Health & Fitness
2 min read
England's HIV/STI Self-Sampling Scale-Up: Inequitable Outcomes Revealed
European AIDS Treatment Group
January 20, 2026•2 days ago

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Online HIV and STI self-sampling has increased in England, but not equitably. While gay and bisexual men are more likely to use it, straight men, people of colour, and those from deprived areas are less likely. This highlights how new health delivery methods can exacerbate existing disparities. Maintaining clinic-based testing alongside online options is crucial for equitable access.
aidsmap news story
While clinic-based testing for HIV and other sexually transmitted infections in England has gone down, there’s been a shift towards online self-sampling, with an increase across population groups. However, recent research shows that this increase has been uneven, with gay and bisexual men more likely to access self-sampling and straight men, people of colour and those from more deprived areas less likely to do so.
Novel delivery mechanisms can work to reinforce and worsen existing health disparities. This makes it crucial to ensure that access to clinic-based testing is maintained alongside online self-sampling.
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