A Randomized Controlled Trial to Evaluate the Relative Efficacy of Enhanced Versus Standard Voluntary Counseling and Testing on Promoting Condom Use among Men Who Have Sex with Men in China
A Randomized Controlled Trial to Evaluate the Relative Efficacy of Enhanced Versus Standard Voluntary Counseling and Testing on Promoting Condom Use among Men Who Have Sex with Men in China
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DOI：
10.1007/s10461-012-0141-1
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发表时间：
2012-07-01
影响因子：
4.4
通讯作者：
Lau, Joseph T. F.
中科院分区：
文献类型：
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作者：
Hao, Chun;Huan, Xiping;Lau, Joseph T. F.
随机对照试验研究了增强（EVCT）与标准（SVCT）自愿咨询和检测在减少中国男男性行为者（MSM）无保护肛交（UAI）方面的相对有效性。295名受试者通过受访者驱动的抽样方法被随机分配到两个组。除了SVCT之外，EVCT组还观看了由HIV阳性MSM讲述的基于理论的视频，获得了增强的咨询和提醒礼物。与SVCT组相比，EVCT组报告与任何男性性伴侣发生UAI的患病率较低（48.4%对66.7%，RR = 0.7，ARR =-18.3%，ARR = 0.010）和固定男性性伴侣（52.2% vs 68.9%，RR = 0.8，ARR =-16.7%，= 0.043），而基线组间差异无统计学意义。组间HIV/梅毒发病率差异无统计学意义。应进行转化研究，将EVCT等非密集型增强功能整合到常规测试服务中。
The randomized controlled trial investigated the relative efficacy of an enhanced (EVCT) versus standard (SVCT) voluntary counseling and testing in reducing unprotected anal intercourse (UAI) among men who have sex with men (MSM) in China. 295 participants who recruited by respondent driven sampling methods were randomly allocated to the two arms. In addition to the SVCT, the EVCT group watched a theory-based video narrated by a HIV positive MSM, received enhanced counseling and a reminder gift. As compared to the SVCT group, the EVCT group reported lower prevalence of UAI with any male sex partners (48.4% versus 66.7%, RR = 0.7, ARR = -18.3%, = 0.010) and with regular male sex partners (52.2% versus 68.9%, RR = 0.8, ARR = -16.7%, = 0.043) at Month 6, whilst baseline between-group differences were statistically non-significant. Between-group differences in HIV/syphilis incidence were statistically non-significant. Translational research should be conducted to integrate non-intensive enhancements such as the EVCT into regular testing services.