Johnson Amy K, Adames Christian N, Gregory Phillips I I
Center for Gender, Sexuality and HIV Prevention, Division of Adolescent Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States of America.
AIDS Foundation of Chicago, Chicago, IL, United States of America.
Prev Med Rep. 2018 Nov 1;13:41-47. doi: 10.1016/j.pmedr.2018.10.023. eCollection 2019 Mar.
Invasive Meningococcal Disease is a deadly, but preventable disease, with community outbreaks occurring at rate of 9.5 per year. Serogroup C Invasive Meningococcal Disease (IMD) community outbreaks in men who have sex with men (MSM) have been reported with greater frequency in large urban areas since 2010. An effective vaccine exists that can temper and control outbreaks, and is recommended for MSM in outbreak settings; however very little is known about the perceptions, barriers and facilitators to IMD vaccine uptake among MSM. Optimizing awareness and vaccine uptake for MSM is a high priority to reduce and control IMD outbreaks. To that end, we conducted focus groups with MSM during an active IMD outbreak to inform development of a tailored intervention strategy. Participants discussed facilitators (e.g., logistics, relationships, health literacy) and barriers (e.g., fear of disclosure, medical distrust) to vaccination, as well as ideas for intervention strategies (e.g., incentives, use of internet outreach).
侵袭性脑膜炎球菌病是一种致命但可预防的疾病，社区爆发率为每年9.5起。自2010年以来，在大城市地区，男男性行为者（MSM）中C群侵袭性脑膜炎球菌病（IMD）社区爆发的报告频率更高。有一种有效的疫苗可以缓和并控制疫情，在疫情爆发地区建议为男男性行为者接种；然而，对于男男性行为者接种IMD疫苗的认知、障碍和促进因素知之甚少。优化男男性行为者的认知并提高疫苗接种率是减少和控制IMD疫情的当务之急。为此，我们在IMD疫情活跃期间与男男性行为者进行了焦点小组讨论，以指导制定针对性的干预策略。参与者讨论了疫苗接种的促进因素（如后勤、人际关系、健康素养）和障碍（如担心暴露、对医疗的不信任），以及干预策略的想法（如激励措施、利用互联网宣传）。
