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AIDS Behav. 2016 Sep;20(9):2000-9. doi: 10.1007/s10461-016-1309-x.

Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test.

Author information

1
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, USA.
2
Biomedical Informatics, College of Physicians and Surgeons, Columbia University, New York, USA.
3
Psychiatry, Mailman School of Public Health, Columbia University, New York, USA.
4
School of Nursing, Columbia University, 617 West 168th Street, New York, NY, 10023, USA.
5
School of Nursing, Columbia University, 617 West 168th Street, New York, NY, 10023, USA. rb897@columbia.edu.

Abstract

HIV self tests (HIVST) have the potential to increase testing among young adults. However, little is known about high-risk young adults' perception of the HIVST as a risk reduction tool and how they would use the HIVST in their everyday lives. Our study sought to examine these factors. Twenty-one ethnically diverse participants (ages 18-24) used the HIVST at our study site, completed surveys, and underwent an in-depth interview. Descriptive statistics were used to analyze the survey responses, and interview data were coded using constructs from the information-motivation-behavioral skills model. Information deficits included: how to use the HIVST and the "window period" for sero-conversion. Motivations supporting HIVST use included: not needing to visit the clinic, fast results, easy access, and use in non-monogamous relationships. Behavioral skills discussed included: coping with a positive test, handling partner violence after a positive test, and accessing HIV services. These findings can inform the use of the HIVST for improving HIV testing rates and reducing HIV risk behavior.

KEYWORDS:

HIV self tests; High-risk; IMB model; Information–motivation–behavioral skills (IMB); Prevention; Youth

PMID:
26885813
PMCID:
PMC4988939
DOI:
10.1007/s10461-016-1309-x
[Indexed for MEDLINE]
Free PMC Article

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