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Use of a rapid HIV home test prevents HIV exposure in a high risk sample of men who have sex with men


Author
Carballo-Dieguez et al.

Publication year
2012


Type of approach
Community-based

Type of assistance
Unassisted

Specimen
Oral-fluid

Study population
Key population: Men who have sex with men

Study design
Values and preferences

Sample size
27

UNAIDS HIV prevalence (2017)
0.2 [0.2 - 0.2]

Methodology
Participants received 16 oral-fluid HIVST kits to screen potential sexual partners. They were monitored weekly for 3 months, and then interviewed in depth. They received a bag containing condoms, 16 HIVST kits, written instructions on HIVST kit use, a card with HIV- and violence-related resources available in the community, the study website address, and a 24-hour hotline number they could use for assistance from two senior clinical psychologists supervising the study.

Summary of findings
101/124 sexual partners agreed to use the HIV self-test. Ten individuals who self-tested had HIV-positive results. Seven were potential sexual partners, and three were acquaintances of the participants; 6/10 were unaware of their status. No sexual intercourse took place after positive tests. Very few problems occurred. Most participants strongly desired to continue using HIVST and to buy it freely.

Acceptability
0.814

Acceptability details
101 sexual partners (81.4% of partners offered HIVST) accepted to self-test.

Willingness to pay
n/a

Willingness to pay details
n/a

Sensitivity
n/a

Specificity
n/a

Concordance
n/a

HIV positivity
n/a

Accuracy details
n/a

Social harm
There were very few adverse experiences. Out of the approximately 124 occasions in which participants invited their partners to use HIVST, seven led to verbally aggressive situations (two participants reported two aggressive situations each); none of them resulted in violence towards the participant.

Linkage to prevention, care and treatment
Several participants reported that in case of a reactive result they will seek confirmatory testing followed by treatment (n=n/a).


Study status
Completed