Zhongquan Liu, Huijie Huang, Teng Yue, Nahom Kiros Gebregziabher, Hui Gong, Peng Xu, Xiaoyue Dong, Yi Liu, Ziming Wu, Yan Guo, Tielin Ning, Long Li, Minna Zheng, Jie Yang, Jun Ma, Changping Li, Maohe Yu, Zhuang Cui
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Volunteers primarily recruited testers to undergo HIV testing and counseling in social apps. Volunteers tested testers with HIV rapid antibody tests and interviewed testers while waiting for the results. Moreover, HIV testing data from other testing strategies, both pre- and postimplementation of SPARK, were collected to evaluate the capacity of SPARK to increase HIV testing.</p><p><strong>Results: </strong>During this study, MSM testers underwent 10 441 HIV tests; HIV testing volume increased 3-fold from 2020 to 2021. On average, each volunteer recruited 40.99 testers and facilitated 58.99 HIV tests. After SPARK implementation, HIV tests in 2021 increased 1-fold compared with those in 2019; especially for rural MSM testers, the number of HIV tests performed in 2020 and 2021 increased to 2.86 and 5.85 times, respectively, that in 2019. In spatial analysis, most testers sought geographical proximity volunteers for testing; similarly, most testers recruited were from volunteers' own or nearby districts. More than 60% of HIV tests were performed outside of working hours on weekdays, regardless of whether the testers came from urban, periurban, or rural areas.</p><p><strong>Conclusions: </strong>SPARK, an MSM-friendly, geographically accessible, and time-flexible testing strategy, has the potential to promote HIV testing among MSM.</p>","PeriodicalId":19517,"journal":{"name":"Open Forum Infectious Diseases","volume":"11 12","pages":"ofae709"},"PeriodicalIF":3.8000,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639573/pdf/","citationCount":"0","resultStr":"{\"title\":\"Standardly Trained Peer Volunteer-Led, Social App Recruiting-Based Human Immunodeficiency Virus Testing Strategy Using Rapid Testing Kits (SPARK) Among Men Who Have Sex With Men: A Population-Based Survey Evaluation.\",\"authors\":\"Zhongquan Liu, Huijie Huang, Teng Yue, Nahom Kiros Gebregziabher, Hui Gong, Peng Xu, Xiaoyue Dong, Yi Liu, Ziming Wu, Yan Guo, Tielin Ning, Long Li, Minna Zheng, Jie Yang, Jun Ma, Changping Li, Maohe Yu, Zhuang Cui\",\"doi\":\"10.1093/ofid/ofae709\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Social app recruiting-based and peer-led testing strategies have been proven effective in increasing human immunodeficiency virus (HIV) testing among men who have sex with men (MSM), though their combination remains underevaluated. We aimed to assess the efficiency of a combined strategy named \\\"standardly trained peer volunteer-led, social app recruiting-based HIV testing strategy using rapid testing kits\\\" (SPARK).</p><p><strong>Methods: </strong>Between March 2020 and December 2021, 177 trained peer volunteers tested 7256 eligible MSM testers. Volunteers primarily recruited testers to undergo HIV testing and counseling in social apps. Volunteers tested testers with HIV rapid antibody tests and interviewed testers while waiting for the results. Moreover, HIV testing data from other testing strategies, both pre- and postimplementation of SPARK, were collected to evaluate the capacity of SPARK to increase HIV testing.</p><p><strong>Results: </strong>During this study, MSM testers underwent 10 441 HIV tests; HIV testing volume increased 3-fold from 2020 to 2021. On average, each volunteer recruited 40.99 testers and facilitated 58.99 HIV tests. After SPARK implementation, HIV tests in 2021 increased 1-fold compared with those in 2019; especially for rural MSM testers, the number of HIV tests performed in 2020 and 2021 increased to 2.86 and 5.85 times, respectively, that in 2019. In spatial analysis, most testers sought geographical proximity volunteers for testing; similarly, most testers recruited were from volunteers' own or nearby districts. 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引用次数: 0
摘要
背景：基于社交应用招募的检测策略和同伴引导的检测策略已被证明能有效提高男男性行为者（MSM）中的人类免疫缺陷病毒（HIV）检测率，但这两种策略的结合仍未得到充分评估。我们的目的是评估一种名为 "以经过标准培训的同伴志愿者为主导、以社交应用招募为基础、使用快速检测试剂盒的艾滋病检测策略"（SPARK）的组合策略的效率：2020年3月至2021年12月期间，177名经过培训的同伴志愿者对7256名符合条件的男男性行为者进行了检测。志愿者主要在社交应用程序中招募检测者接受艾滋病检测和咨询。志愿者对检测者进行 HIV 快速抗体检测，并在等待结果期间对检测者进行访谈。此外，还收集了 SPARK 实施前后其他检测策略的 HIV 检测数据，以评估 SPARK 在提高 HIV 检测率方面的能力：研究期间，男男性行为者接受了 10 441 次 HIV 检测；从 2020 年到 2021 年，HIV 检测量增加了 3 倍。平均每名志愿者招募了 40.99 名检测者，并促成了 58.99 次 HIV 检测。SPARK 项目实施后，2021 年的 HIV 检测量比 2019 年增加了 1 倍；尤其是农村 MSM 检测者，2020 年和 2021 年的 HIV 检测量分别是 2019 年的 2.86 倍和 5.85 倍。从空间分析来看，大多数检测员都会寻找地理位置较近的志愿者进行检测；同样，大多数招募的检测员都来自志愿者所在地区或附近地区。超过 60% 的 HIV 检测是在工作日工作时间以外进行的，无论检测者来自城市、城郊还是农村地区：SPARK是一种对男男性行为者友好、地理位置方便、时间灵活的检测策略，具有在男男性行为者中推广艾滋病检测的潜力。
Standardly Trained Peer Volunteer-Led, Social App Recruiting-Based Human Immunodeficiency Virus Testing Strategy Using Rapid Testing Kits (SPARK) Among Men Who Have Sex With Men: A Population-Based Survey Evaluation.
Background: Social app recruiting-based and peer-led testing strategies have been proven effective in increasing human immunodeficiency virus (HIV) testing among men who have sex with men (MSM), though their combination remains underevaluated. We aimed to assess the efficiency of a combined strategy named "standardly trained peer volunteer-led, social app recruiting-based HIV testing strategy using rapid testing kits" (SPARK).
Methods: Between March 2020 and December 2021, 177 trained peer volunteers tested 7256 eligible MSM testers. Volunteers primarily recruited testers to undergo HIV testing and counseling in social apps. Volunteers tested testers with HIV rapid antibody tests and interviewed testers while waiting for the results. Moreover, HIV testing data from other testing strategies, both pre- and postimplementation of SPARK, were collected to evaluate the capacity of SPARK to increase HIV testing.
Results: During this study, MSM testers underwent 10 441 HIV tests; HIV testing volume increased 3-fold from 2020 to 2021. On average, each volunteer recruited 40.99 testers and facilitated 58.99 HIV tests. After SPARK implementation, HIV tests in 2021 increased 1-fold compared with those in 2019; especially for rural MSM testers, the number of HIV tests performed in 2020 and 2021 increased to 2.86 and 5.85 times, respectively, that in 2019. In spatial analysis, most testers sought geographical proximity volunteers for testing; similarly, most testers recruited were from volunteers' own or nearby districts. More than 60% of HIV tests were performed outside of working hours on weekdays, regardless of whether the testers came from urban, periurban, or rural areas.
Conclusions: SPARK, an MSM-friendly, geographically accessible, and time-flexible testing strategy, has the potential to promote HIV testing among MSM.
期刊介绍：
Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.
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