WASHINGTON STATE CONVENTION CENTER

February 13–16, 2017

Conference Dates and Location: 
February 13–16, 2017 | Seattle, Washington
Abstract Number: 
898

FEASIBILITY AND REACH OF A HOME-TEST GIVEAWAY IN NEW YORK CITY, 2015–2016

Author(s): 

Zoe R. Edelstein1, Paul M. Salcuni1, Benjamin Tsoi1, Paul Kobrak1, Adriana Andaluz1, David A Katz2, Demetre C. Daskalakis1, Julie Myers1

1New York City DHMH, Queens, NY, USA,2Univ of Washington, Seattle, WA, USA

Abstract Body: 

The home HIV test may increase HIV status awareness. Advantages include convenience and privacy; barriers include cost and limited access. New York City (NYC) Health Department distributed HIV self-tests (HIVST) to men and transgender people who have sex with men (MTSM) at no charge by mail. We examined the feasibility and reach of our HIVST Giveaway (HTG) model.

Participants were recruited on dating applications and websites. Eligibility was limited to adult NYC residents who were MTSM and not previously HIV-diagnosed. Eligible participants were emailed a code to redeem on the manufacturer's website for a HIVST. Data collected via online eligibility survey included age, race/ethnicity, and time since last HIV test. Approximately 2 months after distribution ended, an online follow-up survey was used to collect information on test receipt, use, experience, result and, if appropriate, confirmatory testing. Sociodemographic factors and behaviors related to risk of HIV exposure were also assessed. To examine representativeness of those who followed up, we compared eligibility survey responses of all code redeemers to test receivers (reported on follow-up) (Chi-square test).

Recruitment concluded in 23 days with 2500 codes distributed. Among those screened, 74% were deemed eligible (Table). Among eligible participants, 71% were code redeemers. Response to the follow-up survey was 48%. Among respondents, 74% of test receivers had used the test. Most test users (72%) were <35 year-old, 41% were of color, 18% had income <$20,000/year, 86% reported risk of HIV exposure (past 6 months), and 14% and 28% reported never testing and testing >1 year prior, respectively. Most test users (71%) reported testing sooner than usual or for the first time and 98% reported being likely to recommend HTG to a friend. Among 868 test users, 7 reported a reactive result (0.8%), of whom 5 reported no previous diagnosis; among the latter, 80% (4/5) reported receiving a confirmatory test. No differences were detected comparing all code redeemers to test receivers (p<0.05).

The HTG rapidly distributed a large volume of tests to a diverse set of NYC MTSM, many of whom had never tested or not tested recently. Despite reaching those at higher risk of HIV exposure, reported seropositivity was relatively low. Findings have motivated future HTG adaptions, including partnership with community-based organizations to recruit those at risk of HIV exposure who may not be reached online.

Session Number: 
P-S7
Session Title: 
HIV SELF TESTING: KNOW YOURSELF
Presenting Author: 
Zoe Edelstein
Presenter Institution: 
New York City Dept of Health and Mental Hygiene