PREFERENCESFORSERVICEDELIVERY OFHIVTESTINGIN PRIMARY CARE AMONG OLDER MEN:ABEST-WORST SCALING STUDY...
Author(s)
Qing He, PhD candidate1, JIA YIN, PhD1, Qiang Sun, PhD2.
1Shandong University, Jinan, China, 2Shandong University, Beijing, China.
1Shandong University, Jinan, China, 2Shandong University, Beijing, China.
OBJECTIVES: HIV/AIDS among elderly men presents an emerging challenge in China, hindered by reasons like insufficient health checks and low self-perceived HIV risk. To overcome these barriers and assist decision-makers in prioritizing interventions, it is critical to investigate HIV testing preferences in this population and identify which of service characteristics were the preferred aspects, especially within primary care setting.
METHODS: From July 1 to October 30, 2025, a face-to-face, case 1 best-worst scaling survey was performed to quantify older men’ preferences across 5 cities in eastern, central and western Guizhou. Guided by the Comprehensive Framework for Implementation Research, attributes were selected through prior literature review and qualitative study. We estimated relative importance of each attribute and coefficients from mixed logit models were used to calculate share of preference to interpret final results. Regression analyses were used to explore the heterogeneity of HIV testing preferences across the sample.
RESULTS: A total of 7 attributes were identified in this study. Among 338 respondents (mean age: 61.2±7.8 years), 71.3% resided in rural areas. The overall responses demonstrated ‘comprehensive care’ and ‘anonymity’ were most highly prioritized, followed by ‘anxiety alleviation’, ‘consultation context’ and ‘clear explanation’. The least prioritized attributes were ‘Incentive’ and ‘appointment’ for HIV testing services. Notably, significant heterogeneity in preferences was observed across subgroups, with demographic and socioeconomic characteristics identified as key sources of variation. Among the sample population, additional testing incentives were perceived as more important attribute for older participants and those who had never tested before.
CONCLUSIONS: Supplementing conventional clinic-based testing with comprehensive service delivery is promising approach to increase HIV testing uptake among Chinese elderly men. People strongly prioritized the confidentiality of HIV test results in primary care setting. Our findings provided implications for service providers and policymakers to develop client-centered, differentiated HIV testing strategies tailored to the elderly's unique needs and circumstances.
METHODS: From July 1 to October 30, 2025, a face-to-face, case 1 best-worst scaling survey was performed to quantify older men’ preferences across 5 cities in eastern, central and western Guizhou. Guided by the Comprehensive Framework for Implementation Research, attributes were selected through prior literature review and qualitative study. We estimated relative importance of each attribute and coefficients from mixed logit models were used to calculate share of preference to interpret final results. Regression analyses were used to explore the heterogeneity of HIV testing preferences across the sample.
RESULTS: A total of 7 attributes were identified in this study. Among 338 respondents (mean age: 61.2±7.8 years), 71.3% resided in rural areas. The overall responses demonstrated ‘comprehensive care’ and ‘anonymity’ were most highly prioritized, followed by ‘anxiety alleviation’, ‘consultation context’ and ‘clear explanation’. The least prioritized attributes were ‘Incentive’ and ‘appointment’ for HIV testing services. Notably, significant heterogeneity in preferences was observed across subgroups, with demographic and socioeconomic characteristics identified as key sources of variation. Among the sample population, additional testing incentives were perceived as more important attribute for older participants and those who had never tested before.
CONCLUSIONS: Supplementing conventional clinic-based testing with comprehensive service delivery is promising approach to increase HIV testing uptake among Chinese elderly men. People strongly prioritized the confidentiality of HIV test results in primary care setting. Our findings provided implications for service providers and policymakers to develop client-centered, differentiated HIV testing strategies tailored to the elderly's unique needs and circumstances.
Conference/Value in Health Info
2026-09, ISPOR Asia Pacific 2026, Bangkok, Thailand
Value in Health, Volume 55, Issue S1
Code
PCR3
Topic
Patient-Centered Research
Disease
SDC: Infectious Disease (non-vaccine)