A pilot Peer Mentor intervention that trains Black MSM to use and promote uptake of HIV/STI self-testing to peers and sex partners.

项目摘要 与男性发生性关系的黑人男子（BMSM）在艾滋病毒护理级联中经历了不平等， 有证据表明，性传播感染（STI）是促成因素之一。自测试 技术提供了便利和隐私，并解决了基于诊所的测试的障碍， 为MSM所接受。尽管有这些潜在的好处和愿意使用免费自助服务的报告， 由于对测试准确性的担忧，对测试的恐惧， 收集样本、低风险认知和咨询意愿。研究还表明，BMSM报告 愿意向同龄人分发自我检测工具包，但需要采取干预措施， 包括：害怕同伴的反应和预期对关系的负面影响。在拟议的研究中，我们将 测试一个3节课的干预，培训BMSM作为同伴导师使用艾滋病毒和性传播感染（淋病，衣原体和 梅毒）自我检测，并促进同龄人和性伴侣的了解。研究的目的是审查可行性， 干预的范围和初步效果。我们将研究促进者和同行外展的障碍， 被转介到自我测试网站的同龄人和性伴侣的人数，他们的测试和风险特征， 在BMSM及其同伴/性伴侣中进行自我检测。我们将招募140名BMSM， 随机分配到同伴导师干预或自我测试网站。BMSM入选标准 是：（a）自我报告的男性性别，（B）在过去6个月内与>1名男性发生无安全套肛交，（c）黑人，（d） 年龄在17岁或以上（根据FDA批准的艾滋病毒口服测试试剂盒年龄），（e）每周至少使用一次互联网。 BMSM在这两种情况下将给予优惠券与自我测试网站链接和独特的登录代码， 给同龄人/性伴侣（17岁或以上）。访问该网站的同龄人/性伴侣将提供同意， 完成基于网络的基线调查，以评估艾滋病毒和性传播感染检测史和性风险行为，并将 能够要求邮寄自我检测试剂盒。BMSM和他们的同龄人/性伴侣将完成3个月的 后续调查，以评估艾滋病毒和/或性传播感染与护理的联系，自我检测规范的变化， 到PrEP和性风险。

Project Summary Black men who have sex with men (BMSM) experience disparities along the HIV care cascade and there is evidence that sexually transmitted infections (STI) are one of the contributing factors. Self-testing technologies offer convenience and privacy and address barriers to clinic-based testing and has been shown to be well accepted by MSM. Despite these potential benefits and reports of willingness to use free self- testing, uptake has been low due to barriers such as concerns about accuracy of the tests, apprehension to collect specimens, low risk perception and desire for counseling. Studies have also shown that BMSM report willingness to distribute self-testing kits to peers, yet interventions are needed to address barriers which include: fear of peer reactions and anticipated negative effects on relationships. In the proposed study, we will test a 3 session intervention that trains BMSM as Peer Mentors to use HIV and STI (gonorrhea, chlamydia and syphilis) self-testing and promote uptake to peers and sex partners. Study aims are to examine feasibility, reach and preliminary efficacy of the intervention. We will examine facilitators and barriers to peer outreach, number of peers and sex partners referred to the self-testing website, their testing and risk characteristics and uptake of self-testing among BMSM and their peers/sex partners. We will enroll 140 BMSM who will be randomly assigned to the Peer Mentor intervention or self-testing website only. Inclusion criteria for BMSM are: (a) self-report male sex, (b) condomless anal sex with >1 male in the prior 6 months, (c) Black race, (d) aged 17 or older (based on FDA approved age of HIV oral test kit), (e) internet use at least once a week. BMSM in both conditions will be given coupons with the self-testing website link and unique log-in codes to give to peers/sex partners (aged 17 or older). Peers/sex partners who access the website will provide consent, complete a web-based baseline survey to assess HIV and STI testing history and sexual risk behavior and will be able to request self-test kits to be mailed. BMSM and their peers/sex partners will complete a 3 month follow-up survey to assess HIV and/or STI linkage to care, changes in norms on self-testing, willingness to link to PrEP, and sexual risk.