scholarly journals Sexual health influencer distribution of HIV/syphilis self-tests among men who have sex with men in China: A secondary analysis to inform community-based interventions (Preprint)

10.2196/24303 ◽  
2020 ◽  
Author(s):  
Nancy Yang ◽  
Dan Wu ◽  
Yi Zhou ◽  
Shanzi Huang ◽  
Xi He ◽  
...  
Keyword(s):  
Sexual Health ◽  
Secondary Analysis ◽  
Community Based Interventions ◽  
Community Based ◽  
Sex With Men

scholarly journals Sexual health influencer distribution of HIV/syphilis self-tests among men who have sex with men in China: A secondary analysis to inform community-based interventions (Preprint)

2020 ◽  
Author(s):  
Nancy Yang ◽  
Yi Zhou ◽  
Shanzi Huang ◽  
Xi He ◽  
Joseph Tucker ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Sexual Health ◽  
Secondary Analysis ◽  
College Education ◽  
Community Based Interventions ◽  
Self Test ◽  
Male Sexual Partners ◽  
Sex With Men ◽  
China Men

BACKGROUND Social network-based strategies can expand HIV/syphilis self-tests among men who have sex with men (MSM). Sexual health influencers (SHIs) are individuals especially capable of spreading HIV and STI information within their social networks. However, it remains unknown whether a SHI can encourage their peers to self-test for HIV/syphilis. OBJECTIVE This study aims to examine MSM SHIs' impact on improving HIV/syphilis self-test uptake within their social networks compared to non-sexual health influencers. METHODS In Zhuhai, China, men 16 years or older, born biologically male, ever had sex with a man, and applying for HIV/syphilis self-tests were enrolled online as indexes and encouraged to distribute self-tests to individuals (alters) in their social network. Indexes scoring >3 on a sexual health influencer scale were considered SHIs (Cronbach alpha 0.87). The primary outcome was mean number of alters encouraged to test per SHI index compared to non-influencers. RESULTS Participants include 371 indexes and 278 alters. Among indexes, 77 (20.8%) were SHIs and 294 (79.2%) were non-influencers. On average, each SHI successfully encouraged 1.66 alters to self-test, compared to 0.51 alters encouraged by each non-influencer (aRR 2.07, 95% CI 1.59-2.69). More SHIs disclosed their sexual orientation (80.5% vs. 67.3%, P=.02) and were volunteers (18.2% vs. 2.7%, P<.001) than non-influencers. More alters of SHIs than non-influencers came from a rural area (45.5% vs. 23.8%, P<.001), had below-college education (57.7% vs. 37.1%, P<.001) and had multiple casual male sexual partners in the past 6 months (25.2% vs. 11.9%, P<.001). CONCLUSIONS Being a SHI was associated with encouraging more peers with less testing access to self-test for HIV/syphilis. SHI can be engaged as seeds to expand HIV/syphilis testing coverage. CLINICALTRIAL NA

scholarly journals HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic

2017 ◽  
Vol 22 (4) ◽  
pp. 1096-1099 ◽  
Author(s):  
J. Carlo Hojilla ◽  
David Vlahov ◽  
Pierre-Cedric Crouch ◽  
Carol Dawson-Rose ◽  
Kellie Freeborn ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Clinic ◽  
Community Based ◽  
Sex With Men ◽  
Exposure Prophylaxis

Learnings from a decade experience of a community-based HIV and STI testing and counseling center in Lisbon – Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Fernandes ◽  
P Meireles ◽  
M Rocha ◽  
M Duque ◽  
H Barros
Keyword(s):  
Sexual Health ◽  
Sexual Behaviors ◽  
Community Based ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Sti Testing ◽  
Free Service ◽  
History Of ◽  
Hiv And Sti Testing ◽  
Sex With Men

Abstract Background In the context of an increased number of men who have sex with men (MSM) being diagnosed with HIV infection in many European countries, it became a matter of maximum priority to consider new strategies to monitor and tackle the epidemic. In this scenario, CheckpointLX and a cohort study were projected as a sexual health and research center oriented towards MSM in Portugal. Methods In 2011 CheckpointLX was launched in Lisbon as a community-based center for anonymous and free rapid HIV and other sexually transmitted diseases (STI) testing with a strong component of counseling for sexual health, specially targeted at MSM. In the case of a reactive test, a medical appointment is proposed and scheduled. The Lisbon Cohort of MSM is an ongoing observational prospective study conducted at CheckpointLX. Collected data include sexual behaviors, preventive strategies, and history of STI. Results Until July 2019, 7,351 HIV-negative MSM chose to participate in the Lisbon Cohort of MSM. 3,523 had at least one follow-up visit. The median age was 29 (IQR 25 - 37), and 27% were born in a foreign country, including 15% born in Africa and South America. HIV incidence increased up until 2015, reaching 5 reactive tests per 100 tested annually. There has been a sustained decrease in HIV observed since 2015. The use of HIV prevention tools was provided: 31% used condoms consistently, 3% reported PrEP, and 4% PEP. Conclusions A decade since the beginning of this experience shows positive results, such as increased access and testing. We promoted a stigma-free service that facilitated MSM's and other key population's access to sexual health care. We contribute unique data for assisting in the monitoring of the Dublin Declaration in Portugal.

scholarly journals Bringing Evidence-Based Sexual Health Programs to Adolescents in Black Churches

2016 ◽  
Vol 43 (6) ◽  
pp. 699-704 ◽  
Author(s):  
Fiona H. Weeks ◽  
Terrinieka W. Powell ◽  
Samantha Illangasekare ◽  
Eric Rice ◽  
James Wilson ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sexual Behaviors ◽  
Community Based Participatory Research ◽  
Black Churches ◽  
Health Programs ◽  
Future Research ◽  
Evidence Based ◽  
Community Based Interventions ◽  
Community Based ◽  
Intervention Adaptation

Previous studies have documented Black churches’ receptivity to implementing adolescent sexual health programs within their congregations. Some authors have argued for new sexual health programs to be designed specifically for churches, similar to the development of school- and community-based interventions. However, strategies and curricula used in secular settings may also be effective in influencing sexual behaviors among youth in churches. The current study examined the ways in which the phases of two theorized intervention adaptation frameworks were reflected in the desired key components of a church-based sexual health program. Participants in this community-based participatory research project were youth, parents, and faith leaders from nine Black churches in Baltimore, Maryland. Our findings suggest that the priorities of church stakeholders are consistent, rather than discordant, with the current paradigms of evidence-based sexual health programs and intervention adaptation. Future research and practical implications are discussed.

Community-based sexual health care works: a review of the ACT outreach program

Sexual Health ◽  
2007 ◽  
Vol 4 (3) ◽  
pp. 201 ◽  
Author(s):  
Christine J. Sturrock ◽  
Marian J. Currie ◽  
Hassan Vally ◽  
Elissa J. O'Keefe ◽  
Ruth Primrose ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Sex Workers ◽  
Outreach Program ◽  
Community Based ◽  
Sexual Health Care ◽  
Outreach Services ◽  
Increased Risk ◽  
Sexually Transmissible Infections ◽  
Sex With Men

Background: Men who have sex with men, sex workers, youth and university students are at increased risk for sexually transmissible infections (STI) and blood-borne viruses (BBV) and are therefore targets for sexual health services. In recognition of this, a collaborative project offering sexual health care in various outreach settings frequented by these groups was developed. Methods: Data collected by clinicians during consultations in five outreach venues (a sex-on-premises venue, a community AIDS organisation, a university campus, brothels and a youth centre) between 2002 and 2005 were analysed. Results: During 119 clinics (~547 clinician hours), 313 individuals (205 males and 108 females) received education and/or testing. Of those screened, 6.0% (15/249) were positive for chlamydia and 12.7% (9/71) tested positive for hepatitis C (HCV) antibodies. No new cases of hepatitis B (HBV) or HIV were identified and 37.2% (71/191) of patients reported never having been previously tested for HIV. Seroprevalence of hepatitis A and HBV antibodies were 53.8% (91/169) and 52.1% (135/259), respectively. More than half of all four groups reported inconsistent use of condoms and 8.6% reported intravenous drug use. Conclusions: Collaborations between agencies to provide outreach services facilitate community-based sexual health education and screening for groups at higher risk of STI and BBV. The database audit showed that through these outreach services cases of chlamydia and HCV that may have remained undetected were identified. The results also highlight the need for continuing hepatitis vaccination, testing, health promotion and education in these populations.

scholarly journals Experiences of Antihomosexual Attitudes and Young Black Men Who Have Sex with Men in the South: A Need for Community-Based Interventions

LGBT Health ◽  
2016 ◽  
Vol 3 (3) ◽  
pp. 214-218 ◽  
Author(s):  
Angelica Geter ◽  
JaNelle M. Ricks ◽  
Margaret McGladrey ◽  
Richard A. Crosby ◽  
Leandro A. Mena ◽  
...  
Keyword(s):  
Black Men ◽  
The South ◽  
Community Based Interventions ◽  
Community Based ◽  
Sex With Men

scholarly journals P558 Sexual health, syndemics and assets among men who have sex with men: secondary analysis of multi-national surveys

2019 ◽  
Author(s):  
Lisa Mcdaid ◽  
Paul Flowers ◽  
Olivier Ferlatte ◽  
Kareena Mcaloney-Kocaman ◽  
Mark Gilbert ◽  
...  
Keyword(s):  
Sexual Health ◽  
Secondary Analysis ◽  
National Surveys ◽  
Sex With Men

scholarly journals Misclassification of sexual health risks in a self-identified low risk cohort of men who have sex with men (MSM) enrolled in a community based PrEP program

AIDS Care ◽  
2019 ◽  
Vol 32 (2) ◽  
pp. 230-237 ◽  
Author(s):  
Kellie Freeborn ◽  
Carmen Portillo ◽  
Cherie B. Boyer ◽  
Glen Milo Santos
Keyword(s):  
Sexual Health ◽  
Health Risks ◽  
Low Risk ◽  
Community Based ◽  
Sex With Men
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