Evaluation of the relative effectiveness of three HIV testing strategies targeting African American men who have sex with men (MSM) in New York City

Perry N. Halkitis, Sandra A. Kupprat, Donna Hubbard McCree, Sara M. Simons, Raynal Jabouin, Melvin C. Hampton, Sara Gillen

Research output: Contribution to journalArticle

Abstract

Background African American men who have sex with men (MSM) are disproportionately affected by HIV and constitute more than half of all HIV-infected MSM in the USA. Purpose Data from the New York City location of a multisite study were used to evaluate the effectiveness of three HIV testing strategies for detecting previously undiagnosed, 18 to 64-year-old African American MSM. Effectiveness was defined as the identification of seropositive individuals. Methods Using a quasi-experimental design (N=558), we examined HIV-positive test results for men tested via alternative venue testing, the social networks strategy, and partner counseling and referral services, as well as behavioral risk factors for 509 men tested through alternative venue testing and the social networks strategy. Results Detection rates of HIV-positives were: alternative venue testing-6.3%, the social networks strategy-19.3%, and partner services-14.3%. The odds for detection of HIV-positive MSM were 3.6 times greater for the social networks strategy and 2.5 times greater for partner services than alternative venue testing. Men tested through alternative venue testing were younger and more likely to be gayidentified than men tested through the social networks strategy. Men who tested through the social networks strategy reported more sexual risk behaviors than men tested through alternative venue testing. Conclusions Findings suggest differential effectiveness of testing strategies. Given differences in the individuals accessing testing across strategies, a multi-strategic testing approach may be needed to most fully identify undiagnosed HIV-positive African American MSM.

Original languageEnglish (US)
Pages (from-to)361-369
Number of pages9
JournalAnnals of Behavioral Medicine
Volume42
Issue number3
DOIs
StatePublished - Dec 2011

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African Americans
HIV
Social Support
Risk-Taking
Individuality
Sexual Behavior
Counseling
Research Design
Referral and Consultation

Keywords

  • African American
  • Alternative venue testing
  • HIV testing
  • MSM
  • Partner counseling and referral services
  • Social networks strategy

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health
  • Medicine(all)

Cite this

Evaluation of the relative effectiveness of three HIV testing strategies targeting African American men who have sex with men (MSM) in New York City. / Halkitis, Perry N.; Kupprat, Sandra A.; McCree, Donna Hubbard; Simons, Sara M.; Jabouin, Raynal; Hampton, Melvin C.; Gillen, Sara.

In: Annals of Behavioral Medicine, Vol. 42, No. 3, 12.2011, p. 361-369.

Research output: Contribution to journalArticle

Halkitis, Perry N. ; Kupprat, Sandra A. ; McCree, Donna Hubbard ; Simons, Sara M. ; Jabouin, Raynal ; Hampton, Melvin C. ; Gillen, Sara. / Evaluation of the relative effectiveness of three HIV testing strategies targeting African American men who have sex with men (MSM) in New York City. In: Annals of Behavioral Medicine. 2011 ; Vol. 42, No. 3. pp. 361-369.
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