{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:15:14Z","timestamp":1790043314402,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,3]],"date-time":"2024-03-03T00:00:00Z","timestamp":1709424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR203298"],"award-info":[{"award-number":["NIHR203298"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This qualitative sub\u2010study aimed to explore how cisgender gay, bisexual, and other men who have sex with men (cis\u2010GBMSM) and transgender people who reported non\u2010consensual sex (NCS) accessed health care services, what barriers they faced, and how this experience influenced subsequent HIV testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>SELPHI is an online randomized controlled trial evaluating both acceptability and efficiency of HIV\u2010self testing among cis\u2010GBMSM and transgender people. Semi\u2010structured interviews were conducted, audio\u2010recorded, transcribed, and analysed through a framework analysis, as a qualitative sub\u2010study. We identified narratives of NCS from interviews and investigated experiences of cis\u2010GBMSM and transgender people accessing health care services following sexual assault.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 95 participants, 15 (16%) spontaneously reported NCS. Participants reported a broad range of NCS, including partner's coercive behaviours, non\u2010consensual removal of condoms, and rapes. All feared HIV transmission, leading them to test for HIV, underlining a marked lack of awareness of post\u2010exposure prophylaxis (PEP). Most had negative experiences in communicating with reception staff in sexual health clinics following these incidents. A lack of confidentiality and empathy was described in these situations of psychological distress. Clinic visits were primarily focused on testing for HIV and sexually transmitted infection, and generally no specific psychological support was offered. Getting a negative HIV result was a key step in regaining control for people who experienced NCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sexual health care providers should take care to more fully address the issue of NCS with cis\u2010GBMSM and transgender people when it arises. Recognizing and managing the emotional impact of NCS on affected patients would prevent negative experiences and increase confidence in care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13629","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T07:04:41Z","timestamp":1709535881000},"page":"746-753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Experiences with health care services and <scp>HIV<\/scp> testing after sexual assault in cisgender gay, bisexual and other men who have sex with men and transgender people"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0047-0101","authenticated-orcid":false,"given":"Romain","family":"Palich","sequence":"first","affiliation":[{"name":"University College London, Institute for Global Health, Royal Free Hospital, NHS  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8817-4651","authenticated-orcid":false,"given":"Alison J.","family":"Rodger","sequence":"additional","affiliation":[{"name":"University College London, Institute for Global Health, Royal Free Hospital, NHS  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2061-8361","authenticated-orcid":false,"given":"Emily Jay","family":"Nicholls","sequence":"additional","affiliation":[{"name":"University College London, Institute for Global Health, Royal Free Hospital, NHS  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talen","family":"Wright","sequence":"additional","affiliation":[{"name":"University College London Division of Psychiatry  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Samba","sequence":"additional","affiliation":[{"name":"The Love Tank CIC  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac Yen\u2010Hao","family":"Chu","sequence":"additional","affiliation":[{"name":"University College London, Institute for Global Health, Royal Free Hospital, NHS  London UK"},{"name":"London School of Hygiene and Tropical Medicine Department of Public Health, Environments and Society  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona M.","family":"Burns","sequence":"additional","affiliation":[{"name":"University College London, Institute for Global Health, Royal Free Hospital, NHS  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4950-6163","authenticated-orcid":false,"given":"Peter","family":"Weatherburn","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine Department of Public Health, Environments and Society  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy","family":"Trevelion","sequence":"additional","affiliation":[{"name":"HIV iBase  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"McCabe","sequence":"additional","affiliation":[{"name":"University College London, MRC Clinical Trials Unit  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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