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是什么促使男同性恋者和双性恋男性参与与暴露前预防(PrEP)相关的研究?

What motivates gay and bisexual men to participate in PrEP-related research?

作者信息

D'Angelo Alexa B, Lopez-Rios Javier, Flynn Anthony W P, Pantalone David W, Holloway Ian W, Grov Christian

机构信息

CUNY Graduate School of Public Health and Health Policy, New York, NY.

CUNY Institute for Implementation Science in Population Health, New York, NY.

出版信息

Int J Sex Health. 2019;31(3):283-290. doi: 10.1080/19317611.2019.1634173. Epub 2019 Jul 12.

Abstract

Pre-Exposure Prophylaxis (PrEP) has been demonstrated effective at preventing HIV among key populations like gay and bisexual men (GBM). Yet, there remains a continued need to engage GBM in PrEP behavioral and clinical research (e.g., to monitor adherence and retention in the PrEP treatment cascade). We report on the factors motivating GBM to participate in a PrEP behavioral study, with the aim of our results to inform future recruitment efforts for future PrEP research. In 2015-2016, 103 PrEP-using GBM in NYC completed qualitative interviews about their experiences on PrEP. Participants were also asked about factors that motivated them to join the study. Thematic analysis was used analyze the data. We identified five salient themes as rationale for joining the study: 58.3% cited altruistic reasons, 32% reported intellectual curiosity in the subject matter, 30.1% indicated that remuneration inspired them, 18.4% indicated that familiarity or referral to the research institute influenced their decision. Researchers attempting to enroll PrEP-using GBM may benefit from attending to the altruistic and intellectually curious nature of this population. Further, researchers may benefit from establishing familiarity among diverse communities of GBM. This in turn may contribute to the successful engagement of GBM for PrEP research.

摘要

暴露前预防(PrEP)已被证明在预防男同性恋者和双性恋男性(GBM)等重点人群感染艾滋病毒方面有效。然而,仍持续需要让GBM参与PrEP行为和临床研究(例如,监测PrEP治疗流程中的依从性和留存率)。我们报告了促使GBM参与一项PrEP行为研究的因素,目的是让我们的研究结果为未来PrEP研究的招募工作提供参考。2015年至2016年,纽约市103名正在使用PrEP的GBM完成了关于他们PrEP经历的定性访谈。参与者还被问及促使他们参与该研究的因素。采用主题分析法对数据进行分析。我们确定了五个显著主题作为参与该研究的理由:58.3%的人提到利他原因,32%的人表示对该主题有求知欲,30.1%的人表示报酬激励了他们,18.4%的人表示对研究机构的熟悉度或他人推荐影响了他们的决定。试图招募正在使用PrEP的GBM的研究人员可能会受益于关注该人群的利他和求知本性。此外,研究人员可能会受益于在不同的GBM群体中建立熟悉度。这反过来可能有助于GBM成功参与PrEP研究。

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PrEP uptake as a social movement among gay and bisexual men.男同性恋和双性恋男性中的 PrEP 采用作为一种社会运动。
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