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Sex Transm Infect. 2019 Jun 12. pii: sextrans-2019-053974. doi: 10.1136/sextrans-2019-053974. [Epub ahead of print]

High willingness to use novel HIV and bacterial sexually transmitted infection partner notification, testing, and treatment strategies among gay and bisexual men.

Author information

1
Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
2
Center for HIV Educational Studies and Training, Department of Pscyhology, Hunter College of the City University of New York (CUNY), New York, New York, USA.
3
Health Psychology and Clinical Science Doctoral Program, The Graduate Center of the City University ofNew York (CUNY), New York, New York, USA.
4
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, New York, USA cgrov@sph.cuny.edu.
5
CUNY Institute for Implementation Science in Population Health, New York, New York, USA.

Abstract

OBJECTIVES:

We sought to determine willingness of gay and bisexual men (GBM) to give HIV self-testing (HIVST) kits with patient-delivered partner therapy (PDPT) and engage in geosocial sexual networking (GSN) app-based partner notification.

METHODS:

A nationwide sample of GBM who self-tested HIV negative (n=786) were asked about their willingness to give recent sex partners (main and casual) PDPT with an HIVST kit (PDPT+HIVST) after hypothetical bacterial STI (BSTI) diagnosis. Men were also asked about their willingness to notify sexual partners met on GSN apps using an anonymous app function after BSTI diagnosis. We examined associations of relationship status and condomless anal sex with casual partners, recent BSTI diagnosis and perceived risk of HIV on PDPT+HIVST and anonymous app-based partner notification willingness (dichotomised) using binary logistic regressions, adjusting for age, race/ethnicity, education and US region. From the partner's perspective after receiving an app-based referral, frequency measures were used to report intentions for obtaining subsequent HIV/BSTI counselling and testing, engaging in HIVST if provided a free voucher, and obtaining BSTI treatment from a pharmacy with prescription voucher.

RESULTS:

Most (90.1%) were willing to give PDPT+HIVST to recent sex partners after STI diagnosis, and nearly all (96.4%) were willing to notify sex partners met online using an anonymous function within GSN apps. Regardless of casual partner condomless anal sex engagement, partnered GBM had higher odds of reporting willingness to give PDPT+HIVST compared with single men who recently engaged in condomless anal sex with a casual partner. If anonymously notified via an app, 92.5% reported they would likely obtain counselling and testing, 92.8% would engage in HIVST if provided a free voucher, and 93.4% would obtain treatment from a pharmacy with prescription voucher.

CONCLUSIONS:

GBM generally found novel partner notification, testing, and treatment strategies acceptable, indicating the need for feasibility and cost-effectiveness evaluations.

KEYWORDS:

expedited partner therapy; geosocial sexual networking; men who have sex with men; partner notification; patient-delivered partner therapy; sexually transmitted infections

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