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Assisted Partner Notification and Uptake of HIV Testing among Men Who Have Sex with Men: A Randomized Controlled Trial in China.

作者信息

Hu Qing-Hai, Qian Han-Zhu, Li Jia-Ming, Leuba Sequoia I, Chu Zhen-Xing, Turner DeAnne, Ding Hai-Bo, Jiang Yong-Jun, Vermund Sten H, Xu Jun-Jie, Shang Hong

机构信息

NHC Key Laboratory of AIDS Immunology (China Medical University), National Clinical Research Center for Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang, China.

Key Laboratory of AIDS Immunology, Chinese Academy of Medical Sciences, Shenyang, China.

出版信息

Lancet Reg Health West Pac. 2021 Jun 10;12:100171. doi: 10.1016/j.lanwpc.2021.100171. eCollection 2021 Jul.


DOI:10.1016/j.lanwpc.2021.100171
PMID:34527967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8356101/
Abstract

BACKGROUND: Assisted partner notification (PN) is an effective approach for increasing HIV testing among heterosexual partners. There is sparse evidence on its effect among sexual partners of men who have sex with men (MSM). METHODS: A randomized controlled trial was conducted to compare the effect of assisted PN and passive PN interventions on uptake of HIV testing among male and female sexual partners of newly HIV-diagnosed MSM. In the passive PN group, participants were encouraged to disclose their HIV status and refer and persuade sexual partners to access HIV testing services (HTS). In the assisted PN group, participants were further provided with HIV self-testing kits for sexual partners to take a test at home or allow a community health worker from MSM-serving community-based organization (CBO) to anonymously refer and persuade their sexual partners to access HTS. The primary outcome was the proportion of index cases who had any sexual partner accessing HTS within four months after randomization. This trial is registered with chictr.org.cn, ChiCTR1800017813. FINDINGS: Between August 2017 and January 2019, 187 MSM newly diagnosed with HIV in a large city Shenyang in northern China were enrolled in the study and randomly assigned to either passive PN (n=90) or assisted PN (n=97) study groups. The proportion of index cases who disclosed their HIV status to any sexual partners within three months of randomization was similar between passive PN (57%, 95% confidence interval [CI]: 46-67%) and assisted PN groups (58%, 95% CI: 48-68%). During four months of follow-up, the number of sexual partners named, referred to HTS, tested and testing positive per index case was 3•2, 0•7, 0•2 and 0•03 in the passive PN group, and 4•0, 1•0, 0•5 and 0•10 in the assisted PN group. Thirty-five percent of index cases in the assisted PN group had any sexual partners accessing HIV testing compared to 17% in the passive PN group (P = 0•004); 49% sexual partners who were disclosed by index cases in the assisted PN group had access HTS compared to 28% in the passive PN group (P = 0•007). INTERPRETATION: The assisted PN strategy incorporating HIV self-testing and CBO outreach can increase uptake of HIV testing among sexual partners of MSM who were recently diagnosed with HIV. FUNDING: National Science and Technology Major Project of China, National Natural Science Foundation of China, and Project for Overseas Visiting Research of Liaoning Province.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/fc15c984d06b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/b755af480546/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/c250de321e7e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/ceac1c5d4082/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/d561610abc92/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/fc15c984d06b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/b755af480546/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/c250de321e7e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/ceac1c5d4082/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/d561610abc92/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed0/8356101/fc15c984d06b/gr5.jpg

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[3]
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[4]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Impact of providing free HIV self-testing kits on frequency of testing among men who have sex with men and their sexual partners in China: A randomized controlled trial.

PLoS Med. 2020-10-9

[2]
HIV testing uptake and yield among sexual partners of HIV-positive men who have sex with men in Zhejiang Province, China, 2014-2016: A cross-sectional pilot study of a choice-based partner tracing and testing package.

PLoS One. 2020-6-4

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Effect of facility-based HIV self-testing on uptake of testing among outpatients in Malawi: a cluster-randomised trial.

Lancet Glob Health. 2020-2

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Curr HIV/AIDS Rep. 2019-12

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J Int AIDS Soc. 2019-7

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HIV Partner Notification Across Different Sexual Partner Types Among Men Who Have Sex with Men in Guangzhou, China.

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AIDS Care. 2019-8

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Community-Based Organization Adaptations to the Changing HIV Prevention and Care Landscape in the Southern United States.

AIDS Educ Prev. 2018-12

[9]
A health communication intervention to integrate partner testing with antiretroviral therapy service among men who have sex with men in China: an observational cohort study.

BMC Public Health. 2018-11-6

[10]
Opportunities and challenges for HIV self-testing in China.

Lancet HIV. 2018-11

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