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Repeat HIV testing: high-risk behaviour or risk reduction strategy?

S Leaity1, L Sherr, H Wells

  • 1Royal Free Hampstead NHS Trust Hospital, UK.

AIDS (London, England)
|April 26, 2000
PubMed
Summary
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Repeat HIV testing is common, especially among gay men. While overall unprotected penetrative sex (UPS) rates are similar, gay men with multiple previous HIV tests reported higher-risk UPS, highlighting the need for targeted counselling.

Area of Science:

  • Public Health
  • Epidemiology
  • Sexual Health

Background:

  • Understanding the characteristics of individuals seeking HIV testing is crucial for public health interventions.
  • Repeat HIV testing is increasingly utilized as a risk reduction strategy.

Purpose of the Study:

  • To compare the characteristics of first-time and repeat HIV testers.
  • To assess the implications of these characteristics for HIV test counselling.

Main Methods:

  • An anonymous questionnaire was administered to nearly 1500 individuals seeking HIV tests at a London clinic.
  • Data collected included demographics, frequency of unprotected penetrative sex (UPS), and reasons for testing.

Main Results:

  • Over 50% of clinic attendees were repeat testers, with higher proportions among gay men.

Related Experiment Videos

  • No significant difference in overall UPS frequency between first-time and repeat testers.
  • Gay men with three or more prior HIV tests reported significantly higher rates of high-risk UPS.
  • Conclusions:

    • Repeat HIV testing is a common practice, often linked to relationship transitions.
    • Gay men with a history of multiple HIV tests exhibit higher-risk sexual behavior, necessitating tailored counselling.
    • HIV test counselling should address high-risk behaviors and reinforce risk-reduction strategies.