新护照式健康促进干预对与男性发生性行为的黑人男性（BMSM）的小型随机对照试验。
Small Randomized Controlled Trial of the New Passport to Wellness HIV Prevention Intervention for Black Men Who Have Sex With Men (BMSM).
机构信息
David Geffen School of Medicine at the University of California Los Angeles (UCLA), Los Angeles, California.
College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles.
出版信息
AIDS Educ Prev. 2020 Aug;32(4):311-324. doi: 10.1521/aeap.2020.32.4.311.
Abstract
We developed and tested Passport to Wellness (PtW), a client-centered intervention to improve engagement in HIV/STI prevention and services to improve social determinants of health among Black men who have sex with men (BMSM) using incentives and peer support. We assessed PtW's impact on HIV/STI screening and pre/post-exposure prophylaxis (PrEP/PEP) knowledge/uptake using a randomized trial that compared the full intervention to one lacking peer support. We compared changes within groups surveyed at baseline and 6 months. We enrolled 80 eligible BMSM, among 399 screened. Among retained participants (34 peer-supported; 27 comparison), overall increases were observed in HIV (30% to 87%; < .001) and STI (28% to 80%; < .001) testing within the prior 6 months, as well as in PrEP and PEP awareness, and PrEP use. Statistically significant between group differences were not observed. Tailored prevention planning, incentives, and addressing social determinants may help move Black MSM along the HIV prevention continuum.
摘要
我们开发并测试了 Passport to Wellness（PtW），这是一种以客户为中心的干预措施，旨在通过激励措施和同伴支持，提高与男性发生性关系的黑人男性（BMSM）参与 HIV/性传播感染（STI）预防和改善健康社会决定因素的服务。我们使用一项随机试验评估了 PtW 对 HIV/STI 筛查和暴露前预防（PrEP/PEP）知识/采用的影响，该试验将完整的干预措施与缺乏同伴支持的干预措施进行了比较。我们比较了在基线和 6 个月时调查的组内变化。我们招募了 80 名符合条件的 BMSM，其中 399 名接受了筛查。在保留的参与者中（34 名有同伴支持；27 名对照），在过去 6 个月内，HIV（从 30%增加到 87%；<.001）和 STI（从 28%增加到 80%；<.001）检测均有总体增加，PrEP 和 PEP 意识以及 PrEP 使用也有所增加。未观察到组间统计学显著差异。有针对性的预防规划、激励措施和解决社会决定因素可能有助于推动黑人男性沿着 HIV 预防连续体前进。
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本文引用的文献
1
Vital Signs: Status of Human Immunodeficiency Virus Testing, Viral Suppression, and HIV Preexposure Prophylaxis - United States, 2013-2018.生命体征：2013-2018 年美国人类免疫缺陷病毒检测、病毒抑制和 HIV 暴露前预防状况。
MMWR Morb Mortal Wkly Rep. 2019 Dec 6;68(48):1117-1123. doi: 10.15585/mmwr.mm6848e1.
2
Exploring the preferences of a culturally congruent, peer-based HIV prevention intervention for black men who have sex with men.探索一种与文化相符的、基于同伴的针对与男性发生性关系的黑人男性的艾滋病毒预防干预措施的偏好。
Sex Health. 2018 Nov;15(5):424-430. doi: 10.1071/SH18057.
3
Sparse data bias: a problem hiding in plain sight.稀疏数据偏差：一个隐藏在显而易见之处的问题。
BMJ. 2016 Apr 27;352:i1981. doi: 10.1136/bmj.i1981.
4
Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act.《平价医疗法案》下医疗保健可及性与利用方面的种族和族裔差异
Med Care. 2016 Feb;54(2):140-6. doi: 10.1097/MLR.0000000000000467.
5
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Health Serv Res. 2016 Jun;51(3):825-45. doi: 10.1111/1475-6773.12397. Epub 2015 Oct 6.
6
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