Department of Psychological and Brain Sciences, The George Washington University, Washington, DC 20052, USA.
Liga Colombiana de Lucha Contra el SIDA (LigaSida), Bogotá 111311, Colombia.
Int J Environ Res Public Health. 2021 Feb 12;18(4):1811. doi: 10.3390/ijerph18041811.
Using a community-based participatory approach, we developed a film to promote HIV testing among young men who have sex with men (MSM) in Bogotá. Using a 5-step process to develop the intervention, we conducted 11 focus groups with MSM (n = 141) to receive community feedback at each step. To evaluate the intervention we recruited 300 young MSM to complete a baseline survey in December 2017. Between February-June 2018, 63 participants watched the film and completed a post-viewing survey, which showed the intervention was acceptable for the target population. Between August-December 2018, 48 MSM who watched the film and 47 who did not (control group) completed a follow-up survey. To obtain preliminary evidence of the efficacy of the intervention, we assessed the main effect of time (baseline vs. follow-up) and the interaction between time and group (intervention vs. control) on HIV testing uptake and intentions, and knowledge of HIV transmission dynamics and HIV-related rights. Knowledge of HIV rights increased from baseline to follow-up in the intervention group only. HIV Knowledge increased for both groups. HIV testing intentions increased significantly more for non-gay-identified men in the intervention group, but the overall effect of the intervention was not significant. Testing uptake did not change.
采用社区参与式方法,我们制作了一部电影,以促进波哥大男男性行为者(MSM)进行 HIV 检测。我们采用 5 步流程来开发干预措施,在每一步骤中都与 MSM 进行了 11 次焦点小组讨论,以获得社区反馈。为了评估干预措施,我们于 2017 年 12 月招募了 300 名年轻 MSM 完成基线调查。2018 年 2 月至 6 月,63 名参与者观看了电影并完成了观影后调查,结果表明该干预措施适合目标人群。2018 年 8 月至 12 月,观看了电影的 48 名 MSM 和未观看电影的 47 名(对照组)完成了随访调查。为了获得干预措施有效性的初步证据,我们评估了时间(基线与随访)的主要效应以及时间与组(干预与对照)之间的相互作用对 HIV 检测率和意愿以及对 HIV 传播动态和与 HIV 相关权利的了解的影响。仅在干预组中,HIV 权利知识从基线到随访都有所增加。两组的 HIV 知识都有所增加。非同性恋身份男性在干预组中的 HIV 检测意愿显著增加,但干预的总体效果并不显著。检测率没有变化。