The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing
This study aims to explore how peer education influences men who have sex with men (MSM) to accompany friends to test and then affects their own testing, and to reveal the internal mechanism of peer education influencing HIV testing. A cross-sectional study among MSM in 11 cities in Shandong provinc...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-04-01
|
| Series: | American Journal of Men's Health |
| Online Access: | https://doi.org/10.1177/15579883221095719 |
| _version_ | 1828367786551803904 |
|---|---|
| author | Yijun Li Kedi Jiao Lin Wang Meizhen Liao Lijie Gao Wei Ma |
| author_facet | Yijun Li Kedi Jiao Lin Wang Meizhen Liao Lijie Gao Wei Ma |
| author_sort | Yijun Li |
| collection | DOAJ |
| description | This study aims to explore how peer education influences men who have sex with men (MSM) to accompany friends to test and then affects their own testing, and to reveal the internal mechanism of peer education influencing HIV testing. A cross-sectional study among MSM in 11 cities in Shandong province, China was conducted to collect information on demographic characteristics, behavior, HIV-related knowledge, HIV testing history, and use of prevention services. Blood samples were tested for HIV status. Logistic regression was used for univariate and multivariate analyses, and R Mediation package was used for mediating effect analysis. Of 4,005 participants, 66.8% (2,674/4,005) had HIV testing in the last year, 50.6% (2,026/4,004) accompanied a friend for HIV testing, and 65.3% (2,614/4,005) received peer education in the last year. In multivariate logistic regression analysis, MSM who had anal sex with men in the past six months (adjusted odds ratio [AOR] = 1.772, 95% confidence interval [CI] = [1.438, 2.182]), had used drugs (AOR = 2.762, 95% CI = [2.264, 3.368]), received peer education in the past year (AOR = 2.412, 95% CI = [2.081, 2.796]), and accompanied a friend for testing in the past year (AOR = 3.077, 95% CI = [2.653, 3.569]) were more likely to take HIV testing. Receiving peer education in the past year could influence their own HIV testing in the past year by affecting their accompanying one’s friends to take the test in the past year (a*b = 0.889, 95% CI = [0.733, 1.053]). Peer education not only had a direct effect on HIV testing but also had an indirect effect on HIV testing by influencing accompanying friends for testing. |
| first_indexed | 2024-04-14T06:02:48Z |
| format | Article |
| id | doaj.art-898ba9b6a8f149b9857125b618d651b1 |
| institution | Directory Open Access Journal |
| issn | 1557-9891 |
| language | English |
| last_indexed | 2024-04-14T06:02:48Z |
| publishDate | 2022-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | American Journal of Men's Health |
| spelling | doaj.art-898ba9b6a8f149b9857125b618d651b12022-12-22T02:08:42ZengSAGE PublishingAmerican Journal of Men's Health1557-98912022-04-011610.1177/15579883221095719The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for TestingYijun Li0Kedi Jiao1Lin Wang2Meizhen Liao3Lijie Gao4Wei Ma5Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaShandong Center for Disease Control and Prevention, Jinan, Shandong, ChinaShandong Center for Disease Control and Prevention, Jinan, Shandong, ChinaDepartment of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaThis study aims to explore how peer education influences men who have sex with men (MSM) to accompany friends to test and then affects their own testing, and to reveal the internal mechanism of peer education influencing HIV testing. A cross-sectional study among MSM in 11 cities in Shandong province, China was conducted to collect information on demographic characteristics, behavior, HIV-related knowledge, HIV testing history, and use of prevention services. Blood samples were tested for HIV status. Logistic regression was used for univariate and multivariate analyses, and R Mediation package was used for mediating effect analysis. Of 4,005 participants, 66.8% (2,674/4,005) had HIV testing in the last year, 50.6% (2,026/4,004) accompanied a friend for HIV testing, and 65.3% (2,614/4,005) received peer education in the last year. In multivariate logistic regression analysis, MSM who had anal sex with men in the past six months (adjusted odds ratio [AOR] = 1.772, 95% confidence interval [CI] = [1.438, 2.182]), had used drugs (AOR = 2.762, 95% CI = [2.264, 3.368]), received peer education in the past year (AOR = 2.412, 95% CI = [2.081, 2.796]), and accompanied a friend for testing in the past year (AOR = 3.077, 95% CI = [2.653, 3.569]) were more likely to take HIV testing. Receiving peer education in the past year could influence their own HIV testing in the past year by affecting their accompanying one’s friends to take the test in the past year (a*b = 0.889, 95% CI = [0.733, 1.053]). Peer education not only had a direct effect on HIV testing but also had an indirect effect on HIV testing by influencing accompanying friends for testing.https://doi.org/10.1177/15579883221095719 |
| spellingShingle | Yijun Li Kedi Jiao Lin Wang Meizhen Liao Lijie Gao Wei Ma The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing American Journal of Men's Health |
| title | The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing |
| title_full | The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing |
| title_fullStr | The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing |
| title_full_unstemmed | The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing |
| title_short | The Impact of Peer Education on HIV Testing for Chinese Men Who Have Sex With Men: The Mediation Effect of Accompanying Friends for Testing |
| title_sort | impact of peer education on hiv testing for chinese men who have sex with men the mediation effect of accompanying friends for testing |
| url | https://doi.org/10.1177/15579883221095719 |
| work_keys_str_mv | AT yijunli theimpactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT kedijiao theimpactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT linwang theimpactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT meizhenliao theimpactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT lijiegao theimpactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT weima theimpactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT yijunli impactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT kedijiao impactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT linwang impactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT meizhenliao impactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT lijiegao impactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting AT weima impactofpeereducationonhivtestingforchinesemenwhohavesexwithmenthemediationeffectofaccompanyingfriendsfortesting |