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Condom Use Behaviors, Risk Perception, and Partner Communication Following Oral HIV Self-testing Among Adolescents and Young Adults in Kenya: A Cohort Study

Authors :
Matthew Driver
David A. Katz
Vivianne Manyeki
Caroline Mungala
Lilian Otiso
Cyrus Mugo
Scott McClelland
Pamela Kohler
Jane M. Simoni
Irene Inwani
Kate Wilson
Source :
AIDS and Behavior. 27:1727-1740
Publication Year :
2022
Publisher :
Springer Science and Business Media LLC, 2022.

Abstract

HIV self-testing (HIVST) can improve testing completion among adolescents and young adults (AYA), although its influence on sexual behaviors is unclear. We evaluated whether HIVST was associated with changes in talking with sexual partners about HIVST, condom use, and HIV risk perception among AYA ages 15-24 years in a study of HIVST distribution through homes, pharmacies, and nightclubs in Nairobi, Kenya. All participants had negative HIVST results. Regression models were used to evaluate changes between pre-HIVST and 4 months post-HIVST. Overall, there was a significant increase in talking with sexual partners about HIVST. There was a significant reduction in number of condomless sex acts among AYA recruited through pharmacies and homes. Unexpectedly, among females, there was a significant decrease in consistent condom use with casual partners. HIVST services for AYA may benefit from including strategies to support condom use and partner communication about self-testing adapted to specific populations and partnerships.

Details

ISSN :
15733254 and 10907165
Volume :
27
Database :
OpenAIRE
Journal :
AIDS and Behavior
Accession number :
edsair.doi.dedup.....210c465c0f2c10153a4737130b70757a
Full Text :
https://doi.org/10.1007/s10461-022-03904-1