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Addressing Psychosocial Syndemic Conditions to Improve HIV Testing among Men Who have Sex with Men in Chandigarh,
Venkatesan Chakrapani1,2, Manmeet Kaur3,4, Deepalatha Shetty5,6
1Chairperson, Centre for Sexuality and Health Research and Policy, Chennai, Tamil Nadu, India.
Summary:
To improve HIV testing uptake, we implemented a syndemic theory-based intervention targeting syndemic conditions such as depression, internalized homonegativity, and problematic alcohol use among men who have sex with men in Chandigarh (baseline n = 2046; postintervention n = 1812). Peer counselors provided motivational interviewing-based counseling on mental health, HIV testing, and safer sex. The intervention significantly increased 3-month HIV testing from 57.1% to 68.5%, and reduced problematic alcohol use from 30.0% to 18.4% and internalized homonegativity from 13.7% to 1.4%. Service users found the intervention useful. This intervention was feasible and effective in improving HIV testing and reducing psychosocial syndemic conditions.
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