81-3.17, P < 0.001), and non-governmental organizations (AOR = 2.44, 95% CI = 1.79-3.34, P < 0.001) was associated with increased odds of seeking HIV care. Among those who sought HIV care, a large majority (92.4%) had non-reactive HIV self-testing results. Only 29 out of 265 with reactive, uncertain, or unknown results sought HIV care. We found a very low rate of HIV care seeking among our sample of urban Chinese MSM. The observation that most with reactive, uncertain, or unknown results did not seek HIV care is a cause for concern. These people should be paid more attention and helped to enter the care cascade. Our findings highlight that interventions aimed at improving linkage to care after HIV self-testing are urgently needed. However, further study is required to inform the design and implementation of future interventions aiming to encourage HIV care-seeking behaviour.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 69 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 22%
Student > Ph. D. Student 8 12%
Researcher 7 10%
Student > Bachelor 7 10%
Student > Doctoral Student 3 4%
Other 11 16%
Unknown 18 26%
Readers by discipline Count As %
Nursing and Health Professions 12 17%
Social Sciences 9 13%
Medicine and Dentistry 9 13%
Psychology 3 4%
Business, Management and Accounting 2 3%
Other 6 9%
Unknown 28 41%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 August 2017.
All research outputs
#8,922,408
of 11,609,687 outputs
Outputs from Infectious Diseases of Poverty
#282
of 399 outputs
Outputs of similar age
#175,588
of 265,233 outputs
Outputs of similar age from Infectious Diseases of Poverty
#23
of 28 outputs
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