We developed and tested Passport to Wellness (PtW), a client-centered intervention to improve engagement in HIV/STI prevention and services to improve social determinants of health among Black men who have sex with men (BMSM) using incentives and peer support. We assessed PtW's impact on HIV/STI screening and pre/post-exposure prophylaxis (PrEP/PEP) knowledge/uptake using a randomized trial that compared the full intervention to one lacking peer support. We compared changes within groups surveyed at baseline and 6 months. We enrolled 80 eligible BMSM, among 399 screened. Among retained participants (34 peer-supported; 27 comparison), overall increases were observed in HIV (30% to 87%; p < .001) and STI (28% to 80%; p < .001) testing within the prior 6 months, as well as in PrEP and PEP awareness, and PrEP use. Statistically significant between group differences were not observed. Tailored prevention planning, incentives, and addressing social determinants may help move Black MSM along the HIV prevention continuum.

中文翻译：

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针对与男性发生性关系的黑人健康艾滋病预防干预新护照的小型随机对照试验

我们开发并测试了“健康通行证”（PtW），这是一种以客户为中心的干预措施，旨在通过激励和同伴支持，改善与男男性接触者（BMSM）的艾滋病毒/性病预防和服务工作，以改善健康的社会决定因素。我们使用一项随机试验评估了PtW对HIV / STI筛查和暴露前/暴露后预防（PrEP / PEP）知识/摄取的影响，该试验将全面干预与缺乏同龄人支持的干预进行了比较。我们比较了在基线和6个月时接受调查的组中的变化。我们筛选了399个参与者，其中包括80个符合条件的BMSM。在保留的参与者中（34名同伴支持； 27名比较），在之前的6次中，HIV检测（30％至87％； p <.001）和STI（28％至80％； p <.001）总体增加。个月，以及PrEP和PEP意识以及PrEP的使用。组间差异没有统计学意义。量身定制的预防计划，奖励措施和解决社会决定因素的方法，可能有助于使黑人MSM沿着HIV预防的连续性发展。