{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:04:11Z","timestamp":1790251451205,"version":"4.1.0"},"reference-count":0,"publisher":"East African Health Research Commission","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EAHRJ"],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:p>Background: The availability of free HIV self-test kits in the community may alter people\u2019s sexual behaviours in some way. However, little evidence exists to confirm or refute this assertion. We assessed changes in sexual risk-taking behaviours among men living in a fishing community before and after participating in an HIV self-testing (HIVST) intervention.\nMethods: This was a secondary analysis of data collected as part of a large peer-led HIVST intervention for men (PEST4MEN) in two fishing communities located in Kalangala (1) and Buvuma (1) Island districts. Following a baseline interview in July 2022, enrolled men (n=400) received oral fluid-based HIV self-test kits from their peer leaders and were followed up in September 2022 (n=361) to determine use. Data were collected on socio-demographic and behavioural characteristics using a structured questionnaire, configured in the KoboCollect tool, and loaded on mobile phones. We assessed changes in the proportion of men reporting multiple (2+) sexual partners, alcohol use before sex and condom use frequency before and after HIVST. We conducted descriptive analysis using STATA (version 14.0). Comparisons between proportions were made using Pearson\u2019s chi-square test.\nResults: Of 361 men, 239 had complete HIVST and sexual behaviour data at the baseline and follow-up visits. Of these, 34.3% (n=82) were aged between 25 and 34 years with a mean age of 30.8 years (Standard Deviation: \u00b19.0). Fifty-six percent (n=134) were engaged in fishing or fishing-related activities. The proportion of men reporting multiple sexual partners reduced significantly from 52.3% (n=125) to 42.3% (n=101), P=.0279. However, there was a non-significant increase in condom use at last sex (from 17.2%, n=41, to 18.4%, n=44; P=.7197) and alcohol use before sex (from 10.0%, n=24, to 11.7%, n=28; P=.5568). Consistent condom use reduced somewhat between the two study visits (from 10.0%, n=24, to 8.0%, n=19; P=.4241).\nConclusion: The proportion of men reporting multiple sexual partnerships reduced significantly between the two study visits. However, this reduction was not observed in the other sexual risk behaviours. These findings suggest a need for integrating sexual risk-reduction messages into HIVST interventions in order to reduce sexual risk-taking behaviors among potential users of HIV self-test kits.<\/jats:p>","DOI":"10.24248\/eahrj.v9i1.824","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T10:55:24Z","timestamp":1762858524000},"page":"66-77","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Sexual Risk-taking Behaviours Among Men After Participating in the PEST4MEN HIV Self-Testing Intervention in Two Fishing Communities in Central Uganda"],"prefix":"10.24248","volume":"9","author":[{"name":"Department of Community and Public Health, Busitema University, Faculty of Health Sciences, Mbale, Uganda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph K.B.","family":"Matovu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Namazzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10345","published-online":{"date-parts":[[2025,9,30]]},"container-title":["East African Health Research Journal"],"original-title":[],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:14:33Z","timestamp":1790248473000},"score":1,"resource":{"primary":{"URL":"https:\/\/eahrj.eahealth.org\/journal\/article\/view\/279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,9,30]]},"published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.24248\/eahrj.v9i1.824","relation":{},"ISSN":["2520-5277","2520-5285"],"issn-type":[{"value":"2520-5277","type":"print"},{"value":"2520-5285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,30]]}}}