A qualitative study on the relationship between use of smartphone APP to query HIV rapid test results and risky behaviors among MSM in Tianjin Municipality
Objective To understand the reasons why men who have sex with men(MSM)in Tianjin Municipality query HIV rapid test results via a smartphone APP,and to analyze the relationship between query results and risky behaviors.Methods Participants were recruited through Tianjin social organization.MSM who had received rapid HIV antibody testing at the organization and had queried the results on the WeChat official account were enrolled in the study.One-on-one,face-to-face,in-depth interviews were conducted to collect information such as their HIV testing history,history of test result queries on the WeChat official account,MSM behavioral characteristics,and history of psychoactive substance use in the past year.All interview recordings were transcribed and analyzed using Nvivo 12.0.Results A total of 16 MSM aged 19-42 years were interviewed,and the frequency of querying for rapid test results ranged from 2 to 12 times in the past 3 months.All 16 MSM reported that the purpose of querying rapid HIV test results using a smartphone APP was to indicate their health status to their sexual partners.15 of the 16 interviewees had regular sexual partners,while 13 had casual sexual partners.The majority of the MSM with regular partners(13/15)had condomless sex and used psychotropic substances during sex with their regular partners after querying.They believed the query confirmed the negative status of their regular partners and trusted their partners,and cited concerns that condoms would reduce sexual enjoyment and pleasure,leading to a decision not to use condoms and in favour of psychotropic substances.Conversely,the majority of MSM with casual partners(11/13)continued to advocate for condom use and refrained from psychotropic substances during sexual encounters with casual partners post-query.Their decisions stemmed from mistrust in their casual partners'health status and the understanding that a negative result might not eliminate the possibility of a window period.Therefore,they maintained that condom use was essential,also noting it would lessen the risk of other sexually transmitted infections.Conclusions Condomless sex and psychotropic substance use occur during sex with regular partners after MSM query HIV test results.Therefore,when promoting APP testing and result notification in the future,special attention should be given to comprehensive intervention programs for MSM with regular sexual partners.
men who have sex with men(MSM)rapid HIV testingHIV result queryrisky behaviorscondom usepsychotropic substance use
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