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AIDS Behav. 2017 May;21(5):1467-1477. doi: 10.1007/s10461-016-1525-4.

Reactions to Testing HIV Negative: Measurement and Associations with Sexual Risk Behaviour Among Young MSM Who Recently Tested HIV Negative.

Author information

1
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave Suite 2700, Chicago, IL, 60611, USA.
2
Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA.
3
Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY, USA.
4
Departments of Psychology and Public Health, Hunter College and the Graduate Center, City University of New York, New York, NY, USA.
5
Center for HIV/AIDS Educational Studies and Training, New York, NY, USA.
6
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave Suite 2700, Chicago, IL, 60611, USA. brian@northwestern.edu.
7
Northwestern University Institute for Sexual and Gender Minority Health and Wellbeing, Chicago, IL, USA. brian@northwestern.edu.

Abstract

Receiving an HIV-positive test result is associated with reduced condomless anal sex (CAS), but little is known about negative test results. The recent development of the Inventory of Reactions to Testing HIV Negative confirmed that there are diverse reactions to receiving a negative test result, which have implications for risk behaviour. The goals of the current study were to validate the measure in a sample of young men who have sex with men who recently tested HIV-negative (N = 1113) and to examine its associations with CAS. Factor analysis identified four factors, three of which were the same as the original factors (Reinforced Safety, Luck, and Invulnerability) and one that was novel (Reinforced Risk). Construct validity was demonstrated with associations between subscales and constructs from the IMB model of HIV prevention. Lower Reinforced Safety and higher Luck and Reinforced Risk were associated with more CAS. Associations between Reinforced Safety and Luck with CAS were stronger for those who reported more lifetime HIV tests. Findings highlight the importance of reactions to testing HIV-negative and suggest that they become more important with repeated testing.

KEYWORDS:

HIV; Risk behaviour; Testing; Young men who have sex with men

PMID:
27557984
PMCID:
PMC5528143
DOI:
10.1007/s10461-016-1525-4
[Indexed for MEDLINE]
Free PMC Article

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