Engaging African American and Latino MSM for HIV Testing and Prevention Services through Technology

摘要 男男性行为者(MSM)在美国是一个关键的危险群体，而且不成比例 在艾滋病毒流行率方面受到影响。男男性接触者所经历的不平等，尤其是布莱克和 西班牙裔男男性接触者在国家艾滋病毒艾滋病战略中得到明确承认，该战略呼吁减少差异 男男性接触者，尤其是有色人种。艾滋病毒检测是艾滋病毒综合预防的关键组成部分 包裹。检测可以让男性了解自己的艾滋病毒感染状况，并成为 额外的艾滋病毒预防服务，如暴露前预防。提高黑人的检测率 西班牙裔男男性接触者是缩小这些群体之间差距的关键因素。我们提出了一个 评估在线结合的两种创新策略效果的比较有效性研究 招募和检测推广战略，以增加黑人和西班牙裔/拉丁裔男男性接触者的艾滋病毒检测。这个 两种创新战略将与传统的招聘战略和共同驻军条件进行比较 包括提供有关艾滋病毒检测和检测地点的信息。招聘方法将是 针对MSM(Grindr)的社交网络和约会应用程序以及同性恋相关网站上的广告；这些 招聘策略将被比作定向Facebook广告的非创新策略。创新型 测试推广策略将是基于应用程序的艾滋病毒预防门户(HealthMindr)和移动优化的 网站(健康赋权)。我们的主要目标是进行形成性研究，以发展文化 适当的创新招聘和测试推广策略，进行比较有效性研究 评估每种策略在黑人和西班牙裔MSM中的有效性，并制定翻译和 传播计划，以支持在州和地方卫生领域采用由此产生的干预战略 部门和以社区为基础的组织。

Abstract Men who have sex with men (MSM) are a key risk group in the United States and are disproportionately impacted in terms of HIV prevalence. The disparities experienced by MSM, and especially by Black and Hispanic MSM, are explicitly recognized in the National HIV AIDS Strategy, which calls for reducing disparities experienced by MSM, especially MSM of color. HIV testing is a key component of combination HIV prevention packages. Testing allows men to be aware of their HIV infection status and serves as a stepping stone to additional HIV prevention services, such as pre-exposure prophylaxis. Increasing testing rates among Black and Hispanic MSM is a key component to reducing disparities among these groups. We propose a comparative effectiveness study to assess the effects of two innovative strategies that combine online recruitment and testing promotion strategies to increase HIV testing in Black and Hispanic/Latino MSM. The two innovative strategies will be compared to a traditional recruiting strategy and comaprison condition involving providing information about HIV testing and testing locations. The recruitment methods will be a social networking and dating app targeted to MSM (Grindr) and advertisements on gay-related websites; these recruiting strategies will be compared to a non-innovative strategy of targeted Facebook advertising. Innovative testing promotion strategies will be an app-based HIV prevention portal (HealthMindr) and a mobile-optimized website (healthMpowerment). Our primary aims are to conduct formative research to develop culturally appropriate innovative recruiting and testing promotion strategies, conduct a comparative effectiveness study to assess the effectiveness of each strategy in black and Hispanic MSM, and to develop a translation and dissemination plan to support uptake of the resulting intervention strategies in state and local health departments and community-based organizations.