No Place Like Home? Disentangling Preferences for HIV Testing Locations and Services Among Men Who Have Sex with Men in China

AIDS Behav. 2019 Apr;23(4):847-859. doi: 10.1007/s10461-018-2366-0.


In China, some health departments and gay community-based organizations have begun to offer home-based HIV testing kits in order to augment test uptake among men who have sex with men (MSM). However, HIV test preferences and motivations for home-testing among MSM in China are not well understood. The HIV testing preferences of 803 MSM throughout China were evaluated using single-item assessment and a discrete choice experiment (DCE). In both the single-item assessment and DCE, participants expressed strong preference for free and anonymous testing by health professionals. Both approaches also indicated that naïve testers most prefer home testing. However, among previous testers, the single-item assessment indicated that "home" was the most preferred testing location (vs. hospital or clinic), while the DCE indicated that "home" was the least preferred testing location after controlling for anonymity. HIV home-testing may have limited appeal to previously tested Chinese MSM if anonymity is not maintained.

Keywords: Asia; Choice analysis; Gay; Patient centered; Stated choice; Stated preference.

MeSH terms

  • AIDS Serodiagnosis / methods
  • AIDS Serodiagnosis / statistics & numerical data*
  • Adolescent
  • Adult
  • China / epidemiology
  • Delivery of Health Care / organization & administration*
  • HIV Infections / diagnosis*
  • HIV Infections / ethnology
  • HIV Infections / prevention & control
  • HIV Infections / psychology*
  • Health Knowledge, Attitudes, Practice
  • Homosexuality, Male / ethnology
  • Homosexuality, Male / psychology*
  • Humans
  • Male
  • Mass Screening / methods*
  • Motivation
  • Patient Preference*
  • Sexual and Gender Minorities
  • Young Adult