Institute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
Division of Prevention Science, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
AIDS Care. 2021 Oct;33(10):1262-1269. doi: 10.1080/09540121.2020.1828564. Epub 2020 Oct 6.
Availability of HIV self-testing may increase HIV testing frequency among men who have sex with men (MSM). It is unclear, however, if self-testing may impact HIV-related sexual behaviors among MSM, including HIV status disclosure and condom use. We conducted a mixed methods analysis of changes in HIV-related behaviors after HIV self-testing introduction, using data from 110 MSM participating in a feasibility and acceptability study of HIV self-testing in Mpumalanga Province, South Africa. We found increased HIV status disclosure from study participants to sexual partners after HIV self-testing introduction, from 61.8% at baseline to 75.5% at 6-month follow-up ( = 0.04), but decreased condom use with female partners ( = 0.03). Qualitative interviews reveal that some participants used test results to inform condom use. Distribution of self-testing kits can improve mutual disclosure, but should be accompanied by information stressing that the tests may not detect early HIV infections or other sexually transmitted infections.
HIV 自检的普及可能会增加男男性行为者（MSM）的 HIV 检测频率。然而，目前尚不清楚自检是否会影响 MSM 的 HIV 相关性行为，包括 HIV 状况的披露和使用避孕套。我们使用南非姆普马兰加省 HIV 自检可行性和可接受性研究中 110 名 MSM 参与者的数据，对 HIV 自检引入后 HIV 相关行为的变化进行了混合方法分析。我们发现，HIV 自检引入后，研究参与者向性伴侣披露 HIV 状况的比例从基线时的 61.8%增加到 6 个月随访时的 75.5%（ = 0.04），但与女性伴侣使用避孕套的比例却有所下降（ = 0.03）。定性访谈显示，一些参与者使用检测结果来指导避孕套的使用。自测试剂盒的分发可以促进相互披露，但应同时强调这些测试可能无法检测到早期的 HIV 感染或其他性传播感染。
