TY - JOUR
T1 - The Impact of Providing Free HIV Self-testing on Sexual Risk Behaviors Among Men who have Sex with Men in Hunan, China
T2 - A Randomized Controlled Trial
AU - Zhang, Ci
AU - Goldsamt, Lloyd A.
AU - Zheng, Shimin
AU - Qian, Han Zhu
AU - Wang, Honghong
AU - Li, Qing
AU - Li, Xianhong
AU - Koniak-Griffin, Deborah
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/2
Y1 - 2023/2
N2 - HIV self-testing (HIVST) increases testing frequency among men who have sex with men (MSM). However, its impact on sexual risk behaviors is unclear. In a randomized controlled trial conducted in Hunan Province, China, HIV-negative MSM were randomized to receive one of two interventions for one year: (1) facility-based HIV testing, or (2) facility-based HIV testing augmented with free HIVST. From April to June 2018, 230 MSM were enrolled. They self-reported sexual behaviors every 3 months for 12 months. Among 216 MSM with follow-ups (intervention: 110; control: 106), adjusting for potential confounders in Generalized Estimating Equation models, there were no statistically significant differences in consistent condom use with male partners (regular/casual) or female partners, nor on number of male or female sexual partners. Provision of free HIVST kits does not increase risky sex and should be included in comprehensive HIV prevention packages, particularly for sexual minority men in China.
AB - HIV self-testing (HIVST) increases testing frequency among men who have sex with men (MSM). However, its impact on sexual risk behaviors is unclear. In a randomized controlled trial conducted in Hunan Province, China, HIV-negative MSM were randomized to receive one of two interventions for one year: (1) facility-based HIV testing, or (2) facility-based HIV testing augmented with free HIVST. From April to June 2018, 230 MSM were enrolled. They self-reported sexual behaviors every 3 months for 12 months. Among 216 MSM with follow-ups (intervention: 110; control: 106), adjusting for potential confounders in Generalized Estimating Equation models, there were no statistically significant differences in consistent condom use with male partners (regular/casual) or female partners, nor on number of male or female sexual partners. Provision of free HIVST kits does not increase risky sex and should be included in comprehensive HIV prevention packages, particularly for sexual minority men in China.
KW - Consistent condom use
KW - HIV self-testing
KW - Men who have sex with men
KW - Sexual risk behaviors
UR - http://www.scopus.com/inward/record.url?scp=85136848151&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85136848151&partnerID=8YFLogxK
U2 - 10.1007/s10461-022-03804-4
DO - 10.1007/s10461-022-03804-4
M3 - Article
C2 - 35997868
AN - SCOPUS:85136848151
SN - 1090-7165
VL - 27
SP - 708
EP - 718
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 2
ER -