Efficacy of internet recruitment and HIV Self-Testing for diagnosing HIV infections among Black and Hispanic/Latino MSM and transgender women in 11 US States, 2020–2021

Details

• Alternative Title:
  J Acquir Immune Defic Syndr
• Personal Author:
  MacGowan, Robin J. ; Chavez, Pollyanna R. ; Dana, Ruth ; Hannah, Marissa ; Raiford, Jerris L. ; Caldwell, Joanna A. ; Wall, Kristin M. ; Johnson, Jeffrey A. ; Sharma, Akshay ; Hightow-Weidman, Lisa ; Stephenson, Rob ; Sanchez, Travis ; Smith, Amanda J. ; Sullivan, Stephen ; Jones, Jeb ; Sullivan, Patrick S.
  More +
• Description:
  Introduction: ; We evaluated internet platforms for distributing HIV self-tests (HIVSTs) to Black or African American (Black) and Hispanic or Latino men who have sex with men (MSM) and transgender women (TGW). ; Methods: ; We recruited MSM and TGW from general interest, dating, and Lesbian, Gay, Bisexual and Transgender platforms. Two HIVSTs were mailed to all MSM and TGW. Surveys (screening, baseline, 4-month, and results reporting) were completed online. After 4 months, participants were mailed another HIVST and a DBS card. All HIVST interpretations and images of HIVST devices were reported online. ; Results: ; Of 2093 MSM and 102 TGW, most were recruited via general interest and dating platforms. Over 50% were 18–29 years of age, most identified as gay or bisexual. 45% had not tested for HIV in the past 12 months. 9.1% of MSM reported a positive (reactive for HIV antibodies) result, with the highest percentage among Black MSM (11.5%). Dating platforms recruited higher percentages of MSM who recorded their HIVST result as positive compared with MSM from general interest platforms during the intervention period (11.9% vs 5.5% (p <0.0001)); and MSM who had never tested for HIV reported a greater percentage of positive results compared with MSM who had been tested for HIV before enrollment (16.1% vs. 7.1%; P<0.0001). MSM were able to correctly interpret and report HIVST results. Of TGW, 7% reported a positive result. ; Conclusion: ; Internet dating and general interest platforms can be key to increasing awareness of infection among BMSM, HMSM and TGW persons, including those who do not use existing HIV services. ; Trial Registration: ; www.clinicaltrials.gov Identifier: NCT04219878.
• Subjects:
  • Adolescent
  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Young Adult
  • Black or African American
  • Hispanic or Latino
  • HIV Infections
  More +
• Keywords:
  • HIV self-testing
  • Internet
  • Dating sites
  • men who have sex with men
  • transgender women
• Source:
  J Acquir Immune Defic Syndr. 97(2):133-141
• Pubmed ID:
  39250647
• Pubmed Central ID:
  PMC11386906
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01 PS005181/PS/NCHHSTP CDC HHSUnited States/ ; 1U01PS005181/National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention/
• Volume:
  97
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/162227/cdc_162227_DS1.pdf
• File Type:
  [PDF - 733.38 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:b227a6711f137a6f058316a423b0de6647857b8ef9963e15991f4dbcad60e33eb697030dfeb33885a321a0a2af4832f5691f2734159c8267069c620d5ad9bacd