John Steven A
Center for HIV Educational Studies & Training (CHEST), Hunter College, City University of New York (CUNY), New York, New York, USA.
Joseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
Sex Res Social Policy. 2018 Dec;15(4):387-397. doi: 10.1007/s13178-017-0316-7. Epub 2018 Jan 8.
Patient-delivered partner therapy (PDPT) is the practice of providing patients diagnosed with bacterial sexually transmitted infections (STIs) medication to give directly to their partner for treatment, which can result in missed opportunities for partner HIV testing. Fifteen STI clinic patients were asked about their opinions of including HIV self-testing (HIVST) kits with PDPT. Interview data fit well into constructs of the information-motivation-behavioral skills (IMB) model. Patients' motivations to deliver HIVST kits to their partners included the importance of earlier identification of HIV, convenience, avoidance of STI clinic stigma, and empowerment of individual and partner protection against HIV. Patients described the need for more information with worries about the quality of the HIVST device and questions about how it worked. Patients worried about their partners' reaction, including the potential for violence, and needed skills to support their partner with HIVST. Public health policies should support the inclusion of HIVST kits with PDPT, but additional intervention research is needed to more fully support patients and their partners with HIVST and PDPT.
患者主导的性伴治疗(PDPT)是指为被诊断患有细菌性性传播感染(STI)的患者提供药物,以便他们直接给其性伴进行治疗的做法,这可能导致性伴艾滋病毒检测机会的错失。15名性传播感染诊所的患者被问及他们对在PDPT中纳入艾滋病毒自我检测(HIVST)试剂盒的看法。访谈数据与信息-动机-行为技能(IMB)模型的构建非常契合。患者向其性伴提供HIVST试剂盒的动机包括更早发现艾滋病毒的重要性、便利性、避免性传播感染诊所的污名化以及增强个人和性伴预防艾滋病毒的能力。患者表示需要更多信息,他们担心HIVST设备的质量以及其工作方式。患者担心其性伴的反应,包括暴力可能性,并且需要支持性伴进行HIVST的技能。公共卫生政策应支持在PDPT中纳入HIVST试剂盒,但需要更多的干预研究,以更全面地支持患者及其性伴进行HIVST和PDPT。