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AIDS and Behavior

, Volume 16, Issue 5, pp 1138–1147 | Cite as

A Randomized Controlled Trial to Evaluate the Relative Efficacy of Enhanced Versus Standard Voluntary Counseling and Testing on Promoting Condom Use among Men Who Have Sex with Men in China

  • Chun Hao
  • Xiping Huan
  • Hongjing Yan
  • Haitao Yang
  • Wenhui Guan
  • Xiaoqin Xu
  • Min Zhang
  • Na Wang
  • Weiming Tang
  • Jing Gu
  • Joseph T. F. LauEmail author
Original Paper

Abstract

The randomized controlled trial investigated the relative efficacy of an enhanced (EVCT) versus standard (SVCT) voluntary counseling and testing in reducing unprotected anal intercourse (UAI) among men who have sex with men (MSM) in China. 295 participants who recruited by respondent driven sampling methods were randomly allocated to the two arms. In addition to the SVCT, the EVCT group watched a theory-based video narrated by a HIV positive MSM, received enhanced counseling and a reminder gift. As compared to the SVCT group, the EVCT group reported lower prevalence of UAI with any male sex partners (48.4% versus 66.7%, RR = 0.7, ARR = −18.3%, p = 0.010) and with regular male sex partners (52.2% versus 68.9%, RR = 0.8, ARR = −16.7%, p = 0.043) at Month 6, whilst baseline between-group differences were statistically non-significant. Between-group differences in HIV/syphilis incidence were statistically non-significant. Translational research should be conducted to integrate non-intensive enhancements such as the EVCT into regular testing services.

Keywords

Randomized controlled trial Men who have sex with men Voluntary HIV counseling and testing Intervention HIV/STD 

Notes

Acknowledgments

We thank the study participants for their contributions, and X. Wu, Y. Zhu, Q. Wei, Z. Pu, Heizi, Zhuimeng, W. Xu, J. Ji and H. Guo for registration, HIV counseling, HIV screening and confirming. We also thank the NGO of Jiangsu Tongtian offering assistance through the whole study. This study is financially supported by Jiangsu Provincial Technologies Research Program, No. BE2009685.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Chun Hao
    • 1
    • 2
    • 3
  • Xiping Huan
    • 4
  • Hongjing Yan
    • 4
  • Haitao Yang
    • 4
  • Wenhui Guan
    • 4
  • Xiaoqin Xu
    • 4
  • Min Zhang
    • 5
  • Na Wang
    • 5
  • Weiming Tang
    • 6
  • Jing Gu
    • 1
    • 2
    • 3
  • Joseph T. F. Lau
    • 2
    • 3
    Email author
  1. 1.Shool of Public HealthSun Yat-Sen UniversityGuangzhouChina
  2. 2.Center for Health Behaviours Research, School of Public Health and Primary Care, Faculty of MedicineThe Chinese University of Hong Kong, 5/F, School of Public Health and Primary Care, Prince of Wales HospitalHong Kong Special Administrative RegionChina
  3. 3.Centre for Medical Anthropology and Behavioral HealthSun Yat-Sen UniversityGuangzhouChina
  4. 4.Jiangsu Provincial Central for Disease Control and PreventionNanjingChina
  5. 5.Nanjing Central for Disease Control and PreventionNanjingChina
  6. 6.Nanjing Medical UniversityNanjingChina

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