Low knowledge and anecdotal use of unauthorized online HIV self-test kits among attendees at a street-based HIV rapid testing programme in Spain

SummaryObjectivesThe objectives of this study were to estimate the percentage of potential users who know that unauthorized HIV self-tests can be purchased online and the percentage of those who have already used them, and to determine socio-demographic and behavioural correlates.MethodsA self-administered questionnaire was employed to collect data from attendees at a street-based HIV testing programme. Logistic regression for rare events was performed.ResultsOf the 3340 participants, 5.3% (95% confidence interval (CI) 4.5–6.0%) had knowledge of self-tests being sold online and 7.5% (95% CI 6.6–8.5%) thought they existed but had never seen them; only 0.6% (95% CI 0.3–0.9%) had ever used one. Knowing that self-tests are sold online (odds ratio (OR) 3.6, 95% CI 2.4–5.4) and using them (OR 7.3, 95% CI 2.2–23.8) were associated with having undergone more than two previous HIV tests. Use was also associated with being neither Spanish nor Latin American (OR 3.8, 95% CI 1.2–12.0) and with having a university degree (OR 0.2, 95% CI 0.1–0.7).ConclusionsAt the time of the study, the impact on the population of issues related to the use of unauthorized tests was very low. However, media coverage following the approval of self-testing in the USA might have changed the situation.