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A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up

Introduction: PrEP awareness and uptake among men who have sex with men (MSM) and transgender women (TG) in Thailand remains low. Finding ways to increase HIV testing and PrEP uptake among high-risk groups is a critical priority. This study evaluates the effect of a novel Adam’s Love Online-to-Offli...

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Autores principales: Anand, Tarandeep, Nitpolprasert, Chattiya, Trachunthong, Deondara, Kerr, Stephen J, Janyam, Surang, Linjongrat, Danai, Hightow-Weidman, Lisa B, Phanuphak, Praphan, Ananworanich, Jintanat, Phanuphak, Nittaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467616/
https://www.ncbi.nlm.nih.gov/pubmed/28362062
http://dx.doi.org/10.7448/IAS.20.1.21326
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author Anand, Tarandeep
Nitpolprasert, Chattiya
Trachunthong, Deondara
Kerr, Stephen J
Janyam, Surang
Linjongrat, Danai
Hightow-Weidman, Lisa B
Phanuphak, Praphan
Ananworanich, Jintanat
Phanuphak, Nittaya
author_facet Anand, Tarandeep
Nitpolprasert, Chattiya
Trachunthong, Deondara
Kerr, Stephen J
Janyam, Surang
Linjongrat, Danai
Hightow-Weidman, Lisa B
Phanuphak, Praphan
Ananworanich, Jintanat
Phanuphak, Nittaya
author_sort Anand, Tarandeep
collection PubMed
description Introduction: PrEP awareness and uptake among men who have sex with men (MSM) and transgender women (TG) in Thailand remains low. Finding ways to increase HIV testing and PrEP uptake among high-risk groups is a critical priority. This study evaluates the effect of a novel Adam’s Love Online-to-Offline (O2O) model on PrEP and HIV testing uptake among Thai MSM and TG and identifies factors associated with PrEP uptake. Methods: The O2O model was piloted by Adam’s Love (www.adamslove.org) HIV educational and counselling website. MSM and TG reached online by PrEP promotions and interested in free PrEP and/or HIV testing services contacted Adam’s Love online staff, received real-time PrEP eCounseling, and completed online bookings for receiving services at one of the four sites in Bangkok based on their preference. Auto-generated site- and service-specific e-tickets and Quick Response (QR) codes were sent to their mobile devices enabling monitoring and check-in by offline site staff. Service uptake and participant’s socio-demographic and risk behaviour characteristics were analyzed. Factors associated with PrEP uptake were assessed using multiple logistic regression. Results: Between January 10th and April 11th, 2016, Adam’s Love reached 272,568 people online via the PrEP O2O promotions. 425 MSM and TG received eCounseling and e-tickets. There were 325 (76.5%) MSM and TG who checked-in at clinics and received HIV testing. Nine (2.8%) were diagnosed with HIV infection. Median (IQR) time between receiving the e-ticket and checking-in was 3 (0–7) days. Of 316 HIV-negative MSM and TG, 168 (53.2%) started PrEP. In a multivariate model, higher education (OR 2.30, 95%CI 1.14–4.66; p = 0.02), seeking sex partners online (OR 2.05, 95%CI 1.19–3.54; p = 0.009), being aware of sexual partners’ HIV status (OR 2.37, 95%CI 1.29–4.35; p = 0.008), ever previously using post-exposure prophylaxis (PEP) (OR 2.46, 95%CI 1.19–5.09; p = 0.01), and enrolment at Adam’s Love clinic compared to the other three sites (OR 3.79, 95%CI 2.06–6.95; p < 0.001) were independently associated with PrEP uptake. Conclusions: Adam’s Love O2O model is highly effective in linking online at-risk MSM and TG to PrEP and HIV testing services, and has high potential to be replicated and scaled up in other settings with high Internet penetration among key populations.
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spelling pubmed-54676162017-06-19 A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up Anand, Tarandeep Nitpolprasert, Chattiya Trachunthong, Deondara Kerr, Stephen J Janyam, Surang Linjongrat, Danai Hightow-Weidman, Lisa B Phanuphak, Praphan Ananworanich, Jintanat Phanuphak, Nittaya J Int AIDS Soc Research Article Introduction: PrEP awareness and uptake among men who have sex with men (MSM) and transgender women (TG) in Thailand remains low. Finding ways to increase HIV testing and PrEP uptake among high-risk groups is a critical priority. This study evaluates the effect of a novel Adam’s Love Online-to-Offline (O2O) model on PrEP and HIV testing uptake among Thai MSM and TG and identifies factors associated with PrEP uptake. Methods: The O2O model was piloted by Adam’s Love (www.adamslove.org) HIV educational and counselling website. MSM and TG reached online by PrEP promotions and interested in free PrEP and/or HIV testing services contacted Adam’s Love online staff, received real-time PrEP eCounseling, and completed online bookings for receiving services at one of the four sites in Bangkok based on their preference. Auto-generated site- and service-specific e-tickets and Quick Response (QR) codes were sent to their mobile devices enabling monitoring and check-in by offline site staff. Service uptake and participant’s socio-demographic and risk behaviour characteristics were analyzed. Factors associated with PrEP uptake were assessed using multiple logistic regression. Results: Between January 10th and April 11th, 2016, Adam’s Love reached 272,568 people online via the PrEP O2O promotions. 425 MSM and TG received eCounseling and e-tickets. There were 325 (76.5%) MSM and TG who checked-in at clinics and received HIV testing. Nine (2.8%) were diagnosed with HIV infection. Median (IQR) time between receiving the e-ticket and checking-in was 3 (0–7) days. Of 316 HIV-negative MSM and TG, 168 (53.2%) started PrEP. In a multivariate model, higher education (OR 2.30, 95%CI 1.14–4.66; p = 0.02), seeking sex partners online (OR 2.05, 95%CI 1.19–3.54; p = 0.009), being aware of sexual partners’ HIV status (OR 2.37, 95%CI 1.29–4.35; p = 0.008), ever previously using post-exposure prophylaxis (PEP) (OR 2.46, 95%CI 1.19–5.09; p = 0.01), and enrolment at Adam’s Love clinic compared to the other three sites (OR 3.79, 95%CI 2.06–6.95; p < 0.001) were independently associated with PrEP uptake. Conclusions: Adam’s Love O2O model is highly effective in linking online at-risk MSM and TG to PrEP and HIV testing services, and has high potential to be replicated and scaled up in other settings with high Internet penetration among key populations. Taylor & Francis 2017-03-10 /pmc/articles/PMC5467616/ /pubmed/28362062 http://dx.doi.org/10.7448/IAS.20.1.21326 Text en © 2017 Anand T et al; licensee International AIDS Society. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 3.0 Unported (CC BY 3.0) License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Anand, Tarandeep
Nitpolprasert, Chattiya
Trachunthong, Deondara
Kerr, Stephen J
Janyam, Surang
Linjongrat, Danai
Hightow-Weidman, Lisa B
Phanuphak, Praphan
Ananworanich, Jintanat
Phanuphak, Nittaya
A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up
title A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up
title_full A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up
title_fullStr A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up
title_full_unstemmed A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up
title_short A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and HIV testing scale up
title_sort novel online-to-offline (o2o) model for pre-exposure prophylaxis and hiv testing scale up
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467616/
https://www.ncbi.nlm.nih.gov/pubmed/28362062
http://dx.doi.org/10.7448/IAS.20.1.21326
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