In 1907 the crowd at a county fair accurately estimated the weight of an ox. The median estimate of the crowd was more accurate than estimates from farmers and other experts. This startling observation demonstrates the wisdom of the crowds or communities in specific contexts. Crowdsourcing is the process of taking a task performed by an individual and outsourcing it to a large group in the form of a contest or open call. For example, Wikipedia solicits content and editing for its online encyclopedia. Applied to HIV testing and linkage campaigns, crowdsourcing offers an opportunity to better understand the needs and preferences of hidden key populations such as men who have sex with men (MSM), including those who have high risk behaviors but do not utilize existing health services. Online contests can generate novel content, visual images, and distribution networks for HIV testing and linkage campaigns. Another HIV tool originating from the private sector, social marketing can also enhance HIV campaigns. Social marketing is the systematic application of commercial marketing concepts to the analysis, planning, execution, and evaluation of programs. Social marketing brings together professional marketing and public health expertise in order to more effectively package and deliver HIV testing and linkage services. The major distinction between crowdsourcing and social marketing approaches in designing HIV campaigns is that crowdsourcing is largely driven by community engagement and developed bottom-up whereas social marketing is driven by public health specialists and developed top-down. Our research will focus on young (18-29yo) Chinese MSM who are highly active participants in online forums, but whose power has not been tapped for promoting HIV testing and linkage to care. This subset of men has a high HIV incidence, yet remains largely untested and unengaged. We hypothesize that a crowdsourced campaign will have a higher impact on HIV testing and linkage to care because of greater campaign engagement. Our multi-disciplinary research team brings together crowdsourcing and social marketing experience, a long term history of working with and on behalf of MSM in China, and a rich local infrastructure for HIV research, to investigate the following aims: (1) Develop a crowdsourced intervention and a social marketing intervention to enhance HIV testing and linkage among young adult MSM;(2) Compare the effectiveness of a crowdsourced intervention and a social marketing intervention on HIV testing and linkage using a multisite, quasi-experimental trial;and (3) Estimate the impact of crowdsourced and social marketing interventions among young MSM on HIV transmission in four cities using modeling. Implementing partners at Social Entrepreneurship for Sexual Health (SESH) Global, a non-governmental organization, have developed and piloted crowdsourcing methods to promote HIV testing in China. Long standing in-country research projects and infrastructure at UNC Project-China increase the likelihood of success. This research will contribute to enhanced HIV campaigns and ultimately lead to decreased HIV acquisition and transmission.

Public Health Relevance

Over 20 million HIV-infected individuals across the globe do not know their serological status, delaying comprehensive public health programs that contribute to viral suppression and reduce forward transmission. This research will directly improve HIV testing coverage rates and accelerate linkage to care, two critical elements within the cascade of HIV service delivery.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
1R01AI114310-01
Application #
8789421
Study Section
Special Emphasis Panel (ZRG1-AARR-F (55))
Program Officer
Mathias, Cherlynn
Project Start
2014-09-17
Project End
2019-08-31
Budget Start
2014-09-17
Budget End
2015-08-31
Support Year
1
Fiscal Year
2014
Total Cost
$679,572
Indirect Cost
$138,043
Name
University of North Carolina Chapel Hill
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
608195277
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599
Ong, Jason J; Fu, Hongyun; Smith, M Kumi et al. (2018) Expanding syphilis testing: a scoping review of syphilis testing interventions among key populations. Expert Rev Anti Infect Ther 16:423-432
Tang, Weiming; Mao, Jessica; Liu, Chuncheng et al. (2018) Reimagining Health Communication: A Non-Inferiority Randomized Controlled Trial of Crowdsourced intervention in China. Sex Transm Dis :
Fitzpatrick, Thomas; Pan, Stephen W; Tang, Weiming et al. (2018) HBV and HCV test uptake and correlates among men who have sex with men in China: a nationwide cross-sectional online survey. Sex Transm Infect 94:502-507
Liu, Chuncheng; Fu, Rong; Tang, Weiming et al. (2018) Transplantation or rurality? Migration and HIV risk among Chinese men who have sex with men in the urban areas. J Int AIDS Soc 21:
Tang, Weiming; Liu, Chuncheng; Cao, Bolin et al. (2018) Receiving HIV Serostatus Disclosure from Partners Before Sex: Results from an Online Survey of Chinese Men Who Have Sex with Men. AIDS Behav 22:3826-3835
Cao, Bolin; Zhao, Peipei; Bien, Cedric et al. (2018) Linking young men who have sex with men (YMSM) to STI physicians: a nationwide cross-sectional survey in China. BMC Infect Dis 18:228
Fitzpatrick, Thomas; Zhou, Kali; Cheng, Yu et al. (2018) A crowdsourced intervention to promote hepatitis B and C testing among men who have sex with men in China: study protocol for a nationwide online randomized controlled trial. BMC Infect Dis 18:489
Mathews, Allison; Farley, Samantha; Hightow-Weidman, Lisa et al. (2018) Crowdsourcing and community engagement: a qualitative analysis of the 2BeatHIV contest. J Virus Erad 4:30-36
Ong, Jason J; Fu, Hongyun; Pan, Stephen et al. (2018) Missed Opportunities for Human Immunodeficiency Virus and Syphilis Testing Among Men Who Have Sex With Men in China: A Cross-Sectional Study. Sex Transm Dis 45:382-386
Watson, Julia; Tang, Weiming; Pan, Stephen et al. (2018) Out of the Closet, Into the Clinic: Opportunities for Expanding Men Who Have Sex With Men-Competent Services in China. Sex Transm Dis 45:527-533

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