Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study.

Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study.
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DOI:
10.1007/s10461-019-02763-7
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发表时间:
2020-06
期刊:
影响因子:
4.4
通讯作者:
Febo I
Febo I
中科院分区:
医学2区
文献类型:
--
作者:
Carballo-Diéguez A;Giguere R;Balán IC;Brown W 3rd;Dolezal C;Leu CS;Lopez Rios J;Sheinfil AZ;Frasca T;Rael CT;Lentz C;Crespo R;Iribarren S;Cruz Torres C;Febo I

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ISUM(“我会告诉你我的”)是一项随机对照试验,其中 272 名纽约州纽约市 (NYC) 和波多黎各圣胡安 (SJU) 的 272 名与男性发生性行为的跨性别女性和男性被分配到干预组 (n=136),其中他们可以使用免费的 HIV 自我检测 (ST) 试剂盒,或分配到对照组 (n=136)。该试验旨在确定干预组是否会使用 ST 来筛查性伴侣,以及与血清不一致或身份未知的伴侣​​进行无套肛交 (CAI) 的次数是否少于对照组。干预组的 CAI 次数平均减少 10 次(32%);尽管具有临床相关性,但这种差异未达到统计学显着性。在纽约市 (n=166),干预参与者的 CAI 次数明显减少,而在 SJU (n=106),他们报告的 CAI 次数并没有显着增加。研究期间,两场毁灭性飓风袭击了 SJU,可能对结果产生了不可估量的影响。
ISUM (“I’ll show you mine”) was a randomized controlled trial in which 272 transgender women and men who have sex with men in New York, NY (NYC) and San Juan, Puerto Rico (SJU) were assigned to an intervention group (n=136), in which they had access to free HIV self-testing (ST) kits, or to a control group (n=136). The trial aimed to determine whether the intervention group would use ST to screen sexual partners and have fewer condomless anal intercourse (CAI) occasions with serodiscordant or unknown status partners than the control group. The intervention group had on average 10 (32%) fewer CAI occasions; though clinically relevant, this difference fell short of statistical significance. In NYC (n=166) intervention participants had significantly fewer CAI occasions, whereas in SJU (n=106) they reported non-significantly more CAI occasions. Two devastating hurricanes hit SJU during the study and may have impacted results in unmeasured ways.
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