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

Details

• Alternative Title:
  AIDS Care
• Personal Author:
  Chen, Yea-Hung ; Gilmore, Hailey J. ; Maleke, Kabelo ; Lane, Timothy ; Zuma, Nkosinathi ; Radebe, Oscar ; Manyuchi, Albert E. ; McIntyre, James A. ; Lippman, Sheri A.
• 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.
• Subjects:
  Communication Disclosure Female HIV Infections Homosexuality, Male Humans Male Self-Testing Sexual And Gender Minorities Sexual Behavior Sexual Partners

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• Keywords:
  Condom Use HIV Self-testing HIV Status Disclosure Men Who Have Sex With Men (MSM) South Africa
• Source:
  AIDS Care. 33(10):1262-1269
• Pubmed ID:
  33021097
• Pubmed Central ID:
  PMC8021595
• Document Type:
  Journal Article
• Funding:
  R21 MH103038/MH/NIMH NIH HHSUnited States/ ; U2G GH000251/GH/CGH CDC HHSUnited States/
• Volume:
  33
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5d6b6464d2a6d2776061d4f04adcdf4427ee9479a7b7678ad7aae84093e66a0e
• Download URL:
  https://stacks.cdc.gov/view/cdc/104825/cdc_104825_DS1.pdf
• File Type:
  [PDF - 332.97 KB ]