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Psychosocial Impact of Repeat HIV-Negative Testing: A Follow-Up Study

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Continued sexual risk behavior following repeatedly testing HIV-negative in the Polaris HIV Seroconversion Study (Ontario, Canada) led to this follow-up study which identifies the impact of repeat negative testing among 64 men and women. Repeat HIV-negative testing frequently results in confusion as to what constitutes risk and occasionally to thoughts of HIV immunity. Narrative accounts include beliefs that monogamy constitutes safety from HIV, that psychosocial factors other than repeatedly testing negative leads to risk, and that sexual risk reduction is unsustainable. In conclusion, the repeat negative test experience for some neither clarifies risk behavior nor reinforces sustained risk reduction.

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REFERENCES

  • Berger, P., and Luckmann, T. (1966). The social construction of reality. New York: Doubleday.

    Google Scholar 

  • Burchell, A., Ryder, K., Haubrich, D. J., Myers, T., Calzavara, L., Medved, W., and The Polaris Study Team. (2003, April). Understanding repeat HIV-negative testing and subsequent infection. Paper presented at the 12th Annual Canadian Conference on HIV/AIDS Research, Halifax, Nova Scotia, Canada. Abstract published in the Canadian Journal of Infectious Diseases, 14(Suppl. A), abstract 207.

    Google Scholar 

  • Calzavara, L., Burchell, A. N., Major, C., Remis, R. S., Corey, P., Myers, T., Millson, P., and Wallace, E. (2002). Increases in HIV incidence among men who have sex with men undergoing repeat diagnostic HIV testing in Ontario, Canada. AIDS, 16, 1655–1661.

    Article  PubMed  Google Scholar 

  • Canadian Medical Association, Expert Working Group on HIV Testing. (1995). Counselling guidelines for HIV testing. Ottawa. Retrieved August 10, 2004, from http://www.hivpositive.com/fTestingHIV/CanadaGuidelines/prelim.htm.

  • Dilley, J. W., Woods, W. J., Sabatino, J., Lihatsh, T., Adler, B., Casey, S., Rinaldi, J., Brand, R., and McFarland, W. (2002). Changing sexual behavior among gay male repeat testers for HIV. Journal of Acquired Immune Deficiency Syndromes, 30, 177–186.

    PubMed  Google Scholar 

  • Fisher, J. D., Del Gado, B. P., Melchreit, R., and Spurlock-McLendon, J. (2002). The dynamics of repeat HIV testing and interventions for repeat HIV testers. AIDS and Behavior, 6, 183–191.

    Article  Google Scholar 

  • Kalichman, S. C., Schaper, P. E., Belcher, L., Abush-Kirsh, T., Cherry, C., Williams, E. A., Nachimson, D., and Smith, S. (1997). It's like a regular part of gay life: Repeat HIV antibody testing among gay and bisexual men. AIDS Education and Prevention, 9, 41–51.

    PubMed  CAS  Google Scholar 

  • Lupton, D., McCarthy, S., and Chapman, S. (1995). ‘Doing the right thing’: The symbolic meanings and experiences of having an HIV antibody test. Social Science and Medicine, 41, 173–180.

    Article  PubMed  CAS  Google Scholar 

  • Myers, T., Orr, K., Locker, D., and Jackson, E. (1993). Factors affecting the decision and intention of gay and bisexual men to seek an HIV antibody test. American Journal of Public Health, 83, 701–704.

    Article  PubMed  CAS  Google Scholar 

  • Myers, T., Haubrich, D. J., Cockerill, R., Calzavara, L., Millson, M., Bowlby, A., Mahoney, D., Worthington, C., and Ryder, K. (1998). The HIV test experience study: An analysis of test providers' and test recipients' descriptions and critical appraisals of the HIV antibody test experience. Toronto: HIV Social, Behavioural and Epidemiological Studies Unit, University of Toronto.

    Google Scholar 

  • The Ontario Advisory Committee on HIV/AIDS. (2002) A proposed HIV/AIDS strategy for Ontario to 2008. Toronto: The Ontario Advisory Committee on HIV/AIDS.

    Google Scholar 

  • Vernon, K. A., Mulia, N., Downing, M., Knight, K., and Riess, T. (2001). “I don't know when it might pop up”: Understanding repeat HIV testing and perceptions of HIV among drug users. Journal of Substance Abuse, 13, 215–227.

    Article  PubMed  CAS  Google Scholar 

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ACKNOWLEDGMENTS

We express our gratitude to the people who participated in this study as well as to our interviewers and those who assisted with recruitment. Thank you to Jeffrey P. Aguinaldo for his comments on a previous version of this manuscript. We also wish to acknowledge our funders, the Canadian Institutes of Health Research, Health Canada (funding reference # HHP-44976) and the AIDS Bureau, Ontario Ministry of Health and Long-Term Care.

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Correspondence to Karen Ryder.

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Ryder, K., Haubrich, D.J., Callà, D. et al. Psychosocial Impact of Repeat HIV-Negative Testing: A Follow-Up Study. AIDS Behav 9, 459–464 (2005). https://doi.org/10.1007/s10461-005-9032-z

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  • DOI: https://doi.org/10.1007/s10461-005-9032-z

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