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AIDS and Behavior
Published in: AIDS and Behavior 8/2018

01-08-2018 | Original Paper

Acceptability of Peer-Delivered HIV Testing and Counselling Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Myanmar

Authors: Vanessa Veronese, Zaw Min Oo, Zaw Win Thein, Poe Poe Aung, Bridget L. Draper, Chad Hughes, Claire Ryan, Alisa Pedrana, Mark Stoové

Published in: AIDS and Behavior | Issue 8/2018

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Abstract

Men who have sex with men (MSM) and transgender women (TW) are a priority population for HIV prevention in Myanmar but report sub-optimal HIV testing frequency. Previous studies have shown that peer involvement in HIV testing can normalize stigmatized sexualities and reduce barriers to testing. We explored the acceptability of peer-delivered HIV testing among 425 undiagnosed MSM and TW in Yangon and Mandalay. An overwhelming majority of participants (86%) reported being ‘comfortable/very comfortable’ with peer-delivered HIV testing. Logistic regression identified reporting sexual identity as Apone [adjusted odds ratio (aOR) 3.8; 95% CI 1.2–11.7], recent HIV testing (aOR 3.1; 95% CI 1.4–6.5), reporting a high likelihood of HIV acquisition (aOR 3.6; 95% CI 1.7–7.6), and reporting ≥ 5 casual partners in the past 3 months (aOR 0.2; 95% CI 0.1–0.6) as associated with peer-delivered HIV testing acceptability. Given ongoing HIV vulnerability among MSM and TW in Myanmar, peer-delivered testing may offer prevention benefits by increasing testing rates and identifying undiagnosed infection earlier.
Literature
1.
UNAIDS. 90- 90-90: An ambitious treatment target to help end the AIDS epidemic. Geneva, Switzerland: UNAIDS; 2014.
2.
Fox J, White PJ, Macdonald N, Weber J, McClure M, Fidler S, et al. Reductions in HIV transmission risk behaviour following diagnosis of primary HIV infection: a cohort of high-risk men who have sex with men. HIV Med. 2009;10(7):432–8.CrossRefPubMed
3.
Sharma M, Ying R, Tarr G, Barnabas R. Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa. Nature. 2015;528(7580):S77–85.CrossRefPubMedPubMedCentral
4.
Insight Start Study Group. Initiation of antiretroviral therapy in early asymptomatic HIV infection. N Engl J Med. 2015;373(9):795–807.CrossRef
5.
van Griensven F, Thienkrua W, McNicholl J, Wimonsate W, Chaikummao S, Chonwattana W, et al. Evidence of an explosive epidemic of HIV infection in a cohort of men who have sex with men in Thailand. AIDS. 2013;27(5):825–32.CrossRefPubMed
6.
Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000–2006: a systematic review. PLoS Med. 2007;4(12):e339.CrossRefPubMedPubMedCentral
7.
National AIDS Programme. Integrated bio-behavioural survey. Myanmar: Department of Health; 2009.
8.
National AIDS Programme. Myanmar global AIDS response program report 2015. Myanmar: Department of Health; 2015.
9.
National AIDS Programme. National strategic plan on HIV and AIDS: Myanmar 2016–2020. Myanmar: Department of Health; 2016.
10.
Strategic Information and Monitoring and Evaluation Working Group Technical and Strategy Group on AIDS. HIV estimates and projections: asian epidemiological model Myanmar 2010–2015. Myanmar: Department of Health.
11.
National AIDS Programme. Myanmar National Strategic Plan on HIV and AIDS 2011–2015. Myanmar: Department of Health.
12.
National AIDS Programme. Global AIDS response progress report. Myanmar: Department of Health; 2014.
13.
Chua LJG, Glibert D. Sexual orientation and gender identity minorities in transition: LGBT rights and activism in Myanmar. Hum Rights Q. 2015;37:1–28.CrossRef
14.
Logie CH, Newman PA, Weaver J, Roungkraphon S, Tepjan S. HIV-related stigma and HIV prevention uptake among young men who have sex with men and transgender women in Thailand. AIDS Patient Care STDs. 2016;30(2):92–100.CrossRefPubMed
15.
Wei C, Cheung DH, Yan H, Li J, Shi LE, Raymond HF. The impact of homophobia and HIV Stigma on HIV testing uptake among Chinese men who have sex with men: a mediation analysis. J Acquir Immune Defic Syndr. 2015;71(1):87–93.
16.
Wei C, Yan H, Yang C, Raymond HF, Li J, Yang H, et al. Accessing HIV testing and treatment among men who have sex with men in China: a qualitative study. AIDS Care. 2014;26(3):372–8.CrossRefPubMed
17.
Scott HM, Pollack L, Rebchook GM, Huebner DM, Peterson J, Kegeles SM. Peer social support is associated with recent HIV testing among young black men who have sex with men. AIDS Behav. 2014;18(5):913–20.CrossRefPubMedPubMedCentral
18.
Young SD, Cumberland WG, Nianogo R, Menacho LA, Galea JT, Coates T. The HOPE social media intervention for global HIV prevention: a cluster randomized controlled trial in Peru. Lancet HIV. 2015;2(1):e27–32.CrossRefPubMed
19.
Williamson LM, Hart GJ, Flowers P, Frankis JS, Der GJ. The Gay Men’s Task Force: the impact of peer education on the sexual health behaviour of homosexual men in Glasgow. Sex Transm Infect. 2001;77(6):427–32.CrossRefPubMedPubMedCentral
20.
Trapence G, Collins C, Avrett S, Carr R, Sanchez H, Ayala G, et al. From personal survival to public health: community leadership by men who have sex with men in the response to HIV. Lancet. 2012;380(9839):400–10.CrossRefPubMedPubMedCentral
21.
Adebajo S, Eluwa G, Njab J, Oginni A, Ukwuije F, Ahonsi B, et al. Evaluating the effect of HIV prevention strategies on uptake of HIV counselling and testing among male most-at-risk-populations in Nigeria; a cross-sectional analysis. Sex Transm Infect. 2015;91(8):555–60.CrossRefPubMed
22.
Minas BC, Giele CM, Laing SC, Bastian L, Burry AW, Sales KJ, et al. Early diagnosis of HIV among men who have sex with men in Western Australia: impact of a peer-led sexually transmissible infection testing service. Sex Health. 2015;12(4):360–3.PubMed
23.
Lorente N, Preau M, Vernay-Vaisse C, Mora M, Blanche J, Otis J, et al. Expanding access to non-medicalized community-based rapid testing to men who have sex with men: an urgent HIV prevention intervention (The ANRS-DRAG Study). PLoS ONE. 2013;8(4):e61225.CrossRefPubMedPubMedCentral
24.
National AIDS Programme. Joint Rapid Assessment of HIV Treatment in Myanmar: Final Report September 2013. Myanmar: Department of Health, 2013.
25.
Oo HN, Hone S, Fujita M, Maw-Naing A, Boonto K, Jacobs M, et al. Evolution of the health sector response to HIV in Myanmar: progress, challenges and the way forward. J Virus Erad. 2016;2(Suppl 4):20–6.PubMedPubMedCentral
26.
Pawa D, Firestone R, Ratchasi S, Dowling O, Jittakoat Y, Duke A, et al. Reducing HIV risk among transgender women in Thailand: a quasi-experimental evaluation of the sisters program. PLoS ONE. 2013;8(10):e77113.CrossRefPubMedPubMedCentral
27.
28.
Ti L, Hayashi K, Kaplan K, Suwannawong P, Wood E, Montaner J, et al. Willingness to access peer-delivered HIV testing and counseling among people who inject drugs in Bangkok, Thailand. J Community Health. 2013;38(3):427–33.CrossRefPubMed
29.
Njau B, Ostermann J, Brown D, Muhlbacher A, Reddy E, Thielman N. HIV testing preferences in Tanzania: a qualitative exploration of the importance of confidentiality, accessibility, and quality of service. BMC Public Health. 2014;14:838.CrossRefPubMedPubMedCentral
30.
Repper J, Carter T. A review of the literature on peer support in mental health services. J Mental Health. 2011;20(4):392–411.CrossRef
31.
Pedrana A, Koester K, Stewart W, Gibson S, Powell S, Stoove M. Editor Community-based rapid HIV point-of-care testing with contrasting health systems: a tale of two cities from San Francisco and Melbourne. 20th International AIDS Conference 2014 July 20–25, 2014; Melbourne, Australia.
32.
Aung T, McFarland W, Paw E, Hetherington J. Reaching men who have sex with men in Myanmar: population characteristics, risk and preventive behavior, exposure to health programs. AIDS Behav. 2013;17(4):1386–94.CrossRefPubMed
33.
UNESCO Bangkok and Department of Medical Research MoH, Myanmar. Multi-level risk and protective factors and HIV-related risk behaviours among young men who have sex with men (YMSM) in Myanmar. Paris, France: UNESCO Bangkok and Department of Medical Research, Ministry of Health, Myanmar; 2015.
34.
Gilbert D. Categorizing gender in queer Yangon. Sojourn. 2013;28(2):241–71.CrossRef
35.
WHO. Consolidated guidelines on HIV testing services. 5Cs: consent, confidentiality, counseling, correct results and connection Geneva, Switzerland WHO; 2015.
36.
Zhang DP, Han L, Li CM, Meng SN, Leng ZW, Li F, et al. The impact of community-based organizations in HIV testing mobilization among men who have sex with men. Zhonghua Yu Fang Yi Xue Za Zhi. 2013;47(5):431–4.PubMed
37.
Ryan KE, Wilkinson AL, Leitinger D, El-Hayek C, Ryan C, Pedrana A, et al. Characteristics of gay, bisexual and other men who have sex with men testing and retesting at Australia. Sex Health. 2016;13(6):560–7.PubMed
38.
Bowring AL, Veronese V, Doyle JS, Stoove M, Hellard M. HIV and sexual risk among men who have sex with men and women in Asia: a systematic review and meta-analysis. AIDS Behav. 2016;20(10):2243–65.CrossRefPubMed
39.
40.
Churcher S. Stigma related to HIV and AIDS as a barrier to accessing health care in Thailand: a review of recent literature. WHO South East Asia J Public Health. 2013;2(2):12–22.CrossRefPubMed
41.
Chan KY, Yang Y, Li ZR, Stoove MA, Reidpath DD. Interrelationships between HIV/AIDS and risk behavior prejudice among medical students in Southern China. Curr HIV Res. 2009;7(6):601–11.CrossRefPubMed
42.
Chan KY, Stoove MA, Reidpath DD. Stigma, social reciprocity and exclusion of HIV/AIDS patients with illicit drug histories: a study of Thai nurses’ attitudes. Harm Reduct J. 2008;5:28.CrossRefPubMedPubMedCentral
43.
Ayala G, Makofane K, Santos GM, Beck J, Do TD, Hebert P, et al. Access to basic HIV-related services and PrEP acceptability among men who have sex with men worldwide: barriers, facilitators, and implications for combination prevention. J Sex Transm Dis. 2013;2013:953123.PubMedPubMedCentral
44.
Meehan SA, Leon N, Naidoo P, Jennings K, Burger R, Beyers N. Availability and acceptability of HIV counselling and testing services. A qualitative study comparing clients’ experiences of accessing HIV testing at public sector primary health care facilities or non-governmental mobile services in Cape Town, South Africa. BMC Public Health. 2015;15:845.CrossRefPubMedPubMedCentral
45.
Wei C, Muessig KE, Bien C, Yang L, Meng R, Han L, et al. Strategies for promoting HIV testing uptake: willingness to receive couple-based and collective HIV testing among a cross-sectional online sample of men who have sex with men in China. Sex Transm Infect. 2014;90(6):469–74.CrossRefPubMedPubMedCentral
46.
Rhodes SDVA, Stowers J, Miller C, McCoy TP, Hergenrather KC, Wilkin AM, Reece M, Bachmann LH, Ore A, Ross MW, Hendrix E, Eng E. A CBPR partnership increases HIV testing among men who have sex with men (MSM): outcome findings from a pilot test of the CyBER/testing internet intervention. Health Educ Behav. 2011;38(3):311–20.CrossRefPubMedPubMedCentral
47.
Zou H, Wu Z, Yu J, Li M, Ablimit M, Li F, et al. Internet-facilitated, voluntary counseling and testing (VCT) clinic-based HIV testing among men who have sex with men in China. PloS ONE. 2013;8(2):e51919.CrossRefPubMedPubMedCentral
48.
Lampkin D, Crawley A, Lopez TP, Mejia CM, Yuen W, Levy V. Reaching suburban men who have sex with men for STD and HIV services through online social networking outreach: a public health approach. J Acquir Immune Defic Syndr. 2016;72(1):73–8.CrossRefPubMed
49.
Schnall R, Travers J, Rojas M, Carballo-Dieguez A. eHealth interventions for HIV prevention in high-risk men who have sex with men: a systematic review. Journal Med Internet Res. 2014;16(5):e134.CrossRef
50.
Blas MM, Alva IE, Carcamo CP, Cabello R, Goodreau SM, Kimball AM, et al. Effect of an online video-based intervention to increase HIV testing in men who have sex with men in Peru. PLoS ONE. 2010;5(5):e10448.CrossRefPubMedPubMedCentral
51.
UNDP. Towards universal access: examples of municipal HIV programming for men who have sex with men and transgendered people in six Asian cities Bangkok, Thailand: UNDP; 2011.
52.
Lau JTF, Lau M, Cheung A, Tsui HY. A randomized controlled study to evaluate the efficacy of an Internet-based intervention in reducing HIV risk behaviors among men who have sex with men in Hong Kong. AIDS Care. 2008;20(7):820–8.CrossRefPubMed
53.
54.
Lin KS, Van der Putten M. Identities in motion: cyberspace and Myanmar men have sex with men. Res Humaniti Soc Sci. 2012;2(4):36–48.
55.
Lorenc T, Marrero-Guillamón I, Llewellyn A, Aggleton P, Cooper C, Lehmann A, et al. HIV testing among men who have sex with men (MSM): systematic review of qualitative evidence. Health Educ Res. 2011;26(5):834–46.CrossRefPubMed
56.
Deblonde J, De Koker P, Hamers FF, et al. Barriers to HIV testing in Europe: a systematic review. Eur J Public Health. 2010;20:422–32.CrossRefPubMed
57.
Simoni JM, Nelson KM, Franks JC, Yard SS, Lehavot K. Are peer interventions for HIV efficacious? A systematic review. AIDS Behav. 2011;15(8):1589–95.CrossRefPubMedPubMedCentral
58.
Yan H, Zhang R, Wei C, Li J, Xu J, Yang H, et al. 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. Sex Transm Infect. 2014;90(5):388–93.CrossRefPubMed
59.
Peterson JL, Rothenberg R, Kraft JM, Beeker C, Trotter R. Perceived condom norms and HIV risks among social and sexual networks of young African American men who have sex with men. Health Educ Res. 2009;24(1):119–27.CrossRefPubMed
60.
Choi K-H, Ning Z, Gregorich SE, Pan QC. The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China. J Acquir Immune Defic Syndr. 2007;45(1):77–84.CrossRefPubMed
61.
Flowers P, Duncan B, Frankis J. Community, responsibility and culpability: HIV-risk management among Scottish gay men. J Community Appl Soc Psychol. 2000;10:285–300.CrossRef
62.
Sempe S, Coquelin V, Rios L, Pelletier V, Stranz R. Editor Peer testing: how queer! How satisfying? Evaluating the immediate satisfaction and self-perceived effects of peer prevention interventions, including HIV rapid testing, in gay cruising areas and sex clubs. 19th International AIDS Conference 2012; Washington D.C., USA.
63.
Vaughan M. MSM community’s perception of HTC service models for MSM 2015.
64.
65.
Adam PCG, de Wit JBF, Toskin I, Mathers BM, Nashkhoev M, Zablotska I, et al. Estimating levels of HIV testing, HIV prevention coverage, HIV knowledge, and condom use among men who have sex with men (MSM) in low-income and middle-income countries. J Acquir Immune Defic Syndr. 2009;52:S143–51.CrossRefPubMed
Metadata
Title
Acceptability of Peer-Delivered HIV Testing and Counselling Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Myanmar
Authors
Vanessa Veronese
Zaw Min Oo
Zaw Win Thein
Poe Poe Aung
Bridget L. Draper
Chad Hughes
Claire Ryan
Alisa Pedrana
Mark Stoové
Publication date
01-08-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-2022-0

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