title: Community based promotion on VCT acceptance among rural migrants in Shanghai, China.
abstract: OBJECTIVE
  Voluntary counseling and testing (VCT) plays an important integral role in response to the HIV/AIDS epidemic. However, VCT service has not been effectively utilized among rural migrants, a high risk group in China. In this study, we developed a community based intervention to examine if community mobilization with comprehensive VCT is more effective than current HIV preventions with routine VCT service in promoting VCT acceptability among rural migrants in Shanghai, China.
  
  
  METHODS
  A comprehensive intervention with community mobilization and comprehensive VCT services including community-based VCT and mobile VCT was implemented during 2007-2009. Three communities in Minhang District of Shanghai were randomly selected and were designed to receive community mobilization and comprehensive VCT, traditional VCT and none intervention, respectively. After 24 months intervention, effects were evaluated by comparing outcome indicators between the baseline (2,690 participants) and follow-up surveys (1,850 participants).
  
  
  RESULTS
  A substantial increase in VCT acceptance was observed among community mobilization group (94.9% vs. 88.5%, P<0.001), whereas the reverse effect was seen in the traditional VCT group (86.1% vs. 94.6%, P<0.001) and control group (69.0% vs. 91.7%, P<0.001). Rural migrants from community mobilization group were more likely to accept VCT (OR = 2.91, 95% CI 1.69-4.97). Rural migrants from community mobilization group also showed significant increase in HIV/AIDS knowledge, positive attitude towards HIV positive individuals and condom use.
  
  
  CONCLUSIONS
  Community mobilization with comprehensive VCT has significant impact on promotion of VCT acceptance and utilization among rural migrants in Shanghai. These findings provide evidence to support community mobilization as a suitable strategy for VCT promotion among rural migrants in Shanghai, China.
authors.affiliation: Department of Epidemiology, School of Public Health, Fudan University, and The Key Laboratory of Public Health Safety of Ministry of Education (Fudan University), Shanghai, China.
authors.forename: Tiejun
authors.initials: T
authors.lastname: Zhang
authors.forename: Xiuhong
authors.initials: X
authors.lastname: Tian
authors.forename: Fuchang
authors.initials: F
authors.lastname: Ma
authors.forename: Ying
authors.initials: Y
authors.lastname: Yang
authors.forename: Feng
authors.initials: F
authors.lastname: Yu
authors.forename: Yanping
authors.initials: Y
authors.lastname: Zhao
authors.forename: Meiyang
authors.initials: M
authors.lastname: Gao
authors.forename: Yingying
authors.initials: Y
authors.lastname: Ding
authors.forename: Qingwu
authors.initials: Q
authors.lastname: Jiang
authors.forename: Na
authors.initials: N
authors.lastname: He
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D003153:Community Health Services / Q000458:organization & administration*; D003159:Community-Institutional Relations; D003376:Counseling / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D012424:Rural Population; D014171:Transients and Migrants / Q000523:psychology*
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