scholarly journals HIV Testing Among “MSM”: Prevention Technologies, Sexual Moralities and Serologic Self-surveillance

2018 ◽  
Vol 28 (2) ◽  
Author(s):  
Claudia Mora ◽  
Mauro Brigeiro ◽  
Simone Monteiro
Keyword(s):  
Systematic Review ◽  
Hiv Testing ◽  
Health Interventions ◽  
Sexual Practices ◽  
Recruitment Strategies ◽  
Prevention Strategies ◽  
Academic Literature ◽  
Serological Status ◽  
Sex With Men

Abstract Global AIDS guidelines have prioritized the expansion of HIV testing among the groups most exposed to the virus, such as those referred to as men who have sex with men (MSM). This paper analyses the relationships between the production of prevention strategies and sexual moralities based on the results of a systematic review of academic literature about testing with gays and MSM (2005-2015, using the PubMed, Sociological Abstract and Lilacs databases). The analysis of 65 articles reveals the recruitment strategies for identifying target-subjects and how they are held responsible for their serological self-surveillance, including routine tests. The findings also point to a diversification of testing locations. Implicit assumptions about sexuality and gay affection are conveyed through the interventions’ emphasis on sociability spaces and occasional sex, especially when facilitated by the use of apps. Attentive to the symbolic dimensions of the new prevention technologies and strategies, we argue that the expansion of testing with a focus on “MSM” signals a displacement of health interventions. If before actions to control the epidemic sought to intervene in sexual practices, the current efforts are concentrated on promoting self-surveillance of one’s serological status.

scholarly journals Promoting the uptake of HIV testing among men who have sex with men: systematic review of effectiveness and cost-effectiveness

2011 ◽  
Vol 87 (4) ◽  
pp. 272-278 ◽  
Author(s):  
T. Lorenc ◽  
I. Marrero-Guillamon ◽  
P. Aggleton ◽  
C. Cooper ◽  
A. Llewellyn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Hiv Testing ◽  
Sex With Men

Recent HIV Testing Among Young Men Who Have Sex with Men in Bangkok and Chiang Mai: HIV Testing and Prevention Strategies Must Be Enhanced in Thailand

2016 ◽  
Vol 20 (9) ◽  
pp. 2023-2032 ◽  
Author(s):  
Lisa G. Johnston ◽  
Mara C. Steinhaus ◽  
Justine Sass ◽  
Petchsri Sirinirund ◽  
Catherine Lee ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Young Men ◽  
Prevention Strategies ◽  
Chiang Mai ◽  
Sex With Men

Testing for HIV among men who have sex with men needs a paradigm shift in Australia, given the minimal increase between 2003 and 2013 in Melbourne, Australia

Sexual Health ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 373 ◽  
Author(s):  
An-Chieh Lin ◽  
Christopher K. Fairley ◽  
Krishneel Dutt ◽  
Karen M. Klassen ◽  
Marcus Y. Chen ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Paradigm Shift ◽  
Point Of Care ◽  
Health Centre ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Sexual Practices ◽  
Hiv Test ◽  
Sex With Men ◽  
First Time

Background Increasing the frequency of HIV testing in men who have sex with men (MSM) will reduce the incidence of HIV. Trends in HIV testing among MSM in Melbourne, Australia over the last 11 years have been investigated. Methods: A retrospective study was conducted using electronic medical records of the first presentation of MSM who attended the Melbourne Sexual Health Centre between 2003 and 2013. Factors associated with HIV testing (year, demographic characteristics and sexual practices) were examined in multivariable logistic regression analyses. Jonckheere–Terpstra tests were used to examine the significance of trends in the mean time since the last HIV test. Results: Of 17 578 MSM seen; 13 489 attended for the first time during the study period. The proportion of first attendances who had previously tested and reported a HIV test in the last 12 months increased from 43.6% in 2003 to 56.9% in 2013 (adjusted ptrend = 0.030), with a corresponding decrease in median time since the last HIV test from 19 months [interquartile range (IQR) 6–42] in 2003 to 10 months (IQR4–24) in 2013 (ptrend <0.001). The proportion of high-risk MSM (who reported unprotected anal intercourse and/or >20 partners in 12 months) who reported an HIV test in the last 12 months was unchanged (ptrend = 0.242). Conclusions: Despite HIV testing becoming more frequent, the magnitude of change over the last decade is insufficient to substantially reduce HIV incidence. A paradigm shift is required to remove barriers to testing through strategies such as point-of-care rapid testing or access to testing without seeing a clinician.

scholarly journals HIV testing and engagement with the HIV treatment cascade among men who have sex with men in Africa: a systematic review and meta-analysis

2019 ◽  
Vol 6 (11) ◽  
pp. e769-e787 ◽  
Author(s):  
James Stannah ◽  
Elizabeth Dale ◽  
Jocelyn Elmes ◽  
Roisin Staunton ◽  
Chris Beyrer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hiv Testing ◽  
Meta Analysis ◽  
Hiv Treatment ◽  
Treatment Cascade ◽  
Hiv Treatment Cascade ◽  
Sex With Men

HIV Testing Among Men Who Have Sex with Men in China: A Systematic Review and Meta-Analysis

2012 ◽  
Vol 16 (7) ◽  
pp. 1717-1728 ◽  
Author(s):  
Huachun Zou ◽  
Nan Hu ◽  
Qianqian Xin ◽  
Jack Beck
Keyword(s):  
Systematic Review ◽  
Hiv Testing ◽  
Meta Analysis ◽  
Sex With Men

scholarly journals Theories of change for e-health interventions targeting HIV/STIs and sexual risk, substance use and mental ill health amongst men who have sex with men: systematic review and synthesis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Rebecca Meiksin ◽  
G. J. Melendez-Torres ◽  
Jane Falconer ◽  
T. Charles Witzel ◽  
Peter Weatherburn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Cognitive Therapy ◽  
Sexual Risk ◽  
Health Interventions ◽  
Theory Of Change ◽  
Sexual Risk Behaviour ◽  
Report Quality ◽  
Sex With Men ◽  
Theories Of Change

Abstract Background Sexual risk, substance use, and mental ill health constitute a syndemic of co-occurring, mutually reinforcing epidemics amongst men who have sex with men (MSM). Developed since 1995, e-health interventions offer accessible, anonymous support and can be effective in addressing these outcomes, suggesting the potential value of developing e-health interventions that address these simultaneously amongst MSM. We conducted a systematic review of e-health interventions addressing one or more of these outcomes amongst MSM and in this paper describe the theories of change underpinning relevant interventions, what these offer and how they might complement each other. Methods We identified eligible reports via expert requests, reference-checking and database and Google searches. Results were screened for reports published in 1995 or later; focused on MSM; reporting on e-health interventions providing ongoing support to prevent HIV/STIs, sexual risk behaviour, substance use, anxiety or depression; and describing intervention theories of change. Reviewers assessed report quality, extracted intervention and theory of change data, and developed a novel method of synthesis using diagrammatic representations of theories of change. Results Thirty-three reports on 22 intervention theories of change were included, largely of low/medium-quality. Inductively grouping these theories according to their core constructs, we identified three distinct groupings of theorised pathways. In the largest, the ‘cognitive/skills’ grouping, interventions provide information and activities which are theorised to influence behaviour via motivation/intention and self-efficacy/perceived control. In the ‘self-monitoring’ grouping, interventions are theorised to trigger reflection, self-reward/critique and self-regulation. In the ‘cognitive therapy’ grouping, the theory of change is rooted in cognitive therapy techniques, aiming to reframe negative emotions to improve mental health. Conclusions The synthesised theories of change provide a framework for developing e-health interventions that might holistically address syndemic health problems amongst MSM. Improving reporting on theories of change in primary studies of e-health interventions would enable a better understanding of how they are intended to work and the evidence supporting this. The novel diagrammatic method of theory of change synthesis used here could be used for future reviews where interventions are driven by existing well-defined behaviour and behaviour change theories. Systematic review registration PROSPERO CRD42018110317

scholarly journals Systematic review of e-health interventions to address sexual health, substance use and mental health among men who have sex with men: synthesis of process evaluations (Preprint)

2020 ◽  
Author(s):  
Rebecca Meiksin ◽  
GJ Melendez-Torres ◽  
Jane Falconer ◽  
T Charles Witzel ◽  
Peter Weatherburn ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Substance Use ◽  
Sexual Risk ◽  
Sexual Minority ◽  
Mental Illnesses ◽  
Health Interventions ◽  
Synthesis Methods ◽  
Sex With Men ◽  
Process Evaluations

BACKGROUND Men who have sex with men (MSM) face disproportionate risks in relation to HIV and other sexually transmitted infections, substance use and common mental illnesses. Interacting to worsen overall health, these outcomes constitute a syndemic among MSM and interventions addressing all three together could have multiplicative effects. E-health interventions offer a means to access prevention privately and evidence suggests these can effectively address these three health outcomes in general populations. It is not clear what factors affect how useable, accessible or acceptable e-health interventions are for MSM and whether these differ across interventions addressing different outcomes; no previous reviews have looked at questions of implementation or synthesised evidence across interventions addressing these different outcomes. OBJECTIVE We undertook a systematic review of e-health interventions addressing sexual risk, substance use and common mental illnesses among MSM and synthesised evidence from process evaluations. METHODS We searched 19 databases, three clinical trials registers, Open Grey and Google. Searches were supplemented by reference-checking and requests from experts. Eligible reports reported on e-health interventions offering ongoing support to MSM and aiming to prevent sexual risk, substance use, and/or anxiety or depression; and assessed how delivery or receipt of these interventions varied with characteristics of interventions, providers, participants and/or setting. Reviewers screened citations on title and abstract then full text. Reviewers assessed study quality and extracted data from eligible reports on intervention and study characteristics and on process evaluation findings. Analysis followed a meta-ethnographic approach and used thematic synthesis methods. RESULTS Twelve reports on ten studies of eight interventions were eligible for the process synthesis. Most addressed sexual risk alone or in combination with other outcomes. Studies were of medium and high reliability but tended to lack depth and breadth. Intervention acceptability was enhanced by: ease of use; privacy protection; use of diverse media; opportunities for self-reflection and to gain knowledge and skills; and content that was clear, interactive, tailored, reflective of MSM’s experiences and affirming of sexual-minority identity. Technical issues and interventions that were too long detracted from acceptability. Some evidence suggested that acceptability varied by race/ethnicity and level of education; findings on variation by socioeconomic status were mixed. No studies explored how intervention delivery or receipt varied by provider characteristics. CONCLUSIONS Findings suggest that e-health interventions targeting sexual risk, substance use and mental health are acceptable for MSM across sociodemographic groups. Our synthesis identified factors shaping MSM’s receipt of such interventions, highlighting the importance of tailored content reflecting MSM’s experiences and of language affirming sexual-minority identities. Findings from this synthesis can inform the development, piloting and process evaluations of integrated e-health interventions to address the syndemic of sexual risk, substance use and mental ill health among MSM. CLINICALTRIAL Protocol registered on PROSPERO in September 2018 (CRD42018110317)

scholarly journals Sexual health interventions delivered to participants by mobile technology: a systematic review and meta-analysis of randomised controlled trials

2021 ◽  
pp. sextrans-2020-054853
Author(s):  
Sima Berendes ◽  
Anasztazia Gubijev ◽  
Ona L McCarthy ◽  
Melissa J Palmer ◽  
Emma Wilson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Condom Use ◽  
Hiv Testing ◽  
Text Messaging ◽  
Randomised Controlled Trials ◽  
Health Interventions ◽  
Controlled Trials ◽  
Medium Term ◽  
Randomised Controlled ◽  
Meta Analyses

BackgroundThe use of mobile technologies to prevent STIs is recognised as a promising approach worldwide; however, evidence has been inconclusive, and the field has developed rapidly. With about 1 million new STIs a day globally, up-to-date evidence is urgently needed.ObjectiveTo assess the effectiveness of mobile health interventions delivered to participants for preventing STIs and promoting preventive behaviour.MethodsWe searched seven databases and reference lists of 49 related reviews (January 1990–February 2020) and contacted experts in the field. We included randomised controlled trials of mobile interventions delivered to adolescents and adults to prevent sexual transmission of STIs. We conducted meta-analyses and assessed risk of bias and certainty of evidence following Cochrane guidance.ResultsAfter double screening 6683 records, we included 22 trials into the systematic review and 20 into meta-analyses; 18 trials used text messages, 3 used smartphone applications and 1 used Facebook messages as delivery modes. The certainty of evidence regarding intervention effects on STI/HIV occurrence and adverse events was low or very low. There was moderate certainty of evidence that in the short/medium-term text messaging interventions had little or no effect on condom use (standardised mean differences (SMD) 0.02, 95% CI −0.09 to 0.14, nine trials), but increased STI/HIV testing (OR 1.83, 95% CI 1.41 to 2.36, seven trials), although not if the standard-of-care control already contained an active text messaging component (OR 1.00, 95% CI 0.68 to 1.47, two trials). Smartphone application messages also increased STI/HIV testing (risk ratio 1.40, 95% CI 1.22 to 1.60, subgroup analysis, two trials). The effects on other outcomes or of social media or blended interventions is uncertain due to low or very low certainty evidence.ConclusionsText messaging interventions probably increase STI/HIV testing but not condom use in the short/medium term. Ongoing trials will report the effects on biological and other outcomes.

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