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

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Foilsithe in:AIDS and Behavior vol. 20, no. 6 (Jun 2016), p. 1236
Príomhchruthaitheoir: Glasman, Laura R
Rannpháirtithe: Dickson-gomez, Julia, Lechuga, Julia, Tarima, Sergey, Bodnar, Gloria, de Mendoza, Lorena Rivas
Foilsithe / Cruthaithe:
Springer Nature B.V.
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Rochtain ar líne:Citation/Abstract
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022 |a 1573-3254 
024 7 |a 10.1007/s10461-015-1267-8  |2 doi 
035 |a 1788604485 
045 2 |b d20160601  |b d20160630 
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100 1 |a Glasman, Laura R  |u Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI, USA 
245 1 |a Using Peer-Referral Chains with Incentives to Promote HIV Testing and Identify Undiagnosed HIV Infections Among Crack Users in San Salvador 
260 |b Springer Nature B.V.  |c Jun 2016 
513 |a Journal Article 
520 3 |a 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 ([chi]2(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. 
610 4 |a Medical College of Wisconsin World Health Organization 
651 4 |a El Salvador 
653 |a Human immunodeficiency virus--HIV 
653 |a Peers 
653 |a Risk 
653 |a Medical screening 
653 |a Cocaine 
653 |a Incentives 
653 |a Risk taking 
653 |a Decay rate 
653 |a Chains 
653 |a Diagnosis 
653 |a Communities 
653 |a Risk groups 
653 |a Health risks 
653 |a Acquired immune deficiency syndrome--AIDS 
653 |a Social networks 
653 |a Sexually transmitted diseases--STD 
653 |a Sexual behavior 
653 |a Diagnostic tests 
653 |a Risk behavior 
653 |a Crack cocaine 
653 |a Referrals 
653 |a Undiagnosed 
653 |a Infections 
653 |a High risk 
653 |a Tests 
653 |a Social 
700 1 |a Dickson-gomez, Julia  |u Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI, USA 
700 1 |a Lechuga, Julia  |u Department of Psychology, University of Texas, El Paso, TX, USA 
700 1 |a Tarima, Sergey  |u Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA 
700 1 |a Bodnar, Gloria  |u Departamento de Investigación, Fundación Antidrogas de El Salvador (FUNDASALVA), Santa Tecla, El Salvador 
700 1 |a de Mendoza, Lorena Rivas  |u Department of Psychology, Universidad Centroamericana José Simeón Cañas, San Salvador, El Salvador 
773 0 |t AIDS and Behavior  |g vol. 20, no. 6 (Jun 2016), p. 1236 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/1788604485/abstract/embedded/ZKJTFFSVAI7CB62C?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/1788604485/fulltext/embedded/ZKJTFFSVAI7CB62C?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/1788604485/fulltextPDF/embedded/ZKJTFFSVAI7CB62C?source=fedsrch