Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test

William Brown 3rd, Alex Carballo-Diéguez, Rita Marie John, Rebecca Schnall, William Brown 3rd, Alex Carballo-Diéguez, Rita Marie John, Rebecca Schnall

Abstract

HIV self tests (HIVST) have the potential to increase testing among young adults. However, little is known about high-risk young adults' perception of the HIVST as a risk reduction tool and how they would use the HIVST in their everyday lives. Our study sought to examine these factors. Twenty-one ethnically diverse participants (ages 18-24) used the HIVST at our study site, completed surveys, and underwent an in-depth interview. Descriptive statistics were used to analyze the survey responses, and interview data were coded using constructs from the information-motivation-behavioral skills model. Information deficits included: how to use the HIVST and the "window period" for sero-conversion. Motivations supporting HIVST use included: not needing to visit the clinic, fast results, easy access, and use in non-monogamous relationships. Behavioral skills discussed included: coping with a positive test, handling partner violence after a positive test, and accessing HIV services. These findings can inform the use of the HIVST for improving HIV testing rates and reducing HIV risk behavior.

Keywords: HIV self tests; High-risk; IMB model; Information–motivation–behavioral skills (IMB); Prevention; Youth.

Figures

Figure 1
Figure 1
IMB Constructs Tied to Study Activities

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Source: PubMed

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