ArticleFrontiers in public health2026
Prevalence of HIV self-testing and associated factors among men who have sex with men in Chongqing, China: a cross-sectional study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: HIV self-testing has been promoted globally as an effective complement to facility-based testing, particularly among men who have sex with men (MSM). However, evidence on HIV self-testing uptake and its determinants in western China remains limited. Objective: To assess the prevalence of HIV self-testing and identify associated factors among MSM in Chongqing, China. Methods: A cross-sectional study was conducted from March 2021 to March 2022 among MSM recruited using a snowball sampling strategy at CDC-based voluntary counseling and testing clinics in Chongqing. Participants completed an anonymous face-to-face questionnaire covering socio-demographic characteristics, HIV-related knowledge, sexual behaviors in the past 6 months, substance use, and HIV self-testing history. Multivariate logistic regression was used to identify factors associated with HIV self-testing. Results: A total of 2,315 MSM were included. Overall, 16.2% (374/2,315) reported ever using HIV self-testing kits, with blood-based tests accounting for 97.6% of use. Higher educational attainment (high school/vocational school: Conclusion: HIV self-testing uptake among MSM in Chongqing remains low. Education level, marital status, sexual behavior, and stimulant use were key correlates. These findings underscore the need to integrate HIV self-testing into existing HIV prevention services, with targeted strategies for MSM with lower educational attainment and those in stable partnerships.
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