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01-02-2015

Black Men Who Have Sex with Men, Sexual Risk-Taking, and Willingness to Use Rapid Home HIV Tests

Authors: Lisa A. Eaton, Daniel D. Driffin, Harlan Smith, Christopher Conway-Washington, Denise White, Chauncey Cherry

Published in: Prevention Science | Issue 2/2015

Abstract

The availability of rapid home-based HIV testing (RHT) in the USA has provided us with a valuable, new option in our efforts to identify more people living with HIV and to do so sooner. Furthermore, it is possible that RHT will be or is currently being used as a means of learning one’s own and one’s partner’s HIV status prior to engaging in condomless intercourse. Data regarding knowledge and willingness to use RHT, however, is very limited. In particular, no studies have investigated RHT use among Black men who have sex with men (BMSM). Understanding RHT use among BMSM is critical as we have observed alarming rates of HIV prevalence among this group, and RHT may provide an opportunity to slow HIV transmission among BMSM. In order to better understand RHT, we assessed knowledge, willingness to use and actual use of RHT, HIV testing history, substance use, and sexual risk-taking among 387 HIV-negative BMSM and 157 HIV-positive BMSM attending a community event in the southeastern USA. We used generalized linear modeling to assess factors associated with their willingness to use RHT. Although familiarity with the availability of RHT was somewhat limited among these men, a substantial portion of BMSM did report an interest in using RHT, including with their sex partners. Among HIV-negative BMSM, however, we found a negative relationship between willingness to use RHT and sexual risk-taking, i.e., higher numbers of condomless anal sex acts were associated with a reduction in willingness to use RHT. It appears that men who report the greatest risk-taking for HIV are least interested in RHT. Future research should focus on better understanding concerns regarding RHT among at-risk HIV-negative men and should investigate the usefulness of using RHT as a HIV prevention method.

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Title: Black Men Who Have Sex with Men, Sexual Risk-Taking, and Willingness to Use Rapid Home HIV Tests
Authors: Lisa A. Eaton
Daniel D. Driffin
Harlan Smith
Christopher Conway-Washington
Denise White
Chauncey Cherry
Publication date: 01-02-2015
Publisher: Springer US
Published in: Prevention Science / Issue 2/2015
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-014-0496-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Black Men Who Have Sex with Men, Sexual Risk-Taking, and Willingness to Use Rapid Home HIV Tests

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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