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Regular HIV Testing Among At-Risk Latino Men

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ClinicalTrials.gov Identifier: NCT02454725
Recruitment Status : Enrolling by invitation
First Posted : May 27, 2015
Last Update Posted : September 28, 2017
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Medical College of Wisconsin

Brief Summary:
Early HIV diagnosis followed by linkage to treatment soon after HIV infection can reduce mortality and prevent new HIV infections. To obtain the full benefit of early HIV diagnosis, the US Centers for Disease Control and Prevention suggest that high risk groups get tested for HIV regularly, every three to six months. This study will examine the feasibility of a strategy to promote regular HIV testing and HIV risk reduction among Latino men at risk for HIV which, if successful, will help to identify Latino men unaware of their HIV status, benefitting them and the society.

Condition or disease Intervention/treatment Phase
Human Immunodeficiency Virus (HIV) Behavioral: Social Network Behavioral: Comparison Not Applicable

Detailed Description:

In the US, the HIV epidemic largely affects clusters of interconnected persons with high HIV prevalence and undiagnosed HIV infections that must be reached to reduce incidence. Latino men who have sex with men (LMSM) are overrepresented in these clusters. Following African Americans, LMSM have the highest HIV incidence rate and are the next most likely to be unaware of their HIV infection. Between 2005 and 2008, nearly one-quarter of the HIV positive LMSM were unaware of the infection.

High HIV prevalence in LMSM networks and lack of strategies to promote regular HIV testing may explain why many LMSM are not benefiting from early diagnosis. Many LMSM face social and legal challenges that hinder their access to healthcare services and outreach. They often have little understanding of HIV treatments, experience discrimination, and hold mistaken assumptions about HIV risk, including beliefs that motivate them to seek sexual partners within their high prevalence in-group as a form of preventing infection.

A social network approach can address the demands of engaging LMSM in regular HIV screening and reduce their collective risk. LMSM often rely on other LMSM who are sources of advice and referrals and who partially shield them from the double jeopardy of being a sexual and ethnic minority. Network interventions can capitalize on these relationships to promote access to resources and foster norms that reward regular testing and encourage collective safety. This project uses social networks to promote regular HIV testing and risk reduction among LMSM. Rather than delivering risk reduction messages and opportunities for HIV testing, the intervention will penetrate networks of LMSM through well positioned members. Unlike strategies that target personal networks or social groups within venues, the intervention will recruit three-ring networks of interconnected LMSM and isolate their ties. Three recruitment rings will help to find less visible LMSM; and isolating their ties will identify who can reach them. In addition to informing and motivating their peers to reduce risk, key network members will be trained to be links to prevention resources, deliver tailored prompts to HIV testing, and support peers' testing behaviors to encourage repetition.


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 250 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Regular HIV Testing Among At-Risk Latino Men
Study Start Date : June 2015
Estimated Primary Completion Date : June 2018
Estimated Study Completion Date : June 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Arm Intervention/treatment
Experimental: Social Network
Leaders of social networks will communicate messages endorsing regular HIV testing to network members.
Behavioral: Social Network
Leaders of social networks will undergo small group training to develop skills to convey information effectively and deliver messages endorsing regular HIV testing to members of their social networks.

Behavioral: Comparison
All participants will receive HIV counseling and rapid testing following the Wisconsin Department of Health guidelines. Sexually active men who receive a negative test result will be told that they should be HIV-tested every three to six months, unless they have a monogamous HIV negative partner
Other Name: HIV Counseling and Testing

Active Comparator: Comparison
HIV counseling and testing
Behavioral: Comparison
All participants will receive HIV counseling and rapid testing following the Wisconsin Department of Health guidelines. Sexually active men who receive a negative test result will be told that they should be HIV-tested every three to six months, unless they have a monogamous HIV negative partner
Other Name: HIV Counseling and Testing




Primary Outcome Measures :
  1. Frequency of HIV testing [ Time Frame: Twelve months post intervention ]
    Maximum number of months between two HIV tests


Secondary Outcome Measures :
  1. Frequency of HIV testing [ Time Frame: Twelve months post intervention ]
    Whether the participant received an HIV test every < six months during the 12-month period following study intake

  2. HIV risk behaviors: Number of unprotected anal intercourse occasions with a non-monogamous partner [ Time Frame: Twelve months post intervention ]
    Number of unprotected anal intercourse occasions with a non-monogamous partner

  3. HIV risk behaviors: Number of sexual partners [ Time Frame: Twelve months post intervention ]
    Number of sexual partners



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • self-report as a Latino man who has sex with men (LMSM);
  • living in the Milwaukee area;
  • willing and able to provide consent for participation;

Additional Inclusion Criteria for Social Network Seeds:

  • more than 70% of social network members are LMSM
  • more than 50% of LMSM social network members are at risk for HIV

Exclusion Criteria:

  • Female
  • 17 years of age or younger
  • Unable to provide consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02454725


Sponsors and Collaborators
Medical College of Wisconsin
National Institute of Mental Health (NIMH)
Investigators
Principal Investigator: Laura R. Glasman, Ph.D. Medical College of Wisconsin

Responsible Party: Medical College of Wisconsin
ClinicalTrials.gov Identifier: NCT02454725     History of Changes
Other Study ID Numbers: PRO00020837
R34MH100947 ( U.S. NIH Grant/Contract )
First Posted: May 27, 2015    Key Record Dates
Last Update Posted: September 28, 2017
Last Verified: August 2017

Keywords provided by Medical College of Wisconsin:
HIV Testing
Latino

Additional relevant MeSH terms:
Immunologic Deficiency Syndromes
Acquired Immunodeficiency Syndrome
HIV Infections
Immune System Diseases
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Slow Virus Diseases