Open AccessUse of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study
Author(s) -
Alex CarballoDiéguez,
Rebecca Giguere,
Ivan C. Balán,
William Brown,
Curtis Dolezal,
Cheng-Shiun Leu,
Javier López Rios,
Alan Z. Sheinfil,
Timothy Frasca,
Christine Tagliaferri Rael,
Cody Lentz,
Raynier Crespo,
Sarah J. Iribarren,
Catherine Cruz Torres,
Irma Febo
Publication year - 2019
Publication title -
aids and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.994
H-Index - 106
eISSN - 1573-3254
pISSN - 1090-7165
DOI - 10.1007/s10461-019-02763-7
Subject(s) - serodiscordant , anal intercourse , health psychology , transgender women , men who have sex with men , intervention (counseling) , anal sex , demography , randomized controlled trial , human immunodeficiency virus (hiv) , statistical significance , medicine , public health , test (biology) , psychology , family medicine , psychiatry , syphilis , surgery , viral load , antiretroviral therapy , paleontology , nursing , sociology , biology
ISUM ("I'll show you mine") was a randomized controlled trial in which 272 transgender women and men who have sex with men in New York, NY (NYC) and San Juan, Puerto Rico (SJU) were assigned to an intervention group (n = 136), in which they had access to free HIV self-testing (ST) kits, or to a control group (n = 136). The trial aimed to determine whether the intervention group would use ST to screen sexual partners and have fewer condomless anal intercourse (CAI) occasions with serodiscordant or unknown status partners than the control group. The intervention group had on average 10 (32%) fewer CAI occasions; though clinically relevant, this difference fell short of statistical significance (p = .08). In NYC (n = 166) intervention participants had significantly fewer CAI occasions, whereas in SJU (n = 106) they reported non-significantly more CAI occasions. Two devastating hurricanes hit SJU during the study and may have impacted results in unmeasured ways.