A peer-led, community-based rapid HIV testing intervention among untested men who have sex with men in China: an operational model for expansion of HIV testing and linkage to care

Yan, Hongjing; Zhang, Renjie; Wei, Chongyi; Li, Jianjun; Xu, Jingkun; Yang, Haitao; McFarland, Willi

doi:10.1136/sextrans-2013-051397

Cited by 59 publications

(66 citation statements)

References 18 publications

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“…This is because communicating with a peer could lessen the anxieties of HIV-positive MSM who have not yet initiated care; peer-initiated care might be carried out in MSMfriendly manner with flexible schedules in convenient locations. 11 Thus, this approach would address several barriers such as time or location inconvenience, stigma, and discrimination associated with traditional hospitals and clinics. In addition, the vast development of electronic technology (emails, short message service text messaging via cell phone, QQ, WeChat, Grinder, and others) been popular among Chinese MSM.…”

Section: Discussionmentioning

confidence: 99%

“…Six FGD were conducted, including four among HIVpositive (11,10,10, and 9 participants in each group) and two among HIV-negative or status-unknown MSM (10 in each group, but with 4 status-unknown participants in negative group #2). For this study's purposes (identify the barriers to and facilitators of linkage to HIV care), we analyzed qualitative data from the four focus groups with HIV-positive MSM only.…”

Section: Data Collectionmentioning

confidence: 99%

“…2 In China, HIV diagnosis and care are centralized; linkage-to-care can be tracked by determining the date of the first CD4+ cell count after a confirmed HIV diagnosis. 11 The attrition rates of HIV testing and linkage to care could be high. For example, in a 14-city study, 76,628 MSM received HIV screening tests, 4563 were HIV-positive; 21% did not receive HIV confirmatory testing.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and Facilitators of Linkage to and Engagement in HIV Care Among HIV-Positive Men Who Have Sex with Men in China: A Qualitative Study

Liu

Osborn

Qian

et al. 2016

AIDS Patient Care and STDs

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Linking and engaging HIV-positive patients in care is the key bridging step to glean the documented health and prevention advantages of antiretroviral therapy (ART). In China, HIV transmission among men who have sex with men (MSM) is surging, yet many HIV-positive MSM do not use HIV care services. We conducted a qualitative study in order to help positive interventions to promote linkage-to-care in this key population. Four focus group discussions (FGD) were held among HIV-positive MSM in Beijing, China, to ascertain knowledge, beliefs, attitudes, and practices related to HIV care. FGD participates highlighted six major barriers of linkage to/engagement in HIV care: (1) perceived discrimination from health care workers; (2) lack of guidance and follow-up; (3) clinic time or location inconvenience; (4) privacy disclosure concerns; (5) psychological burden of committing to HIV care; and (6) concerns about treatment. Five major sub-themes emerged from discussions on the facilitators of linkage to/engagement in care: (1) peer referral and accompaniment; (2) free HIV care; (3) advocacy from HIV-positive MSM counselors; (4) extended involvement for linking MSM to care; and (5) standardization of HIV care (i.e., reliable high quality care regardless of venue). An understanding of the barriers and facilitators that may impact the access to HIV care is essential for improving the continuum of care for MSM in China. Findings from our study provide research and policy guidance for how current HIV prevention and care interventions can be enhanced to link and engage HIV-positive MSM in HIV care.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers and Facilitators of Linkage to and Engagement in HIV Care Among HIV-Positive Men Who Have Sex with Men in China: A Qualitative Study

Liu

Osborn

Qian

et al. 2016

AIDS Patient Care and STDs

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“…A Nigerian study found that peer outreach workers/case managers are able to identify MSM living with HIV and engage them in care[89]. A Chinese study found that peer-led HIV testing with case management among MSM led to a higher proportion of MSM screened receiving their test result and a higher proportion of those positive being linked to care[90]. Peer networks have been used to identify PWID living with HIV who are out of care in Russia[91].…”

Section: Recent Work In Interventions To Improve Outcomes For Key Popmentioning

confidence: 99%

HIV treatment cascade in MSM, people who inject drugs, and sex workers

Risher

Mayer

Beyrer

2015

Current Opinion in HIV and AIDS

123

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Purpose of review People who inject drugs (PWID), sex workers and men who have sex with men (MSM) simultaneously bear a high burden of HIV and stigma and discrimination. The purpose of this review was to summarize recent information about the understanding of the HIV care cascade among PWID, sex workers, and MSM populations around the globe. Recent findings A review of the published literature relating to the care cascade in these three key populations was conducted. Data on the care cascade among key populations is sparse, particularly for PWID and sex workers. In the twelve countries in which a study or report of the care cascade was available stratified by these populations, all three populations have care cascade outcomes that are far below the 90-90-90 target set by UNAIDS for 2020. Culturally-tailored interventions including co-location of services and peer navigators can improve care cascade outcomes among key populations. Summary Key populations’ care cascade outcomes must be included in international reporting metrics to expand cascade data for these groups. Improving care cascade outcomes in these key populations through culturally-tailored interventions should be a priority in the coming years.

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“…Last but by no means least, we report STI outcomes of a randomised trial of microbicides,12 a review of HIV prevalence in military populations,13 the use of condoms for contraception in HIV infected clients,14 HIV outcomes in drug using sex workers,15 and a model of the dual impact of HIV therapy and sexual behaviour changes in Uganda,16 chlamydial seroprevalence in the Netherlands17 and peer led HIV testing in China 18. I hope you will find this month’s issue as fascinating as I did!…”

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confidence: 99%

Highlights from this issue

Cassell¹

2014

Sex Transm Infect

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A peer-led, community-based rapid HIV testing intervention among untested men who have sex with men in China: an operational model for expansion of HIV testing and linkage to care

Abstract: Trained peers providing rapid HIV testing with social support and case management through the early period following diagnosis can efficiently expand HIV testing and improve linkage to care among MSM in China.

Cited by 59 publications

References 18 publications

Barriers and Facilitators of Linkage to and Engagement in HIV Care Among HIV-Positive Men Who Have Sex with Men in China: A Qualitative Study

Barriers and Facilitators of Linkage to and Engagement in HIV Care Among HIV-Positive Men Who Have Sex with Men in China: A Qualitative Study

HIV treatment cascade in MSM, people who inject drugs, and sex workers

Highlights from this issue

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