Reducing health disparities: key factors for successful implementation of social network testing with HIV self-tests among men who have sex with men with a non-western migration background in the Netherlands

the PREVENT study group

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Improving testing uptake among men who have sex with men with a non-western migration background (MSM-NW) is a public health priority, as people who are unaware of their HIV infection are at higher risk of transmitting HIV and are unable to benefit from HIV treatment. Formative semi-structured interviews with 13 MSM-NW assessed key factors for the successful implementation of social network testing with HIV self-tests (SNT-HIVST). Interviews were thematically analysed. Participants mentioned that SNT-HIVST might overcome barriers to regular HIV testing including; being seen while testing, disclosure of sexual identity, and stigma related to HIV and sexual practices. Trust between the HIVST distributer and receiver was important. Finally, SNT-HIVST requires tailored peer support to address practical, informational, and emotional needs. MSM-NW distributing HIVST can have an important role in reducing health disparities in testing uptake among MSM-NW. Provided sufficient trust among MSM-NW; key factors found for successful implementation were education through an e-tool, and establishing quality support by a peer-coordinator for unanticipated questions. In conclusion, HIVST distribution has the potential to reduce health disparities in testing uptake, in particular, if adjusted to MSM-NWs individual preferences and the needs and preferences of the person they are inviting to test.

Original languageEnglish
Pages (from-to)50-56
Number of pages7
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume32
Issue number1
Early online date15 Aug 2019
DOIs
Publication statusPublished - 2020

Keywords

  • health inequity
  • HIV
  • HIV self-test
  • migration background
  • social network testing
  • BARRIERS
  • RISK
  • ACCEPTABILITY
  • COMMUNITIES
  • PREVALENCE
  • STRATEGIES
  • STIGMA
  • MIGRANTS
  • INFECTION
  • AFRICAN-AMERICAN MEN

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