Abstract: Objective To systematically evaluate the utilization rate and influencing factors of HIV self-testing（HIVST） among men who have sex with men（MSM） in China,so as to provide reference for the popularization and implementation of HIVST. Methods The databases of CNKI,Wanfang,VIP,PubMed,Web of Science,Embase and The Cochrane Librarywere searched,and the literature about HIVST usage among MSM in China were systematically collected from database establishment to November 2022. The meta-analysis was performed on included literature by Stata15.0 software. Results Totally 13 articles were included,and the HIVST rate of MSM population was 47.6%（95%CI：37.3%-57.9%）. The education level（OR=1.922,95%CI：1.409-2.623）,marital status（OR=1.727,95%CI：1.188-2.509）,previously tested for HIV（OR=3.119,95%CI：1.557-6.247）,multiple sexual partners（OR=1.486,95%CI：1.252-1.764）,use of addictive substances in the past year（OR=1.489,95%CI：1.215-1.826）,ways to find sexual partners（OR=1.863,95%CI：1.427-2.433）,same-sex commercial sex（OR=1.925,95%CI：1.489-2.489） and students（OR=2.278,95%CI：1.242-4.177） were the influencing factors of HIVST in MSM population. Conclusions The HIV self-testing rate of MSM in China is 47.6%. The MSM who are bachelor/college degree or above,married,have tested for HIV,have multiple sexual partners,have used drugs in the past year,search for sexual partners online,students,and have same-sex commercial sexual activity are more likely to use HIV self-testing. According to the characteristics of its population,it is necessary to adopt various intervention measures such as peer education and network publicity,and constantly promote the correct use of HIVST,so as to improve the HIVST rate of HIV in China.

Key words: AIDS, Men who have sex with men, Self-testing, Influencing factors, Meta-analysis