Evidence map›Paper›PMID 37214661›Full record

ArticleDigital health

Acceptability of an existing online sexually transmitted and blood-borne infection testing model among gay, bisexual and other men who have sex with men in Ontario, Canada.

Joshun Js Dulai, Mark Gilbert, Nathan J Lachowsky, Kiffer G Card, Ben Klassen, Jessy Dame, Ann N Burchell, Catherine Worthington, Aidan Ablona, Praney Anand and 5 more

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
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

5 citing papers in PubMed, 4 citations in OpenAlex.

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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

15 authors at 6 institutions in 1 country.

Joshun Js DulaiDalla Lana School of Public Health, University of Toronto, Canada.ORCID https://orcid.org/0000-0002-7637-1882
Mark GilbertCommunity-Based Research Centre, Canada.
Nathan J LachowskyCommunity-Based Research Centre, Canada.
Kiffer G CardCommunity-Based Research Centre, Canada.
Ben KlassenCommunity-Based Research Centre, Canada.
Jessy DameCommunity-Based Research Centre, Canada.
Ann N BurchellDalla Lana School of Public Health, University of Toronto, Canada.
Catherine WorthingtonSchool of Public Health and Social Policy, University of Victoria, Canada.
Aidan AblonaCommunity-Based Research Centre, Canada.
Praney AnandDalla Lana School of Public Health, University of Toronto, Canada.
Ezra BlaqueDalla Lana School of Public Health, University of Toronto, Canada.
Heeho RyuDalla Lana School of Public Health, University of Toronto, Canada.
MacKenzie StewartDalla Lana School of Public Health, University of Toronto, Canada.
David J BrennanDalla Lana School of Public Health, University of Toronto, Canada.ORCID https://orcid.org/0000-0002-7663-9869
Daniel GraceDalla Lana School of Public Health, University of Toronto, Canada.
University of Toronto · CAUniversity of Victoria · CACommunity Based Research Centre · CABC Centre for Disease Control · CASt. Michael's Hospital · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Gay, bisexual and other men who have sex with men (GBM) are disproportionately affected by sexually transmitted and blood-borne infections (STBBI) due to stigma and other factors such as structural barriers, which delay STBBI testing in this population. Understanding acceptability of online testing is useful in expanding access in this population, thus we examined barriers to clinic-based testing, acceptability of a potential online testing model, and factors associated with acceptability among GBM living in Ontario. Methods: Sex Now 2019 was a community-based, online, bilingual survey of GBM aged ≥15. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were calculated using modified Poisson regression with robust variances. Multivariable modelling was conducted using the Hosmer-Lemeshow-Sturdivant approach. Results: Among 1369 participants, many delayed STBBI testing due to being too busy (31%) or inconvenient clinic hours (29%). Acceptability for online testing was high (80%), with saving time (67%) as the most common benefit, and privacy concerns the most common drawback (38%). Statistically significant predictors of acceptability for online testing were younger age (PR  =  0.993; 95%CI: 0.991-0.996); a greater number of different sexual behaviours associated with STBBI transmission (PR  =  1.031; 95%CI: 1.018-1.044); identifying as an Indigenous immigrant (PR  =  1.427; 95%CI: 1.276-1.596) or immigrant of colour (PR  = 1.158; 95%CI: 1.086-1.235) compared with white non-immigrants; and currently using HIV pre-exposure prophylaxis (PrEP) compared to not currently using PrEP (PR  =  0.894; 95%CI: 0.828-0.965). Conclusions: Acceptability of online testing was high among GBM in Ontario. Implementing online STBBI testing may expand access for certain subpopulations of GBM facing barriers to current in-person testing.

Indexed as

CanadaCommunity-based researchgay, bisexual, and other men who have sex with menonline testingOntariosexually transmitted and blood-borne infection (STBBI)socioecological model

Identifiers

PMID37214661
PMCPMC10192952
OpenAlexW4377565651

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.