ArticlePloS one2025
Influencing factors of HCV testing willingness among men who have sex with men in China: A structural equation modeling analysis.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influencing Factors of Mobile Health Apps in Kidney Transplant Care: Systematic Review Using the Consolidated Framework for Implementation Research.JMIR medical informatics · 2026Pooled it
- Healthcare inequity in mpox testing intention: A socioeconomic status-stratified path analysis of medical discrimination and distrust among men who have sex with men in China.Global health research and policy · 2026Article
- Nitrogen fertilizer pollution and infant brain/CNS cancer.Discover oncology · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMen who have sex with men (MSM) are a population with greater likelihood of the hepatitis C virus (HCV). Early detection of HCV status is beneficial to therapy and prevention of the further transmit of HCV. The testing rate of HCV in MSM is low, so it is important to investigate the factors that influence testing willingness in order to increase the testing rate.
objectivesBased on the health belief model (HBM), this study investigated the influencing factors of HCV testing willingness among MSM, and provided a basis for promoting HCV testing among MSM.
methodsNon-probability sampling was employed to collect samples, and electronic questionnaires were used to perform cross-sectional surveys on the samples, including socio-demographic characteristics, sexual behavior characteristics, HCV testing willingness and HBM scale. The data was evaluated with a structural equation model (SEM).
resultsResult of the 857 MSM, 55.7% had ever undergone HCV testing, 90.9% were willing to undergo HCV testing in the future, and 71.7% were anticipated to undergo HCV testing within the next six months. The SEM's findings demonstrated that behavioral intention was positively impacted by self-efficacy (β = 0.482, p < 0.001) and perceived susceptibility (β = 0.312, p < 0.001), while behavioral intention was negatively impacted by perceived barriers (β = -0.254, p < 0.001). Furthermore, behavioral intention was indirectly impacted by perceived benefits (β = 0.309, p < 0.001) and perceived barriers (β = -0.139, p < 0.001), with self-efficacy acting as a mediating factor.
conclusionSelf-efficacy, perceived susceptibility, benefits, and barriers predict behavioral intention. These findings can inform the development of methods to increase MSM willingness to identify HCV.
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