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被“假阳性”:一种“不便”?关于疫苗诱导血清阳性(VISP)在招募健康志愿者进行预防性抗 HIV 疫苗试验中的概念的争论和问题。

Being "False Positive": An "Inconvenience"? Debates and Questions Regarding the Notion of Vaccine-Induced Seropositivity (VISP) in the Recruitment of Healthy Volunteers for a Preventive Anti-HIV Vaccine Trial.

出版信息

J Acquir Immune Defic Syndr. 2018 Oct 1;79 Suppl 1:S20-S29. doi: 10.1097/QAI.0000000000001814.

Abstract

This article considers a stage in the clinical trial process seldom documented in social sciences: recruitment of healthy volunteers for an HIV preventive vaccine trial through a media campaign. It analyzes one of the consequences of participating in such a clinical trial: the development of vaccine-induced seropositivity (VISP) and how this biomedical notion is mobilized both in recruitment procedures' normative discourses and from the volunteers' points of view, and its consequences on their decision to participate. The interpretations of VISP by volunteers depend on several factors: socialization, itinerary into the recruitment procedure, sexuality, etc., and generates diverse feelings such as indifference, doubt, or even fear. Fear of VISP represents the principal refusal reason for those who interrupted their participating step, just before inclusion stage. Addressing VISP phenomenon is important because it represents a major challenge for the information and the communication procedures for the next anti-HIV prophylactic trials recruitment campaigns.

摘要

本文探讨了临床试验过程中的一个阶段,这个阶段在社会科学领域很少被记录:通过媒体活动招募健康志愿者参加 HIV 预防疫苗试验。本文分析了参与此类临床试验的一个后果:疫苗诱导的血清阳性(VISP)的发展,以及这一生物医学概念如何在招募程序的规范话语中以及从志愿者的角度被调动起来,以及它对他们参与决定的影响。志愿者对 VISP 的解释取决于几个因素:社会化、招募程序的轨迹、性等,产生了不同的感觉,如冷漠、怀疑,甚至恐惧。对 VISP 的恐惧是那些在纳入阶段之前中断参与步骤的人拒绝的主要原因。关注 VISP 现象很重要,因为它代表了下一次抗 HIV 预防性试验招募活动的信息和沟通程序的主要挑战。

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