Graduate School of Public Health, Center for LGBT Health Research, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
AIDS Behav. 2019 Jun;23(6):1580-1585. doi: 10.1007/s10461-018-2347-3.
Kenya has been home to one of the most severe HIV/AIDS epidemics in Sub-Saharan Africa. This persistent epidemic requires interventions tailored to affected populations, particularly men who have sex with men (MSM). Given the resource constraints of many clinics and ecological challenges of Kenya, such as the illegality of sex among MSM, interventions to address HIV must strategically engage this population. This quasi-experimental pilot study of N = 497 sought to explore differences in discovering previously unknown HIV-positive MSM in Nairobi, Kenya. The study used four clinical sites to compare a social and sexual network index testing (SSNIT) strategy compared to traditional HIV screening. Clinics using the SSNIT strategy had significantly higher incidence rates of HIV diagnoses than control clinics (IRR = 3.98, p < 0.001). This study found that building upon the social and sexual networks of MSM may be one promising strategy while discovering critical cases of HIV.
肯尼亚是撒哈拉以南非洲地区艾滋病毒/艾滋病疫情最严重的国家之一。这种持续存在的疫情需要针对受影响人群，特别是男男性接触者（MSM）采取有针对性的干预措施。鉴于许多诊所的资源有限以及肯尼亚存在的生态挑战，如 MSM 之间的性行为不合法，解决艾滋病毒问题的干预措施必须战略性地让这一人群参与进来。本研究对 497 名参与者进行了准实验性试点研究，旨在探讨在肯尼亚内罗毕发现以前未知的 HIV 阳性 MSM 方面的差异。该研究使用了四个临床地点，将社会和性网络索引检测（SSNIT）策略与传统的 HIV 筛查进行了比较。采用 SSNIT 策略的诊所 HIV 诊断的发病率明显高于对照组（IRR=3.98，p<0.001）。本研究发现，在发现关键的 HIV 病例时，利用 MSM 的社会和性网络可能是一种很有前途的策略。
