Division of HIV Prevention, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Atlanta, GA.
Department of Epidemiology, Emory University, Rollins School of Public Health, Atlanta, GA.
J Acquir Immune Defic Syndr. 2024 Oct 1;97(2):133-141. doi: 10.1097/QAI.0000000000003476.
We evaluated internet platforms for distributing HIV self-tests (HIVSTs) to Black or African American (Black) and Hispanic or Latino men who have sex with men (MSM) and transgender women (TGW).
We recruited MSM and TGW from general interest, dating, and lesbian, gay, bisexual, and transgender platforms. Two HIVSTs were mailed to all MSM and TGW. Surveys (screening, baseline, 4-month, and results reporting) were completed online. After 4 months, participants were mailed another HIVST and a dried blood spot card. All HIVST interpretations and images of HIVST devices were reported online.
Of 2093 MSM and 102 TGW, most were recruited through general interest and dating platforms. Over 50% were 18-29 years old, most identified as gay or bisexual. Overall, 45% had not tested for HIV in the past 12 months, and 9.1% of MSM reported a positive (reactive for HIV antibodies) HIVST result, with the highest percentage among Black MSM (11.5%). Dating platforms recruited higher percentages of MSM who recorded positive results compared with MSM from general interest platforms during the intervention period (11.9% vs 5.5% (P < 0.0001)), and MSM who had never tested for HIV reported a greater percentage of positive HIVST results compared with MSM who had been tested for HIV before enrollment (16.1% vs. 7.1%; P < 0.0001). MSM were able to correctly interpret and report HIVST results. Of TGW, 7% reported a positive HIVST result.
Internet dating and general interest platforms can be key to increasing awareness of infection among BMSM, HMSM, and TGW persons, including those who do not use existing HIV services.
www.clinicaltrials.gov Identifier: NCT04219878.
我们评估了互联网平台在向黑人和非裔美国男性（黑人）、男男性行为者（MSM）和跨性别女性（TGW）分发艾滋病毒自检（HIVST）方面的效果。
我们从一般性兴趣、约会和男女同性恋、双性恋、变性人平台招募 MSM 和 TGW。所有 MSM 和 TGW 都邮寄了两份 HIVST。通过在线完成调查（筛查、基线、4 个月和结果报告）。4 个月后，参与者又收到了一份 HIVST 和一张干血斑卡。所有 HIVST 解释和 HIVST 设备图像都在线报告。
在 2093 名 MSM 和 102 名 TGW 中，大多数是通过一般性兴趣和约会平台招募的。超过 50%的人年龄在 18-29 岁之间，大多数人认为自己是同性恋或双性恋。总体而言，45%的人在过去 12 个月内没有接受过 HIV 检测，9.1%的 MSM 报告 HIVST 结果呈阳性（HIV 抗体反应阳性），其中黑人 MSM 的比例最高（11.5%）。与一般性兴趣平台相比，在干预期间，约会平台招募的记录阳性结果的 MSM 比例更高（11.9%比 5.5%（P < 0.0001）），与以前接受过 HIV 检测的 MSM 相比，从未接受过 HIV 检测的 MSM 报告的阳性 HIVST 结果比例更高（16.1%比 7.1%；P < 0.0001）。MSM 能够正确解释和报告 HIVST 结果。在 TGW 中，7%报告 HIVST 结果呈阳性。
互联网约会和一般性兴趣平台可以成为提高 BMSM、HMSM 和 TGW 人群对感染的认识的关键，包括那些不使用现有 HIV 服务的人群。
www.clinicaltrials.gov 标识符：NCT04219878。
