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AIDS Behav. 2020 Feb 6. doi: 10.1007/s10461-020-02809-1. [Epub ahead of print]

Few Aggressive or Violent Incidents are Associated with the Use of HIV Self-tests to Screen Sexual Partners Among Key Populations.

Author information

1
HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
2
HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA. rebecca.giguere@nyspi.columbia.edu.
3
Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, USA.
4
Center for Vulnerable Populations At Zuckerberg San Francisco General Hospital and Trauma Center, Department of Medicine, University of California San Francisco, San Francisco, USA.
5
Bakar Computational Health Science Institute, University of California San Francisco, San Francisco, USA.
6
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, USA.
7
Department of Psychology, Syracuse University, Syracuse, USA.
8
Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, USA.

Abstract

Men who have sex with men and transgender women who had multiple sexual partners in the prior 3 months participated in ISUM, a randomized, controlled trial of self- and partner-testing in New York City and San Juan, PR. Only 2% of screened participants were ineligible to enroll due to anticipating they would find it very hard to avoid or handle violence. The intervention group received free rapid HIV self-test kits. During the trial, 114 (88%) of intervention participants who were assessed at follow-up used self-tests with at least one potential partner. Only 6% of participants who asked a partner in person to test reported that at least one of their partners got physically violent, some in the context of sex work. In total, 16 (2%) partners reacted violently. Post-trial, only one participant reported finding it very hard to handle violence, and none found it very hard to avoid potential violence.

KEYWORDS:

HIV self-test; MSM; Transgender women; Violence

PMID:
32030526
DOI:
10.1007/s10461-020-02809-1

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