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改善艾滋病毒自我检测的社交网络干预措施:性行为披露在中国男男性行为者中的作用。

Improving HIV Self-Testing Social Network Interventions: The Role of Sexual Behavior Disclosure Among Chinese Men Who Have Sex with Men.

作者信息

Kumar Navin, Forastiere Laura, Janmohamed Kamila, Yang Fan, Zhang Tiange, Sha Yongjie, Tucker Joseph D, Tang Weiming, Alexander Marcus

机构信息

Human Nature Laboratory, Department of Sociology, Yale University, 210 Prospect St, New Haven, CT, 06511, USA.

Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA.

出版信息

AIDS Behav. 2021 Jun;25(6):1984-1992. doi: 10.1007/s10461-020-03128-1. Epub 2021 Jan 20.


DOI:10.1007/s10461-020-03128-1
PMID:33471242
Abstract

We assessed if same-sex sexual behavior disclosure of index men who have sex with men (MSM) was related to number of HIV self-testing (HIVST) kits requested by index participants, and number of test results successfully uploaded by alters in a network-based HIVST intervention. Index participants are men who accessed and distributed HIVST kits and alters are index's social contacts who received kits. We analyzed treatment arm data [N = 106, mean age = 27 (SD = 5.3)] of an intervention conducted among MSM in Guangzhou, China, May 2019-December 2019. Index MSM who disclosed sexual behavior to their family tended to request more kits [adjusted incidence rate ratio (aIRR) 1.42, 95% CI 1.06, 1.90, p < .05]. Index men who disclosed sexual behavior to their family (aIRR 2.47, 95% CI 1.17, 5.24, p < .05) tended to yield an increase in number of alter test results uploaded. Findings have implications for the development of network-based interventions for key populations.

摘要

我们评估了男男性行为者(MSM)中作为索引参与者的男同性恋者的同性性行为披露情况是否与索引参与者请求的HIV自我检测(HIVST)试剂盒数量,以及在基于网络的HIVST干预中其社交联系人成功上传的检测结果数量相关。索引参与者是获取和分发HIVST试剂盒的男性,而社交联系人是接收试剂盒的索引参与者的社会关系人。我们分析了2019年5月至2019年12月在中国广州对男男性行为者进行的一项干预措施的治疗组数据[N = 106,平均年龄 = 27(标准差 = 5.3)]。向家人披露性行为的索引男男性行为者往往会请求更多试剂盒[调整发病率比(aIRR)1.42,95%置信区间1.06,1.90,p < 0.05]。向家人披露性行为的索引男性(aIRR 2.47,95%置信区间1.17,5.24,p < 0.05)往往会使社交联系人上传的检测结果数量增加。研究结果对为关键人群开发基于网络的干预措施具有启示意义。

相似文献

[1]
Improving HIV Self-Testing Social Network Interventions: The Role of Sexual Behavior Disclosure Among Chinese Men Who Have Sex with Men.

AIDS Behav. 2021-6

[2]
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PLoS Med. 2022-2

[3]
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JMIR Public Health Surveill. 2024-4-24

[4]
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PLoS Med. 2020-10-9

[5]
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J Med Internet Res. 2021-10-26

[6]
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AIDS Behav. 2023-5

[7]
Sexual network distribution of HIV self-testing kits: Findings from the process evaluation of an intervention for men who have sex with men in China.

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[8]
Effectiveness of sexual health influencers identified by an ensemble machine learning model in promoting secondary distribution of HIV self-testing among men who have sex with men in China: study protocol for a quasi-experimental trial.

BMC Public Health. 2021-9-28

[9]
Internet-Based HIV Self-Testing Among Men Who Have Sex With Men Through Pre-exposure Prophylaxis: 3-Month Prospective Cohort Analysis From China.

J Med Internet Res. 2021-8-27

[10]
Effectiveness of the secondary distribution of HIV self-testing with and without monetary incentives among men who have sex with men living with HIV in China: study protocol for a randomized controlled trial.

BMC Infect Dis. 2023-3-14

引用本文的文献

[1]
Crowdsourced Partner Services Among Men Who Have Sex With Men Living With HIV: A Pilot Randomized Controlled Trial in China.

Sex Transm Dis. 2024-10-1

[2]
Factors Associated with the First-time HIV Testing Among Chinese men who have sex with men Who Received HIV Self-tests from Partners or Friends.

AIDS Behav. 2024-2

[3]
Research Progress in the Epidemiology of HIV/AIDS in China.

China CDC Wkly. 2021-11-26

[4]
Blocking and being blocked on gay dating apps among MSM attending a sexual health clinic: an observational study.

BMC Public Health. 2021-11-19

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