Tags

Type your tag names separated by a space and hit enter

Effectiveness of an Integrated Community- and Clinic-Based Intervention on HIV Testing, HIV Knowledge, and Sexual Risk Behavior of Young Men Who Have Sex With Men in Myanmar.
J Adolesc Health. 2017 Feb; 60(2S2):S45-S53.JA

Abstract

PURPOSE

Young men who have sex with men (YMSM) in Myanmar are disproportionately affected by HIV, with prevalence five times that of the general population. The Link Up project implemented an intervention using peer education and outreach providing education and counseling on health seeking around sexually transmitted infections and reproductive health, combined with focused clinic capacity building to improve the sexual and reproductive health of YMSM. This study aimed to evaluate the effectiveness and acceptability of the intervention.

METHODS

Using a mixed-methods approach, and employing a quasi-experimental design, we conducted two quantitative repeat cross-sectional surveys in purposively selected control (no intervention) and intervention townships, before and after implementation of the Link Up intervention. Respondent-driven sampling was used to recruit YMSM aged 15-24 years, and study participants were administered a structured questionnaire assessing intervention exposure, health service access, knowledge of HIV, and sexual risk behavior. Focus group discussions were held to elicit perspectives on the use and acceptability of the health services and peer outreach.

RESULTS

At baseline, 314 YMSM were recruited in the intervention townships and 309 YMSM in the control townships. At end line, 267 (intervention) and 318 (control) YMSM were recruited. Coverage of the program was relatively low, with one-third of participants in the intervention townships having heard of the Link Up program by the end line. Comparing changes between baseline and end line, a greater proportion of HIV-negative or unknown status YMSM accessed HIV testing in the past 3 months in intervention townships (from 45.0% to 57.1%) compared with those in control townships (remained at 29.0%); however, this difference in the effect over time was not statistically significant in multivariate modeling (adjusted odds ratio: 1.45; 95% confidence interval: .66-3.17). Qualitative findings showed that the intervention was acceptable to YMSM.

CONCLUSIONS

Overall, the intervention was perceived as acceptable. Although not statistically significant, results showed some trends toward improvements among YMSM in accessing HIV testing services and HIV-related knowledge. The modest coverage and short time frame of the evaluation likely limits the ability for any significant behavioral improvements.

Authors+Show Affiliations

Burnet Institute, Yangon, Myanmar; Institute for Global Health, Yangon, Myanmar; University of Maryland, Baltimore, Maryland.Burnet Institute, Melbourne, Victoria, Australia.Population Council, Phnom Penh, Cambodia. Electronic address: abajracharya@popcouncil.org.Burnet Institute, Melbourne, Victoria, Australia.Burnet Institute, Yangon, Myanmar; Institute for Global Health, Yangon, Myanmar; University of Maryland, Baltimore, Maryland.Burnet Institute, Melbourne, Victoria, Australia; Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.Burnet Institute, Yangon, Myanmar.Burnet Institute, Melbourne, Victoria, Australia.International HIV/AIDS Alliance, Yangon, Myanmar; Volunteer Service Overseas, Yangon, Myanmar.Marie Stopes International, Yangon, Myanmar.Population Council, Washington, DC.Population Council, Washington, DC.Burnet Institute, Melbourne, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; International Centre for Reproductive Health, Ghent University, Ghent, Belgium.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28109340

Citation

Aung, Poe Poe, et al. "Effectiveness of an Integrated Community- and Clinic-Based Intervention On HIV Testing, HIV Knowledge, and Sexual Risk Behavior of Young Men Who Have Sex With Men in Myanmar." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 60, no. 2S2, 2017, pp. S45-S53.
Aung PP, Ryan C, Bajracharya A, et al. Effectiveness of an Integrated Community- and Clinic-Based Intervention on HIV Testing, HIV Knowledge, and Sexual Risk Behavior of Young Men Who Have Sex With Men in Myanmar. J Adolesc Health. 2017;60(2S2):S45-S53.
Aung, P. P., Ryan, C., Bajracharya, A., Pasricha, N., Thein, Z. W., Agius, P. A., Sein, T. T., Willenberg, L., Soe, E. M., Zaw, N. T., Tun, W., Yam, E., & Luchters, S. (2017). Effectiveness of an Integrated Community- and Clinic-Based Intervention on HIV Testing, HIV Knowledge, and Sexual Risk Behavior of Young Men Who Have Sex With Men in Myanmar. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 60(2S2), S45-S53. https://doi.org/10.1016/j.jadohealth.2016.09.006
Aung PP, et al. Effectiveness of an Integrated Community- and Clinic-Based Intervention On HIV Testing, HIV Knowledge, and Sexual Risk Behavior of Young Men Who Have Sex With Men in Myanmar. J Adolesc Health. 2017;60(2S2):S45-S53. PubMed PMID: 28109340.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of an Integrated Community- and Clinic-Based Intervention on HIV Testing, HIV Knowledge, and Sexual Risk Behavior of Young Men Who Have Sex With Men in Myanmar. AU - Aung,Poe Poe, AU - Ryan,Claire, AU - Bajracharya,Ashish, AU - Pasricha,Naanki, AU - Thein,Zaw Win, AU - Agius,Paul A, AU - Sein,Than Tun, AU - Willenberg,Lisa, AU - Soe,Ei Mon, AU - Zaw,Ne Tun, AU - Tun,Waimar, AU - Yam,Eileen, AU - Luchters,Stanley, PY - 2016/04/13/received PY - 2016/09/13/revised PY - 2016/09/14/accepted PY - 2017/1/23/entrez PY - 2017/1/23/pubmed PY - 2018/2/6/medline KW - HIV KW - Health seeking KW - Men who have sex with men KW - Myanmar KW - Peer education KW - Quasi-experimental study KW - Sexual risk behavior KW - Young people SP - S45 EP - S53 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 60 IS - 2S2 N2 - PURPOSE: Young men who have sex with men (YMSM) in Myanmar are disproportionately affected by HIV, with prevalence five times that of the general population. The Link Up project implemented an intervention using peer education and outreach providing education and counseling on health seeking around sexually transmitted infections and reproductive health, combined with focused clinic capacity building to improve the sexual and reproductive health of YMSM. This study aimed to evaluate the effectiveness and acceptability of the intervention. METHODS: Using a mixed-methods approach, and employing a quasi-experimental design, we conducted two quantitative repeat cross-sectional surveys in purposively selected control (no intervention) and intervention townships, before and after implementation of the Link Up intervention. Respondent-driven sampling was used to recruit YMSM aged 15-24 years, and study participants were administered a structured questionnaire assessing intervention exposure, health service access, knowledge of HIV, and sexual risk behavior. Focus group discussions were held to elicit perspectives on the use and acceptability of the health services and peer outreach. RESULTS: At baseline, 314 YMSM were recruited in the intervention townships and 309 YMSM in the control townships. At end line, 267 (intervention) and 318 (control) YMSM were recruited. Coverage of the program was relatively low, with one-third of participants in the intervention townships having heard of the Link Up program by the end line. Comparing changes between baseline and end line, a greater proportion of HIV-negative or unknown status YMSM accessed HIV testing in the past 3 months in intervention townships (from 45.0% to 57.1%) compared with those in control townships (remained at 29.0%); however, this difference in the effect over time was not statistically significant in multivariate modeling (adjusted odds ratio: 1.45; 95% confidence interval: .66-3.17). Qualitative findings showed that the intervention was acceptable to YMSM. CONCLUSIONS: Overall, the intervention was perceived as acceptable. Although not statistically significant, results showed some trends toward improvements among YMSM in accessing HIV testing services and HIV-related knowledge. The modest coverage and short time frame of the evaluation likely limits the ability for any significant behavioral improvements. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/28109340/Effectiveness_of_an_Integrated_Community__and_Clinic_Based_Intervention_on_HIV_Testing_HIV_Knowledge_and_Sexual_Risk_Behavior_of_Young_Men_Who_Have_Sex_With_Men_in_Myanmar_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(16)30350-0 DB - PRIME DP - Unbound Medicine ER -