Increasing testing and diagnosis for men who have sex with men using social networks for HIV self-test distribution
Lightfoot et al.
Type of approach
Type of assistance
Key population: Men who have sex with men and transgender women
UNAIDS HIV prevalence (2017)
0.2 [0.2 - 0.2]
African American and Latino men who have sex with men (MSM) and transgender women (n=31), between 18 and 45 years old were engaged and trained as peer recruiters on the basics of HIV infection, proper use of the oral fluid-based HIVST, and supporting a friend through the testing process. Each peer was given five self-test kits to distribute to MSM friends thought not to have tested for HIV in at least 6 months. Those receiving the self-test kits were asked to complete an online survey after completing their test.
Summary of findings
Peers distributed self-test kits to 143 social and sexual network members, of whom 110 completed the online survey. Compared to men who have sex with men who utilized the government-sponsored testing programs, individuals reached through the peer-based self-testing strategy were significantly more likely to have never tested for HIV (4.0% vs. 0.5%, p<0.01) and to report a positive test result (3.7% vs 1.5%, p<0.01), though six people in the peer-based strategy (5.5%) declined to provide a result.
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment