通过 HIV 自我检测消除污名：纽约州为性少数群体举办的 HIV 家庭检测赠送计划。
Combating Stigma Through HIV Self-Testing: New York State's HIV Home Test Giveaway Program for Sexual Minorities.
机构信息
New York State Department of Health-AIDS Institute, Albany, New York (Mss Johnson and Flavin, Dr Chung, and Messrs Leung and Yuan); and New York City Department of Health and Mental Hygiene, New York, New York (Dr Edelstein).
出版信息
J Public Health Manag Pract. 2022;28(2):174-183. doi: 10.1097/PHH.0000000000001138.
CONTEXT
Gay, bisexual, and men who have sex with men (MSM) are disproportionately affected by the HIV/AIDS epidemic more than any other group. In New York State (NYS) outside of New York City (NYC), MSM accounted for 57% of new HIV/AIDS diagnoses in 2017. HIV/AIDS home testing initiatives have been effective at getting priority populations tested for HIV.
OBJECTIVES
The NYS Department of Health (NYSDOH) administered the HIV Home Test Giveaway (HHTG) program through social media and mobile applications popular among the priority populations to (1) promote HIV screening among gay and bisexual men, MSM, transgender (TG), and gender queer/gender nonconforming (GNC) individuals who have sex with men, and (2) identify individuals with undiagnosed HIV infection.
DESIGN/SETTING: The NYSDOH recruited participants from NYS (excluding NYC) through social media campaigns between November 2016 and January 2018. Interested individuals were directed to an online eligibility survey. Eligible participants received a coupon via e-mail for a free HIV self-test (HIVST) kit through the manufacturer's Web site. Eligible participants received a $20 to $25 Amazon online gift card if they completed a voluntary online follow-up survey regarding their test results, experiences with the HHTG, and HIV/AIDS risk behaviors. Participants were also able to request assistance from the NYSDOH with further testing and various prevention and supportive services.
PARTICIPANTS
In total, 6190 individuals participated and 3197 (52%) were eligible and received a coupon. Of the eligible, 2022 (63%) redeemed coupons for HIVST.
RESULTS
Among eligible participants, 976 (31%) reported having never been tested for HIV. On the follow-up survey, 922 (29%) participants reported having used the HIVST kit for themselves; 203 (22%) were first-time testers; and 7 (0.8%) tested HIV reactive. Of the follow-up survey participants, 761 (59%) requested assistance with various services.
CONCLUSIONS
Media campaigns were effective in promoting HIV testing among priority populations and reaching individuals who have never been tested for HIV.
背景
男同性恋、双性恋和与男性发生性关系的男性（MSM）比其他任何群体更容易受到艾滋病毒/艾滋病疫情的影响。在纽约州（NYS）除纽约市（NYC）以外的地区，2017 年 MSM 占新诊断出的艾滋病毒/艾滋病病例的 57%。艾滋病毒家庭检测计划在促使重点人群接受艾滋病毒检测方面取得了成效。
目的
纽约州卫生部（NYSDOH）通过在优先人群中流行的社交媒体和移动应用程序管理艾滋病毒家庭检测赠品（HHTG）计划，（1）促进男同性恋和双性恋男性、MSM、跨性别者（TG）和性别酷儿/非传统性别者（GNC）的艾滋病毒筛查与男性发生性关系的人，以及（2）确定未被诊断出患有艾滋病毒感染的个人。
设计/环境：NYSDOH 通过 2016 年 11 月至 2018 年 1 月期间的社交媒体活动从纽约州（不包括 NYC）招募参与者。有兴趣的个人被引导到在线资格调查。合格的参与者通过制造商的网站通过电子邮件收到免费艾滋病毒自检（HIVST）试剂盒的优惠券。如果合格的参与者完成了关于他们的测试结果、对 HHTG 的体验以及艾滋病毒/艾滋病风险行为的自愿在线后续调查，他们将获得 20 至 25 美元的亚马逊在线礼品卡。参与者还可以要求 NYSDOH 提供进一步的检测以及各种预防和支持服务。
参与者
共有 6190 人参加，3197 人（52%）符合条件并收到优惠券。在合格的参与者中，2022 人（63%）兑换了 HIVST 优惠券。
结果
在合格的参与者中，976 人（31%）报告从未接受过艾滋病毒检测。在后续调查中，922 名（29%）参与者报告自己使用了 HIVST 试剂盒；203 人（22%）是首次测试者；和 7 人（0.8%）检测出 HIV 阳性。在后续调查参与者中，761 人（59%）要求提供各种服务的帮助。
结论
媒体活动在促进重点人群的艾滋病毒检测方面取得了成效，并接触到从未接受过艾滋病毒检测的人。
Zotero 插件