Broaching the Topic of HIV Self-testing with Potential Sexual Partners Among Men and Transgender Women Who Have Sex with Men in New York and Puerto Rico.


Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 3 4 2020
medline: 30 9 2020
entrez: 3 4 2020
Statut: ppublish

Résumé

Men who have sex with men (MSM) and transgender women (TGW) are highly affected by HIV and need novel prevention strategies. Using HIV self-testing (HIVST) kits to screen sexual partners may represent a viable risk-reduction alternative; however, more research is needed on effective strategies for broaching HIVST with partners. In the ISUM study, 136 MSM and TGW were given ten HIVST kits for self- and partner-testing. After 3 months, they returned for a follow-up assessment; thirty participants were also selected for in-depth interviews about their experiences initiating HIVST with partners. Most found proposing HIVST to a diverse array of partners relatively easy. They employed strategies such as joint testing and integrating HIVST into larger discussions about protection and sexual health, with moderate success. Nonetheless, real or anticipated negative partner reactions were a significant barrier. Future research can inform best practices for safely and successfully broaching HIVST with sexual partners. Los hombres que tienen sexo con hombres (HSH) y las mujeres tránsgenero (MTG) están muy afectados por el VIH y necesitan estrategias innovadoras de prevención. El uso del autotest de VIH (HIVST) para testear a parejas sexuales podría ser una alternativa viable de reducir el riesgo; sin embargo, se necesitan más investigaciones sobre estrategias eficaces para abordar el tema de usar el HIVST con parejas. En el estudio ISUM, 136 HSH y MTG fueron provistos de diez HIVST para testear a sí mismo y a parejas. Después de tres meses, volvieron para una evaluación de seguimiento; treinta participantes también fueron seleccionados para una entrevista en profundidad sobres sus experiencias abordando el tema del uso del HIVST con parejas. La mayoría encontró que proponer HIVST a una gran variedad de parejas fue relativamente fácil. Emplearon estrategias como hacerse la prueba juntos y integrar HIVST en una conversación más amplia sobre la protección y la salud sexual, con leve éxito. No obstante, las reacciones negativas de parejas, ya sean reales o anticipadas, representaron una barrera importante. Las investigaciones futuras pueden informar las mejores prácticas para abordar el tema de HIVST con parejas sexuales de manera segura y exitosa.

Autres résumés

Type: Publisher (spa)
Los hombres que tienen sexo con hombres (HSH) y las mujeres tránsgenero (MTG) están muy afectados por el VIH y necesitan estrategias innovadoras de prevención. El uso del autotest de VIH (HIVST) para testear a parejas sexuales podría ser una alternativa viable de reducir el riesgo; sin embargo, se necesitan más investigaciones sobre estrategias eficaces para abordar el tema de usar el HIVST con parejas. En el estudio ISUM, 136 HSH y MTG fueron provistos de diez HIVST para testear a sí mismo y a parejas. Después de tres meses, volvieron para una evaluación de seguimiento; treinta participantes también fueron seleccionados para una entrevista en profundidad sobres sus experiencias abordando el tema del uso del HIVST con parejas. La mayoría encontró que proponer HIVST a una gran variedad de parejas fue relativamente fácil. Emplearon estrategias como hacerse la prueba juntos y integrar HIVST en una conversación más amplia sobre la protección y la salud sexual, con leve éxito. No obstante, las reacciones negativas de parejas, ya sean reales o anticipadas, representaron una barrera importante. Las investigaciones futuras pueden informar las mejores prácticas para abordar el tema de HIVST con parejas sexuales de manera segura y exitosa.

Identifiants

pubmed: 32239360
doi: 10.1007/s10461-020-02851-z
pii: 10.1007/s10461-020-02851-z
pmc: PMC7508796
mid: NIHMS1581333
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3033-3043

Subventions

Organisme : NCATS NIH HHS
ID : KL2 TR001870
Pays : United States
Organisme : NINR NIH HHS
ID : K23 NR017210
Pays : United States
Organisme : NLM NIH HHS
ID : T15 LM007079
Pays : United States
Organisme : AHRQ HHS
ID : K12 HS026383
Pays : United States
Organisme : NLM NIH HHS
ID : R01 LM012355
Pays : United States
Organisme : U.S. National Library of Medicine
ID : T15-LM007079
Organisme : Agency for Healthcare Research and Quality
ID : K12-HS026383
Organisme : NIMH NIH HHS
ID : P30 MH043520
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI069415
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD076636
Pays : United States
Organisme : NIMH NIH HHS
ID : R00 MH110343
Pays : United States
Organisme : NIH HHS
ID : K23-NR017210
Pays : United States
Organisme : National Institute of Child Health and Human Development
ID : R01-HD076636
Organisme : U.S. National Library of Medicine
ID : R01-LM012355
Organisme : NIMHD NIH HHS
ID : P60-MD006902
Pays : United States
Organisme : NIMH NIH HHS
ID : P30-MH43520
Pays : United States
Organisme : U.S. National Library of Medicine
ID : R01-LM013045
Organisme : NCATS NIH HHS
ID : KL2-TR001870
Pays : United States
Organisme : NIMHD NIH HHS
ID : P60 MD006902
Pays : United States
Organisme : NLM NIH HHS
ID : R01 LM013045
Pays : United States
Organisme : NIMH NIH HHS
ID : R00-MH110343
Pays : United States

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Auteurs

Cody Lentz (C)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA. cody.lentz@nyspi.columbia.edu.
, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA. cody.lentz@nyspi.columbia.edu.

Sarah Iribarren (S)

School of Nursing, University of Washington, Seattle, USA.

Rebecca Giguere (R)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.

Donaldson F Conserve (DF)

Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, USA.

Curtis Dolezal (C)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.

Javier Lopez-Rios (J)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, USA.

Iván C Balán (IC)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.

Alan Z Sheinfil (AZ)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.
Department of Psychology, Syracuse University, Syracuse, USA.

Christine Tagliaferri Rael (CT)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.

William Brown (W)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.
Center of AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, USA.
Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, Department of Medicine, School of Medicine, University of California San Francisco, San Francisco, USA.
Bakar Computational Health Science Institute, University of California San Francisco, San Francisco, USA.

Catherine Cruz Torres (CC)

Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.

Raynier Crespo (R)

Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.

Irma Febo (I)

Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.

Alex Carballo-Diéguez (A)

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.

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