Evaluatiing the Effects of HIV Self-testing used Professional Rapid Test Kits among MSM in Some Areas of China.

With rapid expanding of HIV self-testing (HIVST) among unprofessional people has many unknown hidden dangers. This research for the first to survey the feasibility of urine, oral mucosal transudate (OMT) and finger blood rapid HIV testing kits were used for HIVST by non-professionals MSM in China. Total 274 valid questionnaires were received from 313 MSM participants, including 263 completed urine HIVST, 61 completed OMT HIVST and 17 completed blood HIVST. The average age of participants was under 30, about 80% were unmarried, more than 80% with an education level above Grade 9 but more than 50% people had never heard of the rapid HIV test. There were significant differences in the key information understanding accuracy between HIVST. The accuracy rates were 18.0–80.6%. When the HIVST result was positive, more than 80% chose to seek confirmation. When the test was negative, 60.5% (159/263) participants of urine self-test and 32.8% (20/61) of OMT self-test chose regular retesting. When the test was ineffective, more than 80% chose to retest. In addition, 54.1% of the 146 voluntary participants to accept blood HIVST, followed by 15.8% accept blood and urine HIVST and 14.4% accept only urine HIVST. The main reason for choosing blood HIVST was "accuracy", while the main reason for choosing urine HIVST was "convenience". This findings lays a scientific theoretical basis for further carring out HIVST in China.