Hall Grace, Li Keala, Wilton Leo, Wheeler Darrell, Fogel Jessica, Wang Lei, Koblin Beryl
Howard Brown Health Center, 4025 N. Sheridan Road, Chicago, IL, 60613, USA.
Division of HIV and AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, USA.
AIDS Behav. 2015 Dec;19(12):2214-23. doi: 10.1007/s10461-015-1005-2.
The BROTHERS Project (HPTN 061) was established to determine the feasibility and acceptability of a multi-component intervention among African American MSM to reduce HIV incidence. The goal of this analysis was to determine if the sexual partner referral approach used in HPTN 061 broadened the reach of recruitment with regards to characteristics associated with higher infection rates and barriers to quality health care. Overall, referred sexual partners had notable structural barrier differences in comparison to community-recruited participants: lower income, less education, higher unemployment, HIV positive diagnosis, incarceration history, and no health insurance. The study's findings pose implications for utilizing the sexual partner referral approach in reaching African American MSM who may not be accessed by traditional recruitment methods or who are well-integrated in health care systems.
“兄弟项目”(HPTN 061)旨在确定针对非裔美国男男性行为者的多成分干预措施在降低艾滋病毒感染率方面的可行性和可接受性。本分析的目的是确定HPTN 061中使用的性伴侣推荐方法是否扩大了招募范围,涉及与较高感染率相关的特征以及获得优质医疗保健的障碍。总体而言,与社区招募的参与者相比,被推荐的性伴侣在结构障碍方面存在显著差异:收入较低、教育程度较低、失业率较高、艾滋病毒检测呈阳性、有监禁史且没有医疗保险。该研究结果对利用性伴侣推荐方法接触那些可能无法通过传统招募方法招募到或已很好融入医疗保健系统的非裔美国男男性行为者具有启示意义。