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Substance Use and Testing Sexual Partners Using HIV Self-tests.

Curtis Dolezal1, Christine Tagliaferri Rael2, Iván C Balán2

  • 1HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality and Health, NY State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA. Curtis.dolezal@nyspi.columbia.edu.

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Substance use had minimal impact on HIV self-testing (HIVST) among men who have sex with men and transgender women. While some delayed use, most HIVST outcomes were unaffected by alcohol or drug consumption.

Keywords:
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Area of Science:

  • Public Health
  • Behavioral Science
  • Infectious Disease Prevention

Background:

  • HIV self-tests (HIVST) offer a discreet method for individuals to check their HIV status.
  • Understanding factors influencing HIVST uptake and utilization is crucial for effective HIV prevention strategies, particularly among key populations.
  • Men who have sex with men (MSM) and transgender women (TGW) are disproportionately affected by HIV and may face unique challenges in accessing testing services.

Purpose of the Study:

  • To investigate the influence of substance use (alcohol and drugs) on the use of HIV self-tests (HIVST) among men who have sex with men (MSM) and transgender women (TGW).
  • To assess whether substance use affects the intention to use HIVST, the number of partners tested, or the success of partner testing.

Main Methods:

  • A study involving 123 men who have sex with men and 13 transgender women who were provided with HIVST kits.
  • Participants' self-reported experiences with substance use in relation to their intention and actual use of HIVST with partners were collected.
  • Data analysis focused on comparing outcomes between participants who used substances and those who did not, and assessing reported difficulties.

Main Results:

  • A significant proportion of participants reported avoiding or delaying alcohol (44%) or drug use (27%) due to planned HIVST use.
  • Participants who used alcohol (37%) or drugs (24%) with HIVST did not differ in the number of partners asked, partner agreement, or intention to use HIVST compared to non-users.
  • A minority reported substance-related challenges, including difficulty asking partners (10), challenges using the test while under the influence (14), and minor issues discussing or administering the test (11).

Conclusions:

  • Substance use appears to have a limited negative impact on the utilization of HIV self-tests (HIVST) for partner testing among MSM and TGW.
  • While some individuals modify substance use to facilitate HIVST, the overall process of partner testing is not significantly hindered by concurrent alcohol or drug consumption.
  • HIVST remains a viable option for partner testing in this population, with minimal disruptions reported due to substance use.