HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, New York, USA.
, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
AIDS Behav. 2020 Nov;24(11):3033-3043. doi: 10.1007/s10461-020-02851-z.
Men who have sex with men (MSM) and transgender women (TGW) are highly affected by HIV and need novel prevention strategies. Using HIV self-testing (HIVST) kits to screen sexual partners may represent a viable risk-reduction alternative; however, more research is needed on effective strategies for broaching HIVST with partners. In the ISUM study, 136 MSM and TGW were given ten HIVST kits for self- and partner-testing. After 3 months, they returned for a follow-up assessment; thirty participants were also selected for in-depth interviews about their experiences initiating HIVST with partners. Most found proposing HIVST to a diverse array of partners relatively easy. They employed strategies such as joint testing and integrating HIVST into larger discussions about protection and sexual health, with moderate success. Nonetheless, real or anticipated negative partner reactions were a significant barrier. Future research can inform best practices for safely and successfully broaching HIVST with sexual partners.
男男性行为者（MSM）和跨性别女性（TGW）受 HIV 影响严重，需要新的预防策略。使用 HIV 自我检测（HIVST）试剂盒筛查性伴侣可能是一种可行的降低风险的替代方法；然而，需要更多的研究来确定与伴侣进行 HIVST 的有效策略。在 ISUM 研究中，为 136 名 MSM 和 TGW 提供了十套 HIVST 试剂盒，供他们自己和伴侣进行检测。三个月后，他们回来进行随访评估；还选择了三十名参与者进行深入访谈，了解他们与伴侣一起开始 HIVST 的经验。大多数人发现，向不同类型的伴侣提出 HIVST 相对容易。他们采用了一些策略，如联合检测，并将 HIVST 纳入更广泛的关于保护和性健康的讨论中，取得了一定的成效。尽管如此，真实或预期的负面伴侣反应仍然是一个重大障碍。未来的研究可以为与性伴侣安全、成功地讨论 HIVST 提供最佳实践。
