A Machine Learning Model for Identifying Sexual Health Influencers to Promote the Secondary Distribution of HIV Self-Testing Among Gay, Bisexual, and Other Men Who Have Sex With Men in China: Quasi-Experimental Study

作者：Yuxin Ni, Ying Lu, Fengshi Jing, Qianyun Wang, Yewei Xie, Xi He, Dan Wu, Rayner Kay Jin Tan, Joseph D. Tucker, Xumeng Yan, Jason J. Ong, Qingpeng Zhang, Hongbo Jiang, Wencan Dai, Liqun Huang, Wenhua Mei, Yi Zhou, Weiming Tang · 发表于：JMIR Public Health and Surveillance · 年份：2024 · DOI：10.2196/50656 · 被引用次数：8 · 研究领域：HIV/AIDS Research and Interventions、Social Media in Health Education、Mobile Health and mHealth Applications

BACKGROUND: Sexual health influencers (SHIs) are individuals actively sharing sexual health information with their peers, and they play an important role in promoting HIV care services, including the secondary distribution of HIV self-testing (SD-HIVST). Previous studies used a 6-item empirical leadership scale to identify SHIs. However, this approach may be biased as it does not consider individuals' social networks. OBJECTIVE: This study used a quasi-experimental study design to evaluate how well a newly developed machine learning (ML) model identifies SHIs in promoting SD-HIVST compared to SHIs identified by a scale whose validity had been tested before. METHODS: We recruited participants from BlueD, the largest social networking app for gay men in China. Based on their responses to the baseline survey, the ML model and scale were used to identify SHIs, respectively. This study consisted of 2 rounds, differing in the upper limit of the number of HIVST kits and peer-referral links that SHIs could order and distribute (first round ≤5 and second round ≤10). Consented SHIs could order multiple HIV self-testing (HIVST) kits and generate personalized peer-referral links through a web-based platform managed by a partnered gay-friendly community-based organization. SHIs were encouraged to share additional kits and peer-referral links with their social contacts (defined as "alters"). SHIs would receive US $3 incentives when their corresponding alters uploaded valid photographic tes...