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Erschienen in: AIDS and Behavior 6/2016

19.12.2015 | Original Paper

Using Peer-Referral Chains with Incentives to Promote HIV Testing and Identify Undiagnosed HIV Infections Among Crack Users in San Salvador

verfasst von: Laura R. Glasman, Julia Dickson-Gomez, Julia Lechuga, Sergey Tarima, Gloria Bodnar, Lorena Rivas de Mendoza

Erschienen in: AIDS and Behavior | Ausgabe 6/2016

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Abstract

In El Salvador, crack users are at high risk for HIV but they are not targeted by efforts to promote early HIV diagnosis. We evaluated the promise of peer-referral chains with incentives to increase HIV testing and identify undiagnosed HIV infections among networks of crack users in San Salvador. For 14 months, we offered HIV testing in communities with a high prevalence of crack use. For the following 14 months, we promoted chains in which crack users from these communities referred their peers to HIV testing and received a small monetary incentive. We recorded the monthly numbers of HIV testers, and their crack use, sexual risk behaviors and test results. After launching the referral chains, the monthly numbers of HIV testers increased significantly (Z = 6.90, p < .001) and decayed more slowly (Z = 5.93, p < .001), and the total number of crack-using testers increased nearly fourfold. Testers in the peer-referral period reported fewer HIV risk behaviors, but a similar percentage (~5 %) tested HIV positive in both periods. More women than men received an HIV-positive diagnosis throughout the study (χ2(1, N = 799) = 4.23, p = .040). Peer-referral chains with incentives can potentially increase HIV testing among networks of crack users while retaining a focus on high-risk individuals.
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Metadaten
Titel
Using Peer-Referral Chains with Incentives to Promote HIV Testing and Identify Undiagnosed HIV Infections Among Crack Users in San Salvador
verfasst von
Laura R. Glasman
Julia Dickson-Gomez
Julia Lechuga
Sergey Tarima
Gloria Bodnar
Lorena Rivas de Mendoza
Publikationsdatum
19.12.2015
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 6/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1267-8

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