Effectiveness of peer-led interventions to increase HIV testing among men who have sex with men: a systematic review and meta-analysis

Shangani, Sylvia; Escudero, Daniel J.; Kirwa, Kipruto; Harrison, Abigail; Marshall, Brandon D. L.; Operario, Don

doi:10.1080/09540121.2017.1282105

Cited by 88 publications

(76 citation statements)

References 51 publications

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“…(68–70)] and HIV screening (71) among diverse at-risk populations. This large and growing body of research underscores both the power and potential of mobilizing existing social networks within the social environment for health promotion.…”

Section: Social/cultural/organizational Environmentmentioning

confidence: 99%

Health by Design: Interweaving Health Promotion into Environments and Settings

Springer

Evans

Ortuño

et al. 2017

Front. Public Health

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The important influence of the environmental context on health and health behavior—which includes place, settings, and the multiple environments within place and settings—has directed health promotion planners from a focus solely on changing individuals, toward a focus on harnessing and changing context for individual and community health promotion. Health promotion planning frameworks such as Intervention Mapping provide helpful guidance in addressing various facets of the environmental context in health intervention design, including the environmental factors that influence a given health condition or behavior, environmental agents that can influence a population’s health, and environmental change methods. In further exploring how to harness the environmental context for health promotion, we examine in this paper the concept of interweaving of health promotion into context, defined as weaving or blending together health promotion strategies, practices, programs, and policies to fit within, complement, and build from existing settings and environments. Health promotion interweaving stems from current perspectives in health intervention planning, improvement science and complex systems thinking by guiding practitioners from a conceptualization of context as a backdrop to intervention, to one that recognizes context as integral to the intervention design and to the potential to directly influence health outcomes. In exploring the general approach of health promotion interweaving, we examine selected theoretical and practice-based interweaving concepts in relation to four key environments (the policy environment, the information environment, the social/cultural/organizational environment, and the physical environment), followed by evidence-based and practice-based examples of health promotion interweaving from the literature. Interweaving of health promotion into context is a common practice for health planners in designing health promotion interventions, yet one which merits further intentionality as a specific health promotion planning design approach.

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Section: Social/cultural/organizational Environmentmentioning

confidence: 99%

Health by Design: Interweaving Health Promotion into Environments and Settings

Springer

Evans

Ortuño

et al. 2017

Front. Public Health

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“…Besides individual characteristics, sexual network factors may affect HIV testing and downstream engagement in health services 8 . MSM face challenges in accessing health care that may be alleviated by culturally competent care providers, peer health navigators, and/or integrated healthcare services 9,10 . For example, in Nigeria, same-sex practices are criminalized and MSM are highly stigmatized 11,12 .…”

Section: Introductionmentioning

confidence: 99%

Individual and Network Factors Associated With HIV Care Continuum Outcomes Among Nigerian MSM Accessing Health Care Services

Ramadhani

Ndembi

Nowak

et al. 2018

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background and setting As data on the determinants of the HIV care continuum from key populations such as men who have sex with men (MSM) in resource-limited, settings (RLS) are limited, the study aimed to characterize HIV care continuum outcomes and assess individual and network barriers to progression through the HIV care continuum among MSM in Abuja and Lagos, Nigeria. Methods TRUST/RV368 study used respondent-driven-sampling to accrue MSM into community-based clinics in Nigeria. Participants received HIV testing at enrollment. HIV-infected participants were offered antiretroviral therapy (ART) with HIV RNA testing every three months (Abuja) or six months (Lagos). Multiple logistic regression models were used to calculate adjusted odds ratios for factors associated with each point in the HIV care continuum, including HIV testing, ART initiation, and six-month viral suppression. Results A total of 1506 MSM were recruited, 1178 (78.2%) tested for HIV and 369 (31.3%) were HIV positive newly diagnosed. Of these, 188 (50.1%) initiated ART, 136 (72.3%) completed six months and 96 (70.6%) were virally suppressed. Larger network size and stronger social network support were positively associated with HIV testing uptake. Factors associated with ART initiation were higher education and stronger social network support. Having stronger social network support was associated with increased odds of viral suppression at six months. Conclusions Social determinants of health potentiated increased HIV Care Continuum outcomes. Integration of HIV prevention, HIV Counselling and Testing services and universal coverage of ART into a community-based clinic is critical in achieving better hig HIV Care Continuum outcomes.

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“…Such screeners can however be geographically and socially distant from populations at high risk for the disease screened. To address this issue, peer-led interventions have been piloted and have shown a positive impact on the control of diseases such as human immunodeficiency virus (HIV), 7 , 8 malaria 9 and tuberculosis 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

Patient-led active tuberculosis case-finding in the Democratic Republic of the Congo

André

Rusumba

Evans

et al. 2018

Bull. World Health Organ.

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ObjectiveTo investigate the effect of using volunteer screeners in active tuberculosis case-finding in South Kivu, the Democratic Republic of the Congo, especially among groups at high risk of tuberculosis infection.MethodsTo identify and screen high-risk groups in remote communities, we trained volunteer screeners, mainly those who had themselves received treatment for tuberculosis or had a family history of the disease. A non-profit organization was created and screeners received training on the disease and its transmission at 3-day workshops. Screeners recorded the number of people screened, reporting a prolonged cough and who attended a clinic for testing, as well as test results. Data were evaluated every quarter during the 3-year period of the intervention (2014–2016).FindingsAcceptability of the intervention was high. Volunteers screened 650 434 individuals in their communities, 73 418 of whom reported a prolonged cough; 50 368 subsequently attended a clinic for tuberculosis testing. Tuberculosis was diagnosed in 1 in 151 people screened, costing 0.29 United States dollars (US$) per person screened and US$ 44 per person diagnosed. Although members of high-risk groups with poorer access to health care represented only 5.1% (33 002/650 434) of those screened, they contributed 19.7% (845/4300) of tuberculosis diagnoses (1 diagnosis per 39 screened). The intervention resulted in an additional 4300 sputum-smear-positive pulmonary tuberculosis diagnoses, 42% (4 300/10 247) of the provincial total for that period.ConclusionPatient-led active tuberculosis case-finding represents a valuable complement to traditional case-finding, and should be used to assist health systems in the elimination of tuberculosis.

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Effectiveness of peer-led interventions to increase HIV testing among men who have sex with men: a systematic review and meta-analysis

Cited by 88 publications

References 51 publications

Health by Design: Interweaving Health Promotion into Environments and Settings

Health by Design: Interweaving Health Promotion into Environments and Settings

Individual and Network Factors Associated With HIV Care Continuum Outcomes Among Nigerian MSM Accessing Health Care Services

Patient-led active tuberculosis case-finding in the Democratic Republic of the Congo

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