title: The impact of rapid HIV home test use with sexual partners on subsequent sexual behavior among men who have sex with men.
abstract: This study explores the sexual behavior of 27 men who have sex with men (MSM) who regularly engage in unprotected anal intercourse (UAI), in the context of HIV home test (HT) use with potential sex partners. Participants were given 16 HT kits to use over 3 months. Among 40 sexual occasions following HIV-negative HT results, there were 25 UAI occasions (16 based on not typically using condoms and nine on HT results), 15 occasions in which condoms were used, and three in which sex did not occur. In the seven occasions where a potential partner received HIV-positive HT results, the sexual encounter ended. Almost all participants encountered potential partners who refused HT. Over half of these participants ended sexual encounters when HT was refused, perceiving these partners as HIV-positive or too high risk. Some participants reported that HT use heightened their awareness of HIV risk and their commitment to reducing it.
authors: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA, balaniv@nyspi.columbia.edu.
authors: Iván C
authors: IC
authors: Balán
authors: Alex
authors: A
authors: Carballo-Diéguez
authors: Timothy
authors: T
authors: Frasca
authors: Curtis
authors: C
authors: Dolezal
authors: Mobolaji
authors: M
authors: Ibitoye
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003657:Decision Making; D005500:Follow-Up Studies; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D017008:Negotiating; D011933:Reagent Kits, Diagnostic / Q000706:statistics & numerical data*; D040242:Risk Reduction Behavior; D012648:Self Care / Q000523:psychology; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D011933:Reagent Kits, Diagnostic
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