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

doi:10.1007/s10461-020-02809-1

Randomized Controlled Trial

. 2020 Jul;24(7):2220-2226.

doi: 10.1007/s10461-020-02809-1.

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

Alex Carballo-Diéguez¹, Rebecca Giguere², Iván C Balán¹, Curtis Dolezal¹, William Brown 3rd^{1

3

4

5}, Javier Lopez-Rios^{1

6}, Alan Sheinfil⁷, Timothy Frasca¹, Christine Rael¹, Cody Lentz¹, Raynier Crespo⁸, Catherine Cruz Torres⁸, Cheng-Shiun Leu¹, Irma Febo⁸

Affiliations

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.

PMID: 32030526
PMCID: PMC7319893
DOI: 10.1007/s10461-020-02809-1

Randomized Controlled Trial

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

Alex Carballo-Diéguez et al. AIDS Behav. 2020 Jul.

. 2020 Jul;24(7):2220-2226.

doi: 10.1007/s10461-020-02809-1.

Authors

Affiliations

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.

PMID: 32030526
PMCID: PMC7319893
DOI: 10.1007/s10461-020-02809-1

Abstract
in English, Spanish

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.

Hombres que tienen sexo con hombres y mujeres transgénero que habían tenido múltiples parejas sexuales en los tres meses previos participaron en “Te lo enseño”, un ensayo aleatorio controlado del uso del autotest con parejas sexuales en Nueva York y San Juan, PR. Sólo un 2% de los participantes resultó inelegible para inscribirse debido a anticipar que les sería muy difícil evitar o manejar una situación violenta. El grupo de intervención recibió gratis los autotest rápidos para el VIH. Durante el ensayo, 114 (88%) de los individuos asignados a la intervención que fueron evaluados en el seguimiento usaron el autotest con al menos una posible pareja sexual. Sólo un 6% de los participantes que le pidieron en persona a una pareja que se haga el test reportó que al menos una de sus parejas se puso violento a causa del pedido, algunos en el contexto del trabajo sexual. En total, 16 (2%) de las parejas tuvieron una reacción violenta. Después del ensayo, sólo un participante reportó que le fue muy difícil manejar la violencia y ninguno reportó dificultades para evitar la posible violencia.

Keywords: HIV self-test; MSM; Transgender women; Violence.

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References

1. Consolidated guidelines on HIV testing services. World Health Organization, July 2015. Available at: https://www.who.int/hiv/pub/guidelines/hiv-testing-services/en/.
1. Guidelines on HIV self-testing and partner notification: Supplement to consolidated guidelines on HIV testing services. World Health Organization, December 2016. Available at: https://www.who.int/hiv/pub/self-testing/hiv-self-testing-guidelines/en/. - PubMed
1. Volk JE, Lippman SA, Grinsztejn B, Lama JR, Fernandes NM, Gonzales P, Hessol NA, Buchbinder S. Acceptability and feasibility of HIV self-testing among men who have sex with men in Peru and Brazil. Int J STD AIDS. 2016;27(7):531–6. - PMC - PubMed
1. Krause J, Subklew-Sehume F, Kenyon C, Colebunders R. Acceptability of HIV self-testing: a systematic literature review. BMC Public Health. 2013;13(1):735. - PMC - PubMed
1. Pal K, Ngin C, Tuot S, Chhoun P, Ly C, Chhim S, Luong MA, Tatomir B, Yi S. Acceptability study on HIV self-testing among transgender women, men who have sex with men, and female entertainment workers in Cambodia: a qualitative analysis. PLoS One. 2016;11(11):e0166129. - PMC - PubMed

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[1] Consolidated guidelines on HIV testing services. World Health Organization, July 2015. Available at: https://www.who.int/hiv/pub/guidelines/hiv-testing-services/en/.

[2] Consolidated guidelines on HIV testing services. World Health Organization, July 2015. Available at: https://www.who.int/hiv/pub/guidelines/hiv-testing-services/en/.

[3] Guidelines on HIV self-testing and partner notification: Supplement to consolidated guidelines on HIV testing services. World Health Organization, December 2016. Available at: https://www.who.int/hiv/pub/self-testing/hiv-self-testing-guidelines/en/. - PubMed

[4] Guidelines on HIV self-testing and partner notification: Supplement to consolidated guidelines on HIV testing services. World Health Organization, December 2016. Available at: https://www.who.int/hiv/pub/self-testing/hiv-self-testing-guidelines/en/. - PubMed

[5] Volk JE, Lippman SA, Grinsztejn B, Lama JR, Fernandes NM, Gonzales P, Hessol NA, Buchbinder S. Acceptability and feasibility of HIV self-testing among men who have sex with men in Peru and Brazil. Int J STD AIDS. 2016;27(7):531–6. - PMC - PubMed

[6] Volk JE, Lippman SA, Grinsztejn B, Lama JR, Fernandes NM, Gonzales P, Hessol NA, Buchbinder S. Acceptability and feasibility of HIV self-testing among men who have sex with men in Peru and Brazil. Int J STD AIDS. 2016;27(7):531–6. - PMC - PubMed

[7] Krause J, Subklew-Sehume F, Kenyon C, Colebunders R. Acceptability of HIV self-testing: a systematic literature review. BMC Public Health. 2013;13(1):735. - PMC - PubMed

[8] Krause J, Subklew-Sehume F, Kenyon C, Colebunders R. Acceptability of HIV self-testing: a systematic literature review. BMC Public Health. 2013;13(1):735. - PMC - PubMed

[9] Pal K, Ngin C, Tuot S, Chhoun P, Ly C, Chhim S, Luong MA, Tatomir B, Yi S. Acceptability study on HIV self-testing among transgender women, men who have sex with men, and female entertainment workers in Cambodia: a qualitative analysis. PLoS One. 2016;11(11):e0166129. - PMC - PubMed

[10] Pal K, Ngin C, Tuot S, Chhoun P, Ly C, Chhim S, Luong MA, Tatomir B, Yi S. Acceptability study on HIV self-testing among transgender women, men who have sex with men, and female entertainment workers in Cambodia: a qualitative analysis. PLoS One. 2016;11(11):e0166129. - PMC - PubMed

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

Affiliations

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

Authors

Affiliations

Abstract
in English, Spanish

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Research Materials

Abstract in English, Spanish

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Research Materials

Abstract
in English, Spanish