Improving HIV Self-Testing Social Network Interventions: The Role of Sexual Behavior Disclosure Among Chinese Men Who Have Sex with Men
- 20 January 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 25 (6), 1984-1992
- https://doi.org/10.1007/s10461-020-03128-1
Abstract
We assessed if same-sex sexual behavior disclosure of index men who have sex with men (MSM) was related to number of HIV self-testing (HIVST) kits requested by index participants, and number of test results successfully uploaded by alters in a network-based HIVST intervention. Index participants are men who accessed and distributed HIVST kits and alters are index’s social contacts who received kits. We analyzed treatment arm data [N = 106, mean age = 27 (SD = 5.3)] of an intervention conducted among MSM in Guangzhou, China, May 2019—December 2019. Index MSM who disclosed sexual behavior to their family tended to request more kits [adjusted incidence rate ratio (aIRR) 1.42, 95% CI 1.06, 1.90, p < .05]. Index men who disclosed sexual behavior to their family (aIRR 2.47, 95% CI 1.17, 5.24, p < .05) tended to yield an increase in number of alter test results uploaded. Findings have implications for the development of network-based interventions for key populations.Keywords
Funding Information
- National Institutes of Health (UNC CFAR P30 AI50410)
- National Institute of Allergy and Infectious Diseases (K24AI143471)
- Yale University Fund for Lesbian and Gay Studies
- Whitney and Betty MacMillan Center for International and Area Studies
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