一项评价基于家庭的 HIV 自我检测并结合在线咨询对男男性行为者中 HIV 检测促进效果的随机对照试验
A Randomized Controlled Trial Evaluating Efficacy of Promoting a Home-Based HIV Self-Testing with Online Counseling on Increasing HIV Testing Among Men Who Have Sex with Men.
机构信息
Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China.
出版信息
AIDS Behav. 2018 Jan;22(1):190-201. doi: 10.1007/s10461-017-1887-2.
We developed an innovative home-based HIV self-testing (HIVST) service that included mailing of a free HIVST kit, and providing online real-time instructions and pre-test/post-test counseling (HIVST-OIC). The present parallel-group and non-blinded randomized controlled trial was conducted to evaluate the efficacy of promoting HIVST-OIC in increasing HIV testing rate among 430 men who have sex with men (MSM), with access to online live-chat applications in Hong Kong. At month 6, as compared to the control group, the intervention group reported significantly higher prevalence of HIV testing of any type (89.8 vs. 50.7%; relative risk (RR): 1.77; p < 0.001). Among those who have taken up any HIV testing in the last six months, significant between-group difference was found in multiple male sex partnerships (34.2 vs. 47.7%, RR: 0.72; p = 0.021). HIVST-OIC has a strong potential in increasing prevalence of HIV testing and reducing sexual risk behaviors. Implementation research is warranted.
我们开发了一种创新的基于家庭的 HIV 自我检测（HIVST）服务，包括邮寄免费的 HIVST 检测包，并提供在线实时指导和检测前/后咨询（HIVST-OIC）。本平行组和非盲随机对照试验旨在评估在香港，通过在线实时聊天应用程序，推广 HIVST-OIC 是否能提高 430 名男男性行为者（MSM）的 HIV 检测率。在 6 个月时，与对照组相比，干预组报告的任何类型 HIV 检测的流行率显著更高（89.8%比 50.7%；相对风险（RR）：1.77；p<0.001）。在过去 6 个月内接受过任何 HIV 检测的人群中，在多个男性性伴侣关系方面，组间差异显著（34.2%比 47.7%，RR：0.72；p=0.021）。HIVST-OIC 在提高 HIV 检测率和减少性风险行为方面具有很大的潜力。需要进行实施研究。
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