Secondary HIV self-test distribution increases male partner testing

Background and Purpose:Black women are disproportionately affected by HIV. Increasing status awareness through partner testing can improve status awareness and reduce transmission. Varying approaches to encourage HIV testing are described but a measurement instrument is lacking. The AIDS Discussion Strategy Scale (ADSS) was adapted into the HIV Testing Approach Scale (HTAS) to measure Black women's approaches to encourage partners to test for HIV.Methods:Preliminary adaptation included five steps to ensure validity. Participants comprised 158 sexually active 18–29-year-old Black women. The HTAS was analyzed with principal components analysis (PCA).Results:PCA indicated a four-factor model explaining 67% of variance. Four distinct approaches were Active Persuasion, Decisive Collaboration, Ultimatum, and Sweet Talking. The HTAS approaches demonstrated adequate reliability.Conclusion:The HTAS may serve as a valid and reliable instrument for research. HIV prevention should encourage testing discussion to increase status awareness.

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2023 Relationship power imbalance and history of male partner HIV testing among pregnant women in central Uganda

Journal of Clinical and Translational Science ◽

10.1017/cts.2018.115 ◽

2018 ◽

Vol 2 (S1) ◽

pp. 25-26

Author(s):

Caroline Vrana ◽

Jeffrey Korte ◽

Angela Malek ◽

Esther Buregyeya ◽

Joseph Matovu ◽

...

Keyword(s):

Hiv Testing ◽

Male Partner ◽

Standard Of Care ◽

Relationship Status ◽

Power Balance ◽

Power Imbalance ◽

Relationship Power ◽

Male Partners ◽

Partner Testing ◽

Self Testing

OBJECTIVES/SPECIFIC AIMS: We investigated the association between relationship power imbalance (which can have a negative impact on HIV prevention) and male partner HIV testing, using baseline data from a HIV self-testing trial in 3 antenatal clinics in central Uganda. METHODS/STUDY POPULATION: Pregnant women with HIV-male partners were recruited and randomized by day into standard of care or intervention (HIV self-testing kits). Analyses were performed in SAS 9.4, with χ2 tests and p<0.05 for significance. RESULTS/ANTICIPATED RESULTS: In total, 1514 women were recruited (737 standard of care, 777 intervention). Overall, 39.6% of male partners had previously tested for HIV. Among women <26, contributions to expenses differed by partner testing (overall p<0.001, 47.6% of women whose partners tested made no contribution vs. 63.2% of women whose partners did not test). Relationship status differed by partner testing (overall p=0.02, 12.4% of women whose partners tested showed a sometimes difficult relationship vs. 5.7% of women whose partners did not test). Among women 26+, decision making for family visits differed by partner testing (overall p=0.005, 52.9% of women made joint decisions with partners who tested vs. 36.5% whose partners did not test). DISCUSSION/SIGNIFICANCE OF IMPACT: Higher relationship power balance was associated with higher HIV testing among male partners when measured by contribution to expenses and decision making for family visits, but not relationship status. Relationship power balance should be considered when counseling women and men to increase HIV testing.

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HIV testing among male partners of pregnant women in Nigeria: a missing link in the elimination of mother-to-child transmission of HIV

International Journal of STD & AIDS ◽

10.1177/0956462417739752 ◽

2017 ◽

Vol 29 (4) ◽

pp. 404-409 ◽

Cited By ~ 4

Author(s):

Babayemi O Olakunde ◽

Daniel A Adeyinka ◽

Tolulope Oladele ◽

Chamberline E Ozigbu

Keyword(s):

Pregnant Women ◽

Male Partner ◽

Health Sector ◽

Mother To Child Transmission ◽

Child Transmission ◽

Pmtct Programme ◽

Combination Prevention ◽

Partner Testing ◽

Hiv Test ◽

Mother To Child

In this study, we assessed male partner testing and the serodiscordance rate among pregnant women and their partners in the prevention of mother-to-child transmission (PMTCT) programme in Nigeria. We conducted a retrospective analysis of the consolidated national health sector PMTCT data over a five-year period (2012–2016). Over the period, a total of 11,833,062 pregnant women were tested for HIV with a positivity rate of 2.2%. About 266,188 (2.2%) of sexual partners of pregnant women who presented at PMTCT clinics had an HIV test within the period. The uptake of male partner testing varied across the years, ranging from 22,269 (1.7%) in 2012 to 90,603 (2.9%) in 2014 (χ2 for trend = 1320; p < 0.001). Overall, the proportion of partners of HIV-negative pregnant women who tested was higher than the proportion of partners of HIV-positive pregnant women (81% versus 19%, respectively). The serodiscordance rate among partners who tested over the five-year period was 18%. The serodiscordance rate declined from 24% in 2012 to 13% in 2016 (χ2 for trend = 1202; p < 0.001). Partner testing in the PMTCT programme in Nigeria has remained low in the last five years while the clinic-based serodiscordance rate among partners appears to be declining. There is a need for multilevel interventions to address the possible barriers to partner testing in the PMTCT programme and intensification of the HIV combination prevention approach in the HIV response.

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Acceptability and feasibility of serial HIV antibody testing during pregnancy/postpartum and male partner testing in Tororo, Uganda

AIDS Care ◽

10.1080/09540121.2013.824536 ◽

2013 ◽

Vol 26 (3) ◽

pp. 360-366 ◽

Cited By ~ 4

Author(s):

Lena H. Kim ◽

Emmanuel Arinaitwe ◽

Bridget Nzarubara ◽

Moses R. Kamya ◽

Tamara D. Clark ◽

...

Keyword(s):

Male Partner ◽

Antibody Testing ◽

Partner Testing ◽

Hiv Antibody Testing

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Adolescent girls’ perception about their ability to safely offer HIV self-test kits to sexual partners: a feasibility study in Siaya County, Kenya

African Health Sciences ◽

10.4314/ahs.v21i3.13 ◽

2021 ◽

Vol 21 (3) ◽

pp. 1059-1066

Author(s):

Gift-Noelle Wango ◽

Kawango Agot ◽

Henry Ogolla ◽

Marylyn Ochillo ◽

Spala Ohaga ◽

...

Keyword(s):

Adolescent Girls ◽

Sexual Debut ◽

Sexual Partners ◽

Sub Saharan Africa ◽

Hiv Status ◽

Perceived Ability ◽

Partner Testing ◽

Self Testing ◽

Keywords Hiv ◽

Self Test

Background: Adolescent girls (AG) in sub-Saharan Africa are at elevated risk of acquiring HIV, yet few know the HIV status of their sexual partners. Interventions to promote testing among partners are urgently needed. Objectives: To explore AG’s perceived ability to safely distribute HIV self-tests to their partners, if partners would self-test, and how to minimize partner violence. Methods: We recruited HIV-negative AG ages 15-19 years with a partner of unknown HIV status or who tested negative >6 months previously. Using mixed-methods for data collection and regression and inductive thematic analysis for quantitative and qualitative analysis, respectively, we determined factors associated with the study objectives. Results: We enrolled 101 AG, median age 17.3 years, sexual debut 15-16 years, and 54.5% reported ≥2 lifetime partners. Most participants (95.0%) would offer self-tests to their partners and 95.1% reported high-to-moderate chance their part- ner would self-test. No participant attribute was associated with perceived ability to offer self-test or likelihood of partner testing. To avoid violence, AG recommended politeness, indirect approach, voluntariness, and highlighting advantages of self-testing. Conclusions: AG believe they can safely distribute self-tests to their partners, and most partners would self-test, expanding utility of HIV self-tests to include partners of AG. Keywords: HIV self-testing; partner testing; couples testing; adolescent girls; Kenya.

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