Gay and bisexual men's experiences using self-testing kits for HIV and rectal and urethral bacterial sexually transmitted infections: Lessons learned from a study with home-based testing.

Steven A John, Demetria Cain, Jesse Bradford-Rogers, H Jonathon Rendina, Christian Grov
Author Information
  1. Steven A John: Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
  2. Demetria Cain: Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA.
  3. Jesse Bradford-Rogers: Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA.
  4. H Jonathon Rendina: Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA.
  5. Christian Grov: Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy; The CUNY Institute for Implementation Science in Population Health, New York, NY, USA.

Abstract

This study investigated the experiences of gay, bisexual, and other men who have sex with men (GBM) conducting HIV and sexually transmitted infection (STI) self-testing procedures. We analyzed mixed-methods data from 11 GBM who self-tested HIV-positive and 1,070 HIV-negative GBM who completed the HIV self-testing and STI self-sampling procedures. Nearly all (99%) reported ease in urine-based STI self-sampling and most (90%) found rectal swab self-collection easy. Most (94%) checked their rapid-HIV self-testing results during the correct window (20-40 minutes), and nearly all (99%) trusted their HIV results. Recommendations for future self-testing procedures are provided based on findings from free-response data.

Keywords

References

  1. Public Health. 2017 Apr;145:7-19 [PMID: 28359394]
  2. AIDS Patient Care STDS. 2018 Sep;32(9):360-367 [PMID: 30179528]
  3. AIDS Behav. 2013 Jul;17(6):2084-92 [PMID: 23525790]
  4. AIDS Behav. 2012 Oct;16(7):1753-60 [PMID: 22893194]
  5. AIDS Patient Care STDS. 2014 Sep;28(9):499-506 [PMID: 25133501]
  6. Sex Transm Dis. 2007 Feb;34(2):113-9 [PMID: 16810121]
  7. J Assoc Nurses AIDS Care. 2017 May - Jun;28(3):363-371 [PMID: 28185723]
  8. N Engl J Med. 2011 Aug 11;365(6):493-505 [PMID: 21767103]
  9. J Natl Med Assoc. 2004 Jan;96(1):97-107 [PMID: 14746359]
  10. J Int AIDS Soc. 2017 May 15;20(1):21594 [PMID: 28530049]
  11. Sex Transm Dis. 2009 Aug;36(8):493-7 [PMID: 19617869]
  12. Sex Transm Dis. 2019 Jun;46(6):357-363 [PMID: 31095100]
  13. Springerplus. 2014 Feb 24;3:109 [PMID: 24600551]
  14. Sex Transm Dis. 2011 Oct;38(10):922-4 [PMID: 21934565]
  15. Lancet HIV. 2016 Jul;3(7):e318-22 [PMID: 27365206]
  16. Clin Infect Dis. 2019 Jan 18;68(3):501-504 [PMID: 29982304]
  17. MMWR Morb Mortal Wkly Rep. 2014 Nov 28;63(47):1113-7 [PMID: 25426654]
  18. AIDS Behav. 2013 Jul;17(6):2093-9 [PMID: 23297083]
  19. Sex Res Social Policy. 2018 Dec;15(4):387-397 [PMID: 31011372]
  20. Public Health Rep. 2012 Mar-Apr;127(2):186-94 [PMID: 22379218]
  21. PLoS One. 2015 Jul 13;10(7):e0132776 [PMID: 26168051]
  22. BMC Med Res Methodol. 2004 Nov 08;4:25 [PMID: 15533249]
  23. Clin Infect Dis. 2011 Mar 15;52(6):793-800 [PMID: 21367734]
  24. Glob J Health Sci. 2015 Nov 03;8(7):9-17 [PMID: 26925893]
  25. Clin Infect Dis. 2014 Jul;59 Suppl 1:S12-5 [PMID: 24926026]
  26. BMC Public Health. 2013 Aug 08;13:735 [PMID: 23924387]
  27. PLoS One. 2017 Dec 27;12(12):e0189794 [PMID: 29281688]

Grants

  1. K01 DA039030/United States
  2. P30 AI050409/United States
  3. P30 MH052776/United States
  4. R01 DA036466/United States

Word Cloud

Created with Highcharts 10.0.0HIVself-testingmenGBMsexuallytransmittedSTIproceduresstudyexperiencesbisexualsexdataself-sampling99%rectalresultstestinginvestigatedgayconductinginfectionanalyzedmixed-methods11self-testedHIV-positive1070HIV-negativecompletedNearlyreportedeaseurine-based90%foundswabself-collectioneasy94%checkedrapid-HIVcorrectwindow20-40minutesnearlytrustedRecommendationsfutureprovidedbasedfindingsfree-responseGaymen'susingkitsurethralbacterialinfections:Lessonslearnedhome-basedinfections

Similar Articles

Cited By