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利用社交网络策略向非裔美国人和拉丁裔男男性行为者分发 HIV 自检工具包。

Using a Social Network Strategy to Distribute HIV Self-Test Kits to African American and Latino MSM.

机构信息

Division of Prevention Sciences, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA.

Division of Communicable Disease Control & Prevention, Alameda County Public Health Department, Oakland, CA.

出版信息

J Acquir Immune Defic Syndr. 2018 Sep 1;79(1):38-45. doi: 10.1097/QAI.0000000000001726.


DOI:10.1097/QAI.0000000000001726
PMID:29771792
Abstract

BACKGROUND: Men who have sex with men (MSM) continue to be disproportionately impacted globally by the HIV epidemic. Studies suggest that HIV self-testing (HIVST) is highly acceptable among MSM. Social network strategies to increase testing are effective in reaching MSM, particularly MSM of color, who may not otherwise test. We tested a social network-based strategy to distribute HIVST kits to African American MSM (AAMSM) and Latino MSM (LMSM). SETTING: This study was conducted in Alameda County, California, a large, urban/suburban county with an HIV epidemic mirroring the national HIV epidemic. METHODS: From January 2016 to March 2017, 30 AAMSM, LMSM, and transgender women were trained as peer recruiters and asked to distribute 5 self-test kits to MSM social network members and support those who test positive in linking to care. Testers completed an online survey after their test. We compared peer-distributed HIVST testing outcomes to outcomes from Alameda County's targeted, community-based HIV testing programs using χ tests. RESULTS: Peer-distributed HIVST to 143 social and sexual network members, of whom 110 completed the online survey. Compared with MSM who used the County's sponsored testing programs, individuals reached through the peer-based self-testing strategy were significantly more likely to have never tested for HIV (3.51% vs. 0.41%, P < 0.01) and to report a positive test result (6.14% vs. 1.49%, P < 0.01). CONCLUSION: Findings suggest that a network-based strategy for self-test distribution is a promising intervention to increase testing uptake and reduce undiagnosed infections among AAMSM and LMSM.

摘要

背景:男男性行为者(MSM)在全球范围内继续受到艾滋病流行的不成比例影响。研究表明,HIV 自我检测(HIVST)在 MSM 中高度可接受。利用社交网络策略增加检测是接触 MSM 的有效方法,特别是那些可能不会接受检测的有色人种男男性行为者(MSM)和拉丁裔 MSM(LMSM)。我们测试了一种基于社交网络的策略,向非裔美国男男性行为者(AAMSM)和拉丁裔男男性行为者(LMSM)分发 HIVST 检测包。

地点:本研究在加利福尼亚州阿拉米达县进行,该县是一个拥有大型城市/郊区的县,其艾滋病流行情况与全国艾滋病流行情况相似。

方法:从 2016 年 1 月到 2017 年 3 月,30 名 AAMSM、LMSM 和跨性别女性接受了同伴招募培训,并被要求向 MSM 社交网络成员分发 5 个自我检测包,并支持那些检测呈阳性的人联系护理。测试者在测试后完成了在线调查。我们使用 χ 检验比较了同伴分发 HIVST 检测结果与阿拉米达县有针对性的基于社区的 HIV 检测项目的结果。

结果:向 143 名社交和性网络成员分发了同伴分发的 HIVST,其中 110 人完成了在线调查。与使用县资助检测项目的 MSM 相比,通过基于同伴的自我检测策略接触到的个体从未接受过 HIV 检测的可能性显著更高(3.51%比 0.41%,P<0.01),并且报告阳性检测结果的可能性也更高(6.14%比 1.49%,P<0.01)。

结论:研究结果表明,基于网络的自我检测分发策略是一种有前途的干预措施,可以提高检测率,并减少 AAMSM 和 LMSM 中的未确诊感染。

相似文献

[1]
Using a Social Network Strategy to Distribute HIV Self-Test Kits to African American and Latino MSM.

J Acquir Immune Defic Syndr. 2018-9-1

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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J Acquir Immune Defic Syndr. 2018-3-1

[10]
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引用本文的文献

[1]
An Enhanced Social Network Strategy to Increase the Uptake of HIV Services: Protocol for Type I Hybrid Implementation Study (Carolinas RESPOND).

JMIR Public Health Surveill. 2025-8-29

[2]
HIV Prevention Continuum Outcomes Following Implementation of a Municipal HIV Self-Testing Program.

AIDS Behav. 2025-8-14

[3]
Pay-it-forward and social network distribution to increase doxycycline post-exposure prophylaxis uptake among men who have sex with men and transgender women in China: study protocol for a three-arm randomised controlled trial.

BMJ Open. 2025-8-12

[4]
The peer paradox: Perspectives from HIV service providers to inform the implementation of an enhanced social network strategy for black sexual and gender minorities-a qualitative study.

Implement Sci Commun. 2025-4-23

[5]
Social and sexual networks of newly diagnosed people living with HIV: a qualitative social network analysis.

BMC Public Health. 2025-2-15

[6]
A Comparison of Mobile Social Media Promotion and Volunteer-Driven Strategies for Community Organizations Recruiting Men Who Have Sex with Men for HIV Testing in Zhejiang Province, China: Cross-Sectional Study Based on a Large-Scale Survey.

J Med Internet Res. 2025-2-13

[7]
Peer-Led Adjunctive Interventions for Increasing the Reach of HIV Prevention and Care Interventions to Latino/x/e Men Who Have Sex with Men: a Scoping Review.

Curr HIV/AIDS Rep. 2025-1-7

[8]
HIV risk and influence factors among MSM who had sought sexual partners in core venues: a continuous sentinel surveillance in 2010-2022.

Front Public Health. 2024-12-16

[9]
Integration of a social network strategy into index testing to increase HIV case finding among Haitian migrants and their descendants in the Dominican Republic.

BMC Infect Dis. 2024-11-21

[10]
Innovation and implementation determinants of HIV testing and linkage-to-care in the U.S.: a systematic review.

Implement Sci Commun. 2024-10-8

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