Sexually transmitted diseases · 2025
HIV and Syphilis Self-Testing to Support the Implementation of Patient-Delivered Partner Therapy for Bacterial Sexually Transmitted Infection Partner Treatment Among Sexual Minoritized Men.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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John Steven A, O'Neil Andrew M, Baier Vincent, Walsh Jennifer L, Galletly Carol, Aleksanyan Ruzanna, Petroll Andrew E, Wheeler Denna, Hubach Randolph D
Аннотация
BACKGROUND: Patient-delivered partner therapy (PDPT) is a presumptive treatment mechanism for sexual partners of patients diagnosed with chlamydia and/or gonorrhea; however, successful implementation to sexual minoritized men (SMM) is impeded by concerns about missed opportunities for HIV and syphilis testing. As such, we explored barriers and facilitators of including a dual HIV and syphilis self-testing device with PDPT among SMM residing in Oklahoma.
METHODS: In 2023, in-depth interviews were conducted with HIV-negative or unknown status SMM ( n = 20; mean age, 33.4; 90% cisgender; 45% Black, Latino, or multiracial) eliciting responses about access to care, at-home HIV/sexually transmitted infection (STI) testing, and PDPT. Data were analyzed using the rigorous and accelerated data reduction technique.
RESULTS: Sexual minoritized men reported inadequate access to culturally competent providers. Despite mixed perceptions, altruism led most participants to indicate the importance of notifying a partner of a bacterial STI diagnosis. Delivering PDPT with an HIV and syphilis self-testing kit was perceived to increase confidentiality, improve access to appropriate care, decrease time to partner treatment, reduce exposure to antigay and HIV/STI stigmas, and avoid insurance and cost challenges. Participant intervention requests included the need for multimodal educational materials, a letter from a health care provider with contact information, medication and safety information, discrete packaging, and a communication guide.
CONCLUSIONS: Intervention requests by SMM will be important for maximizing successful uptake of PDPT with partner HIV and syphilis self-testing. Additional research with health care providers is needed to identify potential implementation strategies to support prescribing behaviors.
METHODS: In 2023, in-depth interviews were conducted with HIV-negative or unknown status SMM ( n = 20; mean age, 33.4; 90% cisgender; 45% Black, Latino, or multiracial) eliciting responses about access to care, at-home HIV/sexually transmitted infection (STI) testing, and PDPT. Data were analyzed using the rigorous and accelerated data reduction technique.
RESULTS: Sexual minoritized men reported inadequate access to culturally competent providers. Despite mixed perceptions, altruism led most participants to indicate the importance of notifying a partner of a bacterial STI diagnosis. Delivering PDPT with an HIV and syphilis self-testing kit was perceived to increase confidentiality, improve access to appropriate care, decrease time to partner treatment, reduce exposure to antigay and HIV/STI stigmas, and avoid insurance and cost challenges. Participant intervention requests included the need for multimodal educational materials, a letter from a health care provider with contact information, medication and safety information, discrete packaging, and a communication guide.
CONCLUSIONS: Intervention requests by SMM will be important for maximizing successful uptake of PDPT with partner HIV and syphilis self-testing. Additional research with health care providers is needed to identify potential implementation strategies to support prescribing behaviors.