Share this article on:

HIV Self-Testing Among Online MSM in China: Implications for Expanding HIV Testing Among Key Populations

Han, Larry BSPH*,†; Bien, Cedric H. MD*,‡; Wei, Chongyi DrPH§; Muessig, Kathryn E. PhD*,‖; Yang, Min BSPH*,¶; Liu, Fengying MPH#; Yang, Ligang MD#; Meng, Gang BA**; Emch, Michael E. PhD††; Tucker, Joseph D. MD*,†

JAIDS Journal of Acquired Immune Deficiency Syndromes: October 1st, 2014 - Volume 67 - Issue 2 - p 216–221
doi: 10.1097/QAI.0000000000000278
Brief Report: Epidemiology and Prevention

Abstract: HIV self-testing offers an alternative to facility-based testing that could expand HIV testing among men who have sex with men (MSM). We organized an online survey of MSM in China to better understand the frequency and correlates of HIV self-testing. A total of 1342 individuals completed the survey. About 20.3% of MSM reported previous HIV self-testing. Self-testing was correlated with being married, having 6 or greater male anal sex partners in the past 3 months, and having HIV tested within 12 months in the multivariable analysis. Our study suggests that HIV self-testing may be able to reach subgroups of high-risk MSM and enable more frequent HIV testing.

Supplemental Digital Content is Available in the Text.

*University of North Carolina Project—China, Guangzhou, China;

School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC;

Icahn School of Medicine at Mount Sinai, New York, NY;

§Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA;

Departments of Health Behavior;

Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC;

#Guangdong Provincial Center for Skin Diseases and STI Control & Prevention, Guangzhou, China;

**Guangtong—Lingnan MSM Community Support Center, Guangzhou, China; and

††Department of Geography, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Correspondence to: Joseph D. Tucker, MD, UNC Project—China, No. 2 Lujing Road, Guangzhou, China 510095 (e-mail:

Supported by the NIH FIC (1D43TW009532-01), FIC (1K01TW00820001A1), NIMH (R00MH093201), NICHD (R24 HD056670), and the American Society of Tropical Medicine and Hygiene, the Morehead-Cain Foundation, and an NIH training grant (5T32AI007001-35).

L.H. and C.H.B. contributed equally to this project.

The authors have no conflicts of interest to disclose.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Received November 22, 2013

Accepted June 18, 2014

© 2014 by Lippincott Williams & Wilkins