Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jul;21 Suppl 5(Suppl Suppl 5):e25118.
doi: 10.1002/jia2.25118.

What would you choose: Online or Offline or Mixed services? Feasibility of online HIV counselling and testing among Thai men who have sex with men and transgender women and factors associated with service uptake

Nittaya Phanuphak  1 , Tarandeep Anand  1 , Jureeporn Jantarapakde  1 , Chattiya Nitpolprasert  1 , Kanittha Himmad  1 , Thanthip Sungsing  1 , Deondara Trachunthong  1 , Sangusa Phomthong  1 , Petchfa Phoseeta  1 , Sumitr Tongmuang  1 , Pravit Mingkwanrungruang  1 , Dusita Meekrua  2 , Supachai Sukthongsa  3 , Somporn Hongwiangchan  4 , Nutchanin Upanun  5 , Jiranuwat Barisri  6 , Tippawan Pankam  6 , Praphan Phanuphak  1
Affiliations

What would you choose: Online or Offline or Mixed services? Feasibility of online HIV counselling and testing among Thai men who have sex with men and transgender women and factors associated with service uptake

Nittaya Phanuphak et al. J Int AIDS Soc. 2018 Jul.

Abstract

Introduction: HIV testing coverage remains low among men who have sex with men (MSM) and transgender women (TGW). We studied characteristics of Thai MSM and TGW who chose online and/or offline platforms for HIV counselling and testing and the feasibility of integrating online technologies and HIV self-testing to create service options.

Methods: From December 2015 to June 2017, MSM and TGW enrolled from Bangkok Metropolitan Region and Pattaya could choose between: offline HIV counselling and testing (Offline group), online pre-test counselling and offline HIV testing (Mixed group), and online counselling and online, supervised, HIV self-testing (Online group). Sociodemographic data, risk behaviour and social network use characteristics were collected by self-administered questionnaires. Logistic regression models identified covariates for service preferences.

Results: Of 472 MSM and 99 TGW enrolled, 202 self-selected the Offline group, 158 preferred the Mixed group, and 211 chose the Online group. The Online group had the highest proportion of first-time testers (47.3% vs. 42.4% vs. 18.1%, p < 0.001) and reported highest HIV prevalence (15.9% vs. 13.0% vs. 3.4%, p = 0.001) as compared to Offline and Mixed groups, respectively. Having tested for HIV twice or more (OR 2.57, 95% CI 1.03 to 6.41, p = 0.04) increased the likelihood to choose online pre-test counselling. Being TGW (OR 6.66, 95% CI 2.91 to 15.25, p < 0.001) and using social media from four to eight hours (OR 2.82, 95% CI 1.48 to 5.37, p = 0.002) or >8 hours (OR 2.33, 95% CI 1.05 to 5.16, p = 0.04) increased selection of online, supervised, HIV self-testing. Providers primarily used smartphones (79.2%) and laptops (37.5%) to deliver online services. Self-testing strip image sharpness and colour quality were rated "good" to "excellent" by all providers. Most participants (95.1%) agreed that online supervision and HIV self-testing guidance offered were satisfactory and well delivered.

Conclusions: Online HIV services among MSM and TGW are feasible in Thailand and have the potential to engage high proportions of first-time testers and those with high HIV prevalence. When designing public health interventions, integrating varied levels of online HIV services are vital to engage specific sections of MSM and TGW populations in HIV services.

Clinical trial number: NCT03203265.

Keywords: HIV testing; Online; counselling; men who have sex with men; transgender women.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow of recruitment and enrolment of men who have sex with men (MSM) and transgender women (TGW) participants.
See this image and copyright information in PMC

References

    1. Joint United Nations Programme on HIV/AIDS (UNAIDS). Prevention gap report. Switzerland: UNAIDS; 2016. 2016. [cited 2017 November 17]. Available from: http://www.unaids.org/sites/default/files/media_asset/2016-prevention-ga...
    1. Thailand Working Group on HIV/AIDS Projection . AIDS Epidemic Model Projection for HIV/AIDS in Thailand 2010‐2030. Thailand: 2010.
    1. National AIDS Committee . Thailand AIDS Response Progress Report 2015 Thailand. 2015. [cited 2017 November 17]. Available from: http://namc.ddc.moph.go.th/namc2016/document/documentry/1-GARP/2015/2015....
    1. Rainbow Sky Association of Thailand . Outreach activity database under the Global Fund to Fight AIDS, Tuberculosis and Malaria. June 2010‐ May 2011. Thailand: Rainbow Sky Association of Thailand; 2011.
    1. Vannakit R, Jantarapakde J, Pengnonyang S, Pankam T, Trachunthong D, Pussadee K, et al. High linkage to ART and HIV RNA suppression among HIV‐positive MSM and TG, along with high PrEP uptake among HIV‐negative MSM and TG, through community‐led health service model in Thailand, abstract TUPED1313. 9th IAS Conference on HIV Science; 2017 July 23‐26; Paris, France.

Publication types

Associated data