Improving HIV Self-Testing Social Network Interventions: The Role of Sexual Behavior Disclosure Among Chinese Men Who Have Sex with Men.
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.
['Kumar|Navin|N|http://orcid.org/0000-0003-4502-069X', 'Forastiere|Laura|L|', 'Janmohamed|Kamila|K|', 'Yang|Fan|F|', 'Zhang|Tiange|T|', 'Sha|Yongjie|Y|', 'Tucker|Joseph D|JD|', 'Tang|Weiming|W|', 'Alexander|Marcus|M|']
D000328:Adult D002681:China D030881:Disclosure D005260:Female D015658:HIV Infections D018451:Homosexuality, Male D006801:Humans D008297:Male D000085263:Self-Testing D012725:Sexual Behavior D000072339:Sexual and Gender Minorities D060756:Social Networking
HIV self-testing Social networks Men who have sex with men HIV interventions Same-sex behavior disclosure