Response Rate, Acceptability and Effectiveness of an Intervention Offering HIV/STI Testing Via Apps Among Gay, Bisexual, and Other Men Who Have Sex With Men in Barcelona, Spain, from 2016 to 2020
Alarcón Gutiérrez, Miguel (Centre of Epidemiological Studies of HIV/AIDS and STI of Catalonia (CEEISCAT). Health Department. Generalitat de Catalunya)
Palma, David (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Alberny Iglesias, Mireia (Health Department. Catalan Institute of Health. Generalitat de Catalunya)
Ruiz Riera, Rafael (Direcció Estratègica d'Atenció Primària i Comunitària. Health Department. Generalitat de Catalunya)
Guayta-Escolies, Rafael (Projects and Research Directorate. Council of Pharmacists Colleges of Catalonia)
García de Olalla, Patricia (Institut d'Investigació Biomèdica Sant Pau)
Rius i Gibert, Maria Cristina (Institut d'Investigació Biomèdica Sant Pau)

Fecha:	2023
Resumen:	We evaluated the response rate, acceptability, and effectiveness of a preventive programme offering rapid HIV and other STI testing, as well as sexual counselling to gay, bisexual, and other men who have sex with men (GBMSM) via dating apps over a 4-year period. The programme was carried out in 9 out of the 10 districts in the city of Barcelona, Spain. The response rate was defined as the proportion of people responding to the message sent, acceptability as the proportion of those responding favourably, and effectiveness as the proportion of users requesting a test. We performed univariate analysis and multivariate logistic regression in relation with the response rate, acceptability and effectiveness. A total of 5,254 messages were send to different users. The response rate was 33. 1% (n = 1,741), acceptability was 86. 2% (n = 1,500), and effectiveness was 10. 1% (n = 532). The factors associated with user response were recent connection to the app (aOR = 1. 85; CI:1. 39-2. 46) and the presence of a profile photograph (aOR = 1. 34; CI:1. 11-1. 64). Acceptability was associated with recent connection to the app (aOR = 1. 98; CI:1. 09-3. 58). Effectiveness was associated with lower reported age (aOR = 0. 98; CI:0. 97-0. 99), contact before 14:00 (aOR = 2. 47; CI: 1. 77-3. 46), and recent connection to the app (aOR = 4. 89; CI:1. 98-12. 08). Effectiveness was also greater in districts that were more disadvantaged or had fewer sexual health services. This study demonstrates that the use of these apps is an acceptable and effective method of prevention and sexual health promotion in GBMSM in this setting and identifies the associated factors that could guide such interventions.
Ayudas:	Ministerio de Economía y Competitividad PI16/02025
Nota:	Altres ajuts: acords transformatius de la UAB
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Men who have sex with men ; HIV testing ; STI testing ; Health promotion ; Dating apps
Publicado en:	AIDS and Behavior, 2023 , ISSN 1573-3254

DOI: 10.1007/s10461-023-04165-2
PMID: 37768426

11 p, 1.1 MB

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