Bangkok Online Testing on MSM

曼谷 MSM 在线测试

• 批准号: 9064254
• 负责人: THOMAS E GUADAMUZ
• 金额: $ 13.83万
• 依托单位: MAHIDOL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-02-08 至 2018-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9064254
• 关键词: AIDS prevention; Anti-Retroviral Agents; Antibodies; Antigens; Asia; Behavior; Blood; Caring; Chemoprophylaxis; Clinic; Collection; Continuity of Patient Care; Counseling; Country; DNA; Data; Development; Diagnostic; Disease; Early identification; Epidemic; Feasibility Studies; Focus Groups; Funding Mechanisms; Future; HIV; HIV Infections; HIV Seropositivity; Human immunodeficiency virus test; Incidence; Infection; Internet; Interview; Investigation; Laboratories; Liquid substance; Maps; Methods; Modality; Nurses; Oral; Participant; Perception; Persons; Pilot Projects; Prevalence; Process; Professional counselor; Questionnaires; Reading; Recruitment Activity; Reporting; Research Project Grants; Research Proposals; Risk; Risk Reduction; Sampling; Services; Social Network; Spottings; Surveys; Target Populations; Technology; Testing; Thailand; Time; Training; Videoconferences; Videoconferencing; base; experience; follow-up; improved; innovation; insight; men who have sex with men; mobile application; prevent; prevention service; psychosocial; public health relevance; social; symposium; transmission process; uptake; web site; willingness; young men who have sex with men

 DESCRIPTION (provided by applicant): The HIV epidemic is accelerating among young men who have sex with men (YMSM, 18 to 24 years) in Bangkok where HIV incidence was reported to be 8.8 to 12.2 per 100 person-years, the highest such incidence documented in Asia. Engagement and retention of YMSM of unknown or HIV negative serostatus in regular (at least annual) HIV testing is essential for timely linkage to HIV prevention services, such as risk reduction counseling and HIV chemoprophylaxis. Among YMSM unaware of an existing or new HIV infection, timely identification is necessary to increase linkage and initiation of antiretrovial treatment and care to improve disease outlook and prevent onward HIV transmission. However, structural, logistical and psychosocial barriers limit the uptake and retention of Thai MSM in regular HIV testing, hindering the rollout of much needed HIV prevention and treatment services targeting this population. This study proposes the use of online HIV testing (OHT) as an alternative HIV testing modality to increase engagement, retention and linkage of YMSM in HIV prevention, treatment and care services. The specific aims of this research proposal are 1) To qualitatively explore barriers and facilitators to OHT among Bangkok YMSM; 2) To quantitatively examine current perceptions, barriers, facilitators to HIV testing among Bangkok YMSM and estimate the proportion likely to undergo OHT, identify factors associated with willingness to access OHT and to participate in a pilot study of this new HIV testing modality; and 3) To determine the acceptability and feasibility of OHT using a new HIV rapid diagnostic antibody/antigen-based self-test in real time and a self-collected dried blood spot (DBS) with centralized HIV DNA testing. Results of rapid testing will be read- and of centralized testing will be delivered by video conference, followed by discussion, post-test counseling and linkage to care and treatment, in a 6-month pilot study. Particularly, logistical issues, concerns over rapid HIV self-testing, DBS self-collection and laboratory testing, reading or reporting of results by video conferencing will be assessed, as well as how OHT may help to overcome some of the existing barriers to HIV testing. Using new HIV diagnostic and online technologies, OHT may be a promising strategy to increase engagement, retention and linkage to HIV prevention, treatment and care services among Thai YMSM.

 描述（由适用提供）：在曼谷与男性发生性关系（YMSM，18至24岁）的年轻人中，艾滋病毒流行正在加速，据报道，艾滋病毒事件为每100人年8.8至12.2，这是亚洲记录的最高事件。常规（至少是年度）HIV测试中未知或HIV阴性血清阴性的YMM的参与和保留对于及时与艾滋病毒预防服务的联系至关重要，例如降低风险咨询和HIV化学预防症。在不知道现有或新的HIV感染的YMSM中，需要及时识别，以提高抗逆转录病毒治疗的联系和主动性，以改善疾病前景并防止艾滋病毒的传播。但是，结构，后勤和社会心理障碍限制了常规艾滋病毒测试中泰语MSM的摄取和保留，阻碍了针对该人群的急需的艾滋病毒预防和治疗服务的推出。这项研究建议将在线HIV测试（OHT）用作替代性HIV测试方式，以增加YMSM在HIV预防，治疗和护理服务中的参与，保留和联系。该研究建议的具体目的是1）在曼谷YMSM中探索OHT的障碍和促进者； 2）要定量检查当前的看法，障碍，促进者，对曼谷YMSM之间的HIV检测，并估计可能发生OHT的比例，请确定与愿意获得OHT的意愿相关的因素，并参与对这种新的HIV测试模式的试验研究； 3）用新的HIV快速诊断抗体/基于抗原的自我测试和带有集中式HIV DNA测试的自我收集的干血点（DBS）来确定OHT的可接受性和可行性。快速测试的结果将被读取和集中测试的结果 在一项为期6个月的试点研究中，通过视频会议进行，然后进行讨论，测试后咨询以及与护理和治疗的联系。特别是，将评估后勤问题，对快速艾滋病毒自我测试，DBS自我收集和实验室测试，通过视频会议阅读或报告结果的担忧，以及OHT如何帮助克服一些现有的HIV测试障碍。使用新的HIV诊断和在线技术，OHT可能是提高泰国YMSM中参与，保留和与HIV预防，治疗和护理服务联系的承诺策略。