Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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.
Sex Transm Infect. 2020 May;96(3):173-176. doi: 10.1136/sextrans-2019-053974. Epub 2019 Jun 12.
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 (n786) 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.
目的：我们旨在确定男同性恋和双性恋者（GBM）在接受 HIV 自我检测（HIVST）试剂盒和参与基于地理位置的社交性网络（GSN）应用程序的伴侣通知时，是否愿意提供给最近的性伴侣（主要和偶然）患者提供的伴侣治疗（PDPT）。
方法：我们对自我检测 HIV 阴性的全国性 GBM 样本（n=786）进行了调查，询问他们在假设患有细菌性性传播感染（BSTI）后，是否愿意向最近的偶然性伴侣提供 HIVST 试剂盒的 PDPT（PDPT+HIVST）。男性还被问及在 BSTI 诊断后，他们是否愿意使用匿名应用程序功能通知在 GSN 应用程序上结识的性伴侣。我们使用二元逻辑回归检查了关系状况和无保护肛交与偶然伴侣、近期 BSTI 诊断以及感知 HIV 风险之间的关联，以确定 PDPT+HIVST 和匿名应用程序伴侣通知意愿（二分类）（调整年龄、种族/族裔、教育和美国地区）。从伴侣收到基于应用程序的推荐后的角度来看，使用频率测量来报告获得随后的 HIV/BSTI 咨询和检测、获得免费优惠券的 HIVST，如果提供处方优惠券，则从药房获得 BSTI 治疗的意愿。
结果：大多数（90.1%）人在性传播感染诊断后愿意向最近的性伴侣提供 PDPT+HIVST，几乎所有人（96.4%）都愿意使用 GSN 应用程序中的匿名功能通知在线结识的性伴侣。无论偶然伴侣是否有无保护肛交，与最近与偶然伴侣发生无保护肛交的单身男性相比，有伴侣的 GBM 更有可能报告愿意提供 PDPT+HIVST。如果通过应用程序匿名通知，92.5%的人报告说他们很可能会获得咨询和检测，92.8%的人如果提供免费优惠券，他们将进行 HIVST，如果提供处方优惠券，93.4%的人将从药房获得治疗。
结论：GBM 通常认为新的伴侣通知、检测和治疗策略是可以接受的，这表明需要进行可行性和成本效益评估。
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