Willingness to Distribute HIV Self-Testing Kits to Recent Sex Partners Among HIV-Negative Gay and Bisexual Men and an Examination of Free-Response Data from Young Men Participating in the Nationwide Cohort
Steven A. John, Javier Lopez-Rios, Tyrel J. Starks, H. Jonathon Rendina and Christian Grov
Archives of sexual behavior, v 49(6), pp 2081-2089
Psychology Psychology, Clinical Social Sciences Social Sciences - Other Topics Social Sciences, Interdisciplinary
Sexual minority men (SMM)-and young SMM in particular-are disproportionately affected by HIV. Secondary distribution of HIV self-testing (HIVST) kits-wherein patients deliver kits to partners-is a novel strategy to increase HIV testing access. Using quantitative data, we assessed willingness to distribute HIVST kits to recent sex partners among a U.S. national sample of HIV-negative SMM (n = 786). A thematic analysis was then conducted to identify barriers and facilitators of kit distribution to partners among young SMM (M age = 25.75 years; range: 20-29; n = 165). Overall, 93.5% of SMM (and 97.0% of young SMM) were willing to deliver HIVST kits to recent sex partners. Among young SMM, main barriers and facilitators included concerns about their partners' reaction, availability and cost, protection beliefs for others, HIV stigma and perceived infidelity, packaging and support, communication skill needs, inability to contact partners, requests for anonymity, and dyadic self-testing with their partners. The findings highlight the need for supportive intervention strategies such as informational content for HIVST, using motivational interviewing when providing the testing kits to index clients and providing skills-based training through role-playing exercises. Secondary distribution of HIVST kits through index patients is a potentially acceptable approach that could be used to expand access to HIV testing and aid in efforts to end the HIV epidemic in the U.S.
Willingness to Distribute HIV Self-Testing Kits to Recent Sex Partners Among HIV-Negative Gay and Bisexual Men and an Examination of Free-Response Data from Young Men Participating in the Nationwide Cohort
Creators
Steven A. John - Medical College of Wisconsin
Javier Lopez-Rios - The Graduate Center, CUNY
Tyrel J. Starks - City University of New York
H. Jonathon Rendina - Hunter College
Christian Grov - The Graduate Center, CUNY
Publication Details
Archives of sexual behavior, v 49(6), pp 2081-2089
Publisher
Springer Nature
Number of pages
9
Grant note
R01-DA036466 / National Institute on Drug Abuse; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
P30-MH052776; K01-MH118939 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
Resource Type
Journal article
Language
English
Academic Unit
Community Health and Prevention
Web of Science ID
WOS:000538480600001
Scopus ID
2-s2.0-85085969274
Other Identifier
991021894660804721
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Collaboration types
Domestic collaboration
Web of Science research areas
Psychology, Clinical
Social Sciences, Interdisciplinary
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