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Increases in HIV status disclosure and sexual communication between South African men who have sex with men and their partners following use of HIV self-testing kits
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10 2021
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Source: AIDS Care. 33(10):1262-1269
[PDF-332.97 KB]
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Alternative Title:AIDS Care
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Description:Availability of HIV self-testing may increase HIV testing frequency among men who have sex with men (MSM). It is unclear, however, if self-testing may impact HIV-related sexual behaviors among MSM, including HIV status disclosure and condom use. We conducted a mixed methods analysis of changes in HIV-related behaviors after HIV self-testing introduction, using data from 110 MSM participating in a feasibility and acceptability study of HIV self-testing in Mpumalanga Province, South Africa. We found increased HIV status disclosure from study participants to sexual partners after HIV self-testing introduction, from 61.8% at baseline to 75.5% at 6-month follow-up (| = 0.04), but decreased condom use with female partners (| = 0.03). Qualitative interviews reveal that some participants used test results to inform condom use. Distribution of self-testing kits can improve mutual disclosure, but should be accompanied by information stressing that the tests may not detect early HIV infections or other sexually transmitted infections.
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Pubmed ID:33021097
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Pubmed Central ID:PMC8021595
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