Acceptability of Peer-Delivered HIV Testing and Counselling Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Myanmar
Men who have sex with men (MSM) and transgender women (TW) are a priority population for HIV prevention in Myanmar but report sub-optimal HIV testing frequency. Previous studies have shown that peer involvement in HIV testing can normalize stigmatized sexualities and reduce barriers to testing. We explored the acceptability of peer-delivered HIV testing among 425 undiagnosed MSM and TW in Yangon and Mandalay. An overwhelming majority of participants (86%) reported being ‘comfortable/very comfortable’ with peer-delivered HIV testing. Logistic regression identified reporting sexual identity as Apone [adjusted odds ratio (aOR) 3.8; 95% CI 1.2–11.7], recent HIV testing (aOR 3.1; 95% CI 1.4–6.5), reporting a high likelihood of HIV acquisition (aOR 3.6; 95% CI 1.7–7.6), and reporting ≥ 5 casual partners in the past 3 months (aOR 0.2; 95% CI 0.1–0.6) as associated with peer-delivered HIV testing acceptability. Given ongoing HIV vulnerability among MSM and TW in Myanmar, peer-delivered testing may offer prevention benefits by increasing testing rates and identifying undiagnosed infection earlier.
KeywordsMen who have sex with men Transgender women HIV testing and counseling Myanmar Peer-delivered
The authors gratefully acknowledge the work of the peer researchers from MBCA who were involved in this study as well as the participants who generously provided their time and information. The data collection was funded through program funds allocated to evaluate the Myanmar Business Coalition on AIDS (MBCA) HIV prevention outreach program and internal funds from the Burnet Institute. The Burnet Institute receives support from the Victorian Operational Infrastructure Support Program. VV is supported by a National Health and Medical Research Council (NHMRC) PhD scholarship. AP is supported by a NHMRC Early Career Fellowship. MS is supported by a National Health and Medical Research Council (Australia) Career Development Fellowship.
ZMO, ZWT, PPA, CH, CR and MS all contributed to the development of the data collection tools, training of peer educators to recruit participants, oversight of recruitment, data collection, and interpretation of results. VV, BLD and MS led the data cleaning and analysis process. VV led the writing of the manuscript. All authors have read and approved the final manuscript.
Compliance with Ethical Standards
Conflict of interest
The authors declare no competing interests.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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