Using an HIV Self-test Kit to Test a Partner: Attitudes and Preferences Among High-Risk Populations.

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Tytuł:: Using an HIV Self-test Kit to Test a Partner: Attitudes and Preferences Among High-Risk Populations.
Autorzy:: Iribarren S; Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195, USA. .
Lentz C; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Sheinfil AZ; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.; Department of Psychology, Syracuse University, Syracuse, USA.
Giguere R; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Lopez-Rios J; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, 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.
Dolezal C; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Frasca T; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Balán IC; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Tagliaferri Rael C; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Brown W 3rd; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.; Department of Medicine, Center of AIDS Prevention Studies, University of California San Francisco, San Francisco, USA.; Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, USA.; Bakar Computational Health Science Institute, University of California San Francisco, San Francisco, USA.
Cruz Torres C; Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
Crespo R; Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
Febo I; Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
Carballo-Diéguez A; Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
Źródło:: AIDS and behavior [AIDS Behav] 2020 Nov; Vol. 24 (11), pp. 3232-3243.
Typ publikacji:: Journal Article; Randomized Controlled Trial
Język:: English
Imprint Name(s):: Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
MeSH Terms:: Health Knowledge, Attitudes, Practice*
Sexual Partners*
HIV Infections/*diagnosis
Homosexuality, Male/*psychology
Self Care/*methods
AIDS Serodiagnosis ; Attitude ; HIV Infections/prevention & control ; Humans ; Male ; Mass Screening ; Patient Preference
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Grant Information:: KL2 TR001870 United States TR NCATS NIH HHS; K23 NR017210 United States NR NINR NIH HHS; T15 LM007079 United States LM NLM NIH HHS; K12 HS026383 United States HS AHRQ HHS; R01 LM012355 United States LM NLM NIH HHS; K12-HS026383 Agency for Healthcare Research and Quality; K23-NR017210 United States NR NINR NIH HHS; UM1 AI069415 United States AI NIAID NIH HHS; R01 HD076636 United States HD NICHD NIH HHS; T15-LM007079 United States MH NIMH NIH HHS; R01 LM013045 United States LM NLM NIH HHS; P30 MH043520 United States MH NIMH NIH HHS; R01-HD076636 United States MH NIMH NIH HHS; R01-LM012355 U.S. National Library of Medicine; T32 NR014205 United States NR NINR NIH HHS; P60-MD006902 United States MD NIMHD NIH HHS; P30-MH43520 United States MH NIMH NIH HHS; R01-LM013045 U.S. National Library of Medicine; KL2-TR001870 United States TR NCATS NIH HHS; P60 MD006902 United States MD NIMHD NIH HHS
Contributed Indexing:: Keywords: HIV prevention; HIV self-testing; Men who have sex with men; Transgender
Local Abstract: [Publisher, Spanish; Castilian] Se necesitan nuevas estrategias para prevenir la transmisión del VIH e incrementar el testeo para aquellos con mayor riesgo al contagio. Como parte de un ensayo controlado aleatorio (ECA) multicentrico, exploramos las actitudes y preferencias entre 272 hombres VIH-negativos que tienen sexo con hombres y mujeres transgenero VIH-negativos que utilizaron kits del auto-test para el VIH (HIVST) para testear a sus parejas. Menos de una cuarta parte de los participantes había utilizado HIVST para auto-testearse (21.7%), y solo pocos para testear a sus parejas (4.8%) antes del comienzo del estudio. El hisopo bucal fue preferido (96%) sobre una prueba con un pinchazo de sangre (69%) por la mayoría de los participantes pero estos preferirían la prueba de sangre si puedieran obtener resultados para otras enfermedades de transmisión sexual (ETS) (86%). Cinco por ciento reportó problemas con el uso de la prueba, 4% con el almacenamiento, y el 26% con la portabilidad. Noventa y tres por ciento reportó que utilizarían HIVST para testear a sus parejas en el futuro, pero solo 3% estaba dispuesto a pagar el precio actual. Los futuros esfuerzos para mejorar la adopción del HIVST deberían enfocarse en incorporar otras pruebas de ETS, en reducir el tamaño del kit y en reducir los costos.
Entry Date(s):: Date Created: 20200510 Date Completed: 20201106 Latest Revision: 20220418
Update Code:: 20240105
PubMed Central ID:: PMC7803635
DOI:: 10.1007/s10461-020-02885-3
PMID:: 32385676
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For those most at risk of contracting HIV, new strategies for preventing transmission and increasing testing are needed. As part of a multi-site, randomized, controlled trial, we explored attitudes and preferences among 272 HIV-negative men who have sex with men and HIV-negative transgender women using an HIV self-testing (HIVST) kit to test partners. Less than one quarter had previously self-tested with HIVST kits (21.7%) and few had partner-tested (4.8%). Most preferred gum swab (96%) over fingerprick tests (69%), but would prefer a blood test if it gave results for other sexually transmitted infections (STIs) (86%). Five percent reported difficulties performing the test, four percent with storage, and 26% with portability. Ninety-three percent reported likelihood of using HIVST to test partners in future, but only 3% were willing to pay the current price. Efforts to improve HIVST uptake should focus on incorporating testing for other STIs, reducing test kit size, and reducing cost.

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