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We recruited individuals presenting for HIV screening services in a community\u2010based programme. Latent class analysis (LCA) grouped individuals with similar patterns of HIV\u2010risk behaviours and determined which groups would be most willing to use and buy HIVSTs.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Nearly 90% of respondents were willing to use an HIVST; 55% were willing to buy HIVSTs, but only 23% were willing to pay the market price of US $40. Four distinct groups emerged and were characterized by risk behaviours: (1) low risk (<jats:italic>N<\/jats:italic>\u00a0=\u00a0324); (2) concurrent partnerships (<jats:italic>N<\/jats:italic>\u00a0=\u00a0346); (3) incarceration and substance use (<jats:italic>N<\/jats:italic>\u00a0=\u00a0293); and (4) condomless sex\/multiple partners (<jats:italic>N<\/jats:italic>\u00a0=\u00a0538). Individuals in the low\u2010risk class were less willing to self\u2010test compared to concurrent sexual partners (OR\u00a0=\u00a00.39, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.003) and incarceration and substance use (OR\u00a0=\u00a00.46, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.011) classes. There were no significant differences across classes in the amount individuals were willing to pay for an HIVST.<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: HIVSTs were overwhelmingly acceptable but cost prohibitive; most participants were unwilling to pay the market rate of US $40. Subsidizing and implementing HIVST programmes in communities with high rates of infection present a public health opportunity, particularly among individuals reporting condomless sex with multiple partners, concurrent sexual partnerships and those with incarceration and substance use histories.<\/jats:p>","DOI":"10.7448\/ias.20.1.21290","type":"journal-article","created":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T22:00:30Z","timestamp":1489442430000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Latent class analysis of acceptability and willingness to pay for self\u2010HIV testing in a United States urban neighbourhood with high rates of HIV infection"],"prefix":"10.1002","volume":"20","author":[{"given":"Amy","family":"Nunn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Brinkley\u2010Rubinstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Rose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Mayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Stopka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Towey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Harvey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Santamaria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Sabatino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Trooskin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip A.","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1]]},"reference":[{"key":"e_1_2_18_2_1","volume-title":"HIV in the United States: the stages of care.","author":"CDC.","year":"2012"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300859"},{"key":"e_1_2_18_4_1","volume-title":"HIV in the United States: at a glance.","author":"CDC.","year":"2014"},{"key":"e_1_2_18_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e328351e721"},{"key":"e_1_2_18_6_1","volume-title":"Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health\u2010care settings.","author":"CDC.","year":"2006"},{"key":"e_1_2_18_7_1","unstructured":"CDC.HIV testing in the United States. 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