Evaluating the effectiveness of HIV/syphilis joint self-testing in promoting syphilis testing among men who have sex with men
10.3760/cma.j.cn112338-20200624-00880
- VernacularTitle:通过HIV/梅毒联合自我检测促进男男性行为人群进行梅毒检测的效果研究
- Author:
Peizhen ZHAO
1
;
Weibin CHENG
;
Weiming TANG
;
Heping ZHENG
;
Bin YANG
;
Cheng WANG
Author Information
1. 南方医科大学皮肤病医院,广州510095
- Keywords:
Men who have sex with men;
Syphilis;
HIV;
Self-testing
- From:
Chinese Journal of Epidemiology
2021;42(2):273-277
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness of HIV/syphilis joint self-testing in promoting syphilis testing among men who have sex with men (MSM).Methods:In July 2019, the research participants were recruited through the Danlan website (https://www.danlan.org). Participants who met the selection criteria, and were randomly assigned into one of the three study groups (1∶1∶1) including HIV/syphilis joint self-testing group and lottery incentive self-testing group and control group. Self-test reagents were mailed to HIV/syphilis joint self-testing group and lottery incentive self-testing group, and the subjects in control group were encouraged to go to offline locations for testing. One month later, follow-up was conducted to evaluate the differences in the testing rates of syphilis among the three groups.Results:A total of 145 subjects were included in this study, including 48 in control group, 49 in HIV/syphilis joint self-testing group and 48 in lottery incentive self-testing group. During the follow-up period, the self-testing rate of syphilis was 74.4% (32/43) in HIV/syphilis joint self-testing group, 70.0% (28/40) in lottery incentive self-testing group and 36.4% (16/44) in control group. Multivariate logistic analysis revealed that the proportions of syphilis testing in HIV/syphilis joint self-testing group and lottery incentive self-testing group were 5.38 (95% CI: 2.06-14.04) times and 4.54 (95% CI: 1.75-11.74) times higher than that in control group during the follow-up period. Conclusions:HIV/syphilis joint self-testing and lottery-incentives-prompted self-testing significantly increased the testing rate of syphilis in MSM, respectively. HIV/syphilis joint self-testing is feasible for promotion.