{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:58:21Z","timestamp":1789837101602,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T00:00:00Z","timestamp":1672099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000085","name":"Ontario HIV Treatment Network","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000085","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research in Nursing &amp; Health"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In Ontario, new HIV diagnoses continue to affect gay, bisexual, and other men who have sex with men (gbMSM) and persons of African, Caribbean, or Black (ACB) ethnicities. Because treatment and suppressed viral loads flow from diagnosis, testing is key. We sought to determine the outcomes of online ordering and mail\u2010out of free at\u2010home HIV self\u2010testing in Ontario, Canada. We implemented the GetaKit study to offer such free HIV self\u2010testing using the INSTI\u00ae test and offered it via a website (GetaKit.ca) to eligible persons in Ontario. From April 1, 2021 to January 31, 2022, we distributed kits to 1551 persons; 40% were white and 26% were ACB. We found that ACB participants were less likely to fulfill established criteria for HIV PrEP, such as previous sexually transmitted infections\u00a0diagnoses and drug use, despite having a similar test positivity rate. We also found that ACB women, who may represent a larger number of new infections than previously thought, did not have a higher rate of first\u2010time testing. Our results suggest that HIV self\u2010testing can enable testing, but that work is required to increase uptake among ACB persons and women.\u00a0Overall, HIV self\u2010testing thus corresponded with increased testing among persons who were Black, yet lower rates of results reporting. Patient or Public Contributions: Community members from the AIDS Committee of Ottawa, Max Ottawa, and Black Cap, and nurses from Ottawa Public Health were involved in the design, promotion, and implementation of this study.<\/jats:p>","DOI":"10.1002\/nur.22293","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T06:44:32Z","timestamp":1672123472000},"page":"236-241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["HIV self\u2010testing enabled access to testing for Black persons: The GetaKit study"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0587-1409","authenticated-orcid":false,"given":"Patrick","family":"O'Byrne","sequence":"first","affiliation":[{"name":"School of Nursing University of Ottawa Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Musten","sequence":"additional","affiliation":[{"name":"School of Nursing University of Ottawa Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lance","family":"McCready","sequence":"additional","affiliation":[{"name":"University of Toronto Ontario Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Robinson","sequence":"additional","affiliation":[{"name":"Black Coalition for AIDS Prevention Ontario Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garfield","family":"Durrant","sequence":"additional","affiliation":[{"name":"Black Coalition for AIDS Prevention Ontario Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Tigert","sequence":"additional","affiliation":[{"name":"University of Toronto Ontario Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Orser","sequence":"additional","affiliation":[{"name":"School of Nursing University of Ottawa Ontario Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2014.0142"},{"key":"e_1_2_12_3_1","unstructured":"BioLytical. INSTI HIV self\u2010test. (2022).https:\/\/shop.insti.com\/insti-hiv-self-test"},{"key":"e_1_2_12_4_1","unstructured":"Centres for Disease Control and Prevention (CDC). (2021a).Preexposure prophylaxis for the prevention of HIV infection in the United States\u20142021 update: A clinical practice guideline.\u00a0https:\/\/www.cdc.gov\/hiv\/pdf\/risk\/prep\/cdc-hiv-prep-guidelines-2021.pdf"},{"key":"e_1_2_12_5_1","unstructured":"Centers for Disease Control and Prevention (CDC). (2021b). \u201cSTI and HIV Infection Risk Assessment.\u201d\u00a0Retrieved on August 18 2022 fromhttps:\/\/www.cdc.gov\/std\/treatment-guidelines\/clinical-risk.htm"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.21167"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab029"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-03091-x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S251677"},{"issue":"4","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.29173\/cjs29506","article-title":"Sexuality and sexual agency among heterosexual Black men in Toronto: Tradition, contradiction and emergent possibilities","volume":"44","author":"Husbands W.","year":"2019","journal-title":"Canadian Journal of Sociology"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100991"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001140"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08582-z"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3138\/cjhs.2018-0043"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/09564624211031322"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-021-00505-8"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v47i10a06"},{"key":"e_1_2_12_18_1","unstructured":"Ontario HIV Epidemiology and Surveillance Initiative (OHESI). (2021).HIV diagnoses in Ontario 2019.https:\/\/www.ohesi.ca\/wp-content\/uploads\/2021\/12\/HIV-diagnoses-in-Ontario-2019-1.pdf"},{"key":"e_1_2_12_19_1","unstructured":"Ontario HIV Treatment Network. (2019).HIV self\u2010testing in high\u2010income settings: Acceptability potential benefits and harms issues related to linkage to care interventions to increase HIV self\u2010testing.https:\/\/www.ohtn.on.ca\/rapid-response-hiv-self-testing-in-high-income-settings\/"},{"key":"e_1_2_12_20_1","unstructured":"Public Health Agency of Canada (PHAC).\u201cSTBBI prevention guide: Assessment and counselling.\u201d\u00a0Retrieved August 17 2022 fromhttps:\/\/www.canada.ca\/en\/public-health\/services\/infectious-diseases\/sexual-health-sexually-transmitted-infections\/canadian-guidelines\/stbbi-prevention-guide\/assessment-counselling.html"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170494"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01835-z"}],"container-title":["Research in Nursing &amp; Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nur.22293","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nur.22293","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nur.22293","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T10:38:56Z","timestamp":1701599936000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nur.22293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,27]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1002\/nur.22293"],"URL":"https:\/\/doi.org\/10.1002\/nur.22293","archive":["Portico"],"relation":{},"ISSN":["0160-6891","1098-240X"],"issn-type":[{"value":"0160-6891","type":"print"},{"value":"1098-240X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,27]]},"assertion":[{"value":"2022-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}