(Q27951)
Statements
HIV self-testing (HIVST) may facilitate marginalised populations' uptake of HIV testing, but whether the extent of marginalisation challenges individual uptake of HIVST remains under-researched. (English)
BACKGROUND (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
We aim to explore the perspectives of multiply marginalised cis-gender gay, bisexual and other men who have sex with men (GBMSM) and trans women on whether HIVST might increase their uptake of HIV testing. (English)
BACKGROUND (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
We reanalysed qualitative interview data from SELPHI (the UK's largest HIVST randomised trial) collected between 2017 and 2020 from marginalised populations, defined as people self-identifying as non-heterosexual, transgender, non-White ethnicity and/or with low educational attainment. (English)
METHODS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Thirty-eight interviews with multiply marginalised individuals were thematically examined using the framework method. (English)
METHODS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
We specifically focussed on kit usability (a function of the interaction between blood-based HIVST kits and users), perspectives on how HIVST can improve access to HIV testing and suggestions on need-based scale-up of HIVST. (English)
METHODS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
HIVST kits were considered usable and acceptable by multiply marginalised GBMSM and trans women. (English)
RESULTS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
The majority of interviewees highlighted multi-levelled barriers to accessing HIV testing services due to structural and social marginalisation. (English)
RESULTS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Their multiply marginalised identities did not impede HIVST uptake but often form motivation to self-test. (English)
RESULTS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Three potential roles of HIVST in the HIV testing landscape were identified: (1) alternation of HIVST and facility-based testing, (2) integration of HIVST into sexual health services and (3) substituting facility-based testing with HIVST in the future. (English)
RESULTS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Perceived beneficiaries of HIVST included trans communities, individuals with undisclosed sexuality and people with physical disabilities. (English)
RESULTS (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
HIVST can facilitate marginalised populations' access and uptake of HIV testing by alternating with, integrating into and substituting for facility-based services in the UK. (English)
DISCUSSION (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Marginalised identities did not present challenges but rather opportunities for person-centred scale-up of HIVST. (English)
DISCUSSION (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Future implementation programmes should ensure equitable access to HIVST among trans people, men unable to disclose their sexuality, and perhaps people with physical disabilities. (English)
DISCUSSION (English)
Copyright: © 2024 Chu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. (English)
2024
Fiona M (English)
Burns (English)
FM
Talen (English)
Wright (English)
T
Phil (English)
Samba (English)
P
T Charles (English)
Witzel (English)
TC
Emily Jay (English)
Nicholls (English)
EJ
Leanne (English)
McCabe (English)
L
Andrew (English)
Phillips (English)
A
Sheena (English)
McCormack (English)
S
Alison J (English)
Rodger (English)
AJ
Peter (English)
Weatherburn (English)
P
29 October 2024
29 October 2024
The authors have declared that no competing interests exist. (English)