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Cited by 4HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskSyphilis Diagnosis and Treatment

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Negotiating Use of a Blood-Based, Dual HIV and Syphilis Test with Potential Sexual Partners Among a Sample of Cisgender Men and Transgender Women Who Have Sex with Men in New York City

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Lentz, Cody, Lopez-Rios, Javier, Dolezal, Curtis, Kutner, Bryan A., Rael, Christine Tagliaferri, Balán, Iván C.·2022·Archives of Sexual Behavior
DOI 10.1007/s10508-021-02275-3PMC PMC9197957
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Abstract

Cisgender men who have sex with men (cMSM) and transgender women (TGW) are disproportionally burdened by HIV. Among these populations, HIV partner-testing is a highly acceptable harm reduction tool. Particularly, cMSM and TGW report a stronger preference for blood-based tests that include assays for multiple STIs. However, no existing research has explored how these populations negotiate blood-based testing with sexual partners. In the SMARTtest study, 48 sexually active cMSM and TGW took home dual, blood-based HIV/Syphilis kits for self- and partner-testing. After 3 months, they completed a follow-up assessment and in-depth interviews about their experiences initiating testing. Of the 42 responding participants, 27 (64%) reported that it had been "fairly" or "very easy" to raise the idea of testing with partners. Participants predominantly employed partner-conscious communication strategies, including framing the testing proposal as a mandatory, non-personal component of their participation in a research study, gradually incorporating testing mentions into discussions about sexual health, and using the kits to facilitate joint testing. Yet, 21 (44%) participants reported having sex with at least one partner they did not ask to test. Concern regarding partner reactions emerged as a significant barrier to discussing test use; similarly, many partners were averse to taking a blood-based test in the context of a casual sexual encounter. Nonetheless, these findings suggest that dual, blood-based HIV/STI rapid tests may represent acceptable harm reduction tools among similar populations of cMSM and TGW, particularly if future partner-testing research is broadened to consider key couples' dynamics that may impact test usage.

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References 40 · Cited by 4

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Metadata

Authors
Lentz, C., Lopez-Rios, J., Dolezal, C., Kutner, B. A., Rael, C. T., & Balán, I. C.
Affiliations
  • New York State Psychiatric Institute (US)
  • Florida State University (US)
Corresponding author
Balán, Iván C.
ORCID
Venue
Archives of Sexual Behavior
Publisher
Springer Science and Business Media LLC
Published
2022-04-21
Volume
51
Issue
4
Pages
2015-2025
ISSN
  • 0004-0002 (ISSN-L)
  • 1573-2800
DOI
10.1007/s10508-021-02275-3
PMC
PMC9197957
OpenAlex
W4224249662
Cited by
4
References
40
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 1
FWCI
0.37
Type
journal article
Language
en
Open access
Licence
Locations
  • Archives of Sexual Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (R01-HD088156, P30-MH43520)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Infectious Diseases › Syphilis Diagnosis and Treatment
Keywords
syphilis, harm reduction, barriers to testing, New York City
MeSH terms
Sexual and Gender Minorities, Female, Humans, Male, New York City, Sexual Behavior, Sexual Partners, Sexually Transmitted Diseases, Syphilis, HIV Infections, Negotiating, Homosexuality, Male, Transgender Persons

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