A Peer-Led Online Community to Increase HIV Self-Testing Among African American and Latinx MSM: A Randomized Controlled Trial.
A Peer-Led Online Community to Increase HIV Self-Testing Among African American and Latinx MSM: A Randomized Controlled Trial.
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DOI:
10.1097/qai.0000000000002919
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发表时间:
2022-05-01
期刊:
影响因子:
--
通讯作者:
Coates T
中科院分区:
文献类型:
--
作者:
Young SD;Cumberland WG;Singh P;Coates T
We sought to assess the effectiveness of using a peer-led online community to increase HIV self-testing among Latinx and African American men who have sex with men (MSM). Randomized controlled trial Throughout 6 waves, between February 18, 2017 and January 8, 2021, 900 HIV negative and/or serostatus unknown Los Angeles-based MSM (68.9% Latinx, 16.0% African American, 7.4% White) participated in an online 12-week HIV prevention randomized controlled trial. 79 trained role models (peer leaders) were randomly assigned to participants within clusters to build trust and deliver HIV testing information on Facebook groups. Participants in control groups were assigned to groups without peer leaders. Participants were not required to respond to peer leaders or to remain group members. Participants completed self-report assessments at baseline and 12-week follow-up and could receive a free HIV self-testing kit during the study period. Compared to control group participants, intervention group participants were significantly more likely to accept the offer for the HIV self-testing kit (intervention 130 of 450, 29%; control 102 of 450, 22.7%; OR = 1.43, 95% CI [1.04, 1.95], p = .03), report having taken an HIV self-test within the past 3 months (OR = 1.47, 95% CI [1.01, 2.13], p = 0.04), and report drinking fewer glasses of alcohol in an average week (p = 0.01). Effects appeared concentrated within later study waves. Study retention was greater than 93%. A peer-led online community appears to be an effective method of increasing HIV self-testing among MSM of color. We discuss the implications of the wave effects on public health research and policy.
影响因子:
4.4
作者:
Young, Sean D.
通讯作者:
Young, Sean D.