Evidence map›Paper›PMID 30759090›Full record

ArticlePloS one2019

HIV self-testing in Spain: A valuable testing option for men-who-have-sex-with-men who have never tested for HIV.

Konstantinos Koutentakis, Juan Hoyos, María-Elena Rosales-Statkus, Juan-Miguel Guerras, Jose Pulido, Luis de la Fuente, María-José Belza

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Konstantinos KoutentakisCarlos III Health Institute, National Center of Epidemiology, Madrid, Spain.
Juan HoyosConsortium for Biomedical Research in Epidemiology & Public Health (CIBERESP),Madrid, Spain.ORCID 0000-0003-3772-2771
María-Elena Rosales-StatkusCarlos III Health Institute, National Center of Epidemiology, Madrid, Spain.
Juan-Miguel GuerrasCarlos III Health Institute, National Center of Epidemiology, Madrid, Spain.
Jose PulidoDepartment of Public and Mother-child health, Faculty of Medicine, Madrid Complutense University, Madrid, Spain.
Luis de la FuenteCarlos III Health Institute, National Center of Epidemiology, Madrid, Spain.
María-José BelzaConsortium for Biomedical Research in Epidemiology & Public Health (CIBERESP),Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the capacity of HIV self-testing to promote testing among untested men who have sex with men (MSM) and determined the most benefited subpopulations.

methodsAn online questionnaire was disseminated on several gay websites in Spain from September 2012 to April 2013. We used Poisson regression to estimate factors associated with the intention to use self-testing if already available. Among those who reported intention of use, we assessed several aspects related to the testing and linkage to care process by type of barrier reported: low perceived risk (LR), structural barriers (SB) and fear of testing positive (FTP).

resultsOf 2589 never-tested MSM, 83% would have used self-testing if already available. Intention of use was associated with age ≥30 (adj.PR, 95%CI: 1.05, 1.01-1.10), having had protected (adj.PR, 95%CI: 1.15, 1.02-1.30) or unprotected (adj.PR, 95%CI: 1.21, 1.07-1.37) anal intercourse and reporting FTP (adj.PR, 95%CI: 1.12, 1.05-1.20) or SB to access HIV testing (adj.PR, 95%CI: 1.23, 1.19-1.28). Among those who reported intention of using a self-testi, 78.3% declared it their preferred option (83.8% in the SB group; p<0.001), and 56.8% would always use this testing option (60.9% among the SB group; p = 0.001). In the case of obtaining a positive self-test, 69.3% would seek confirmatory testing, 15.3% would self-test again before taking any decision and 13.0% reported not being sure of what they would do.

conclusionHIV self-testing in Spain has the potential of becoming a highly used testing methodology for untested MSM and could represent the gateway to testing especially among older, at risk MSM who report SB or FTP as main barriers to testing.

Indexed as

Diagnostic Tests, RoutineAdultDiagnostic Self EvaluationHealth Knowledge, Attitudes, PracticeHIV InfectionsHomosexuality, MaleHumansMaleSpainSurveys and QuestionnairesYoung Adult

Identifiers

PMID30759090
PMCPMC6373894

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.