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远程医疗干预在男男性行为者性病检测中的可接受性和可行性研究

Acceptability and Feasibility of a Telehealth Intervention for STI Testing Among Male Couples.

机构信息

Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA.

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

出版信息

AIDS Behav. 2021 Dec;25(12):4029-4043. doi: 10.1007/s10461-021-03173-4. Epub 2021 Jan 28.


DOI:10.1007/s10461-021-03173-4
PMID:33507455
Abstract

Partnered gay, bisexual and other men who have sex with men (GBMSM) are less likely to engage in HIV and STI testing. We enrolled 51 male couples from a larger study of home HIV testing to test the feasibility of a dyadic home STI testing intervention delivered via telehealth, consisting of two telehealth sessions delivered via video-chat. In the first session, an interventionist demonstrated the specimen collection kits. In the second session, an interventionist delivered the STI results. Participants reported very high levels of acceptability of the intervention: 92% reported the telehealth calls quality as very good, 99% reported the sample collection instructions were clear, and 96% of respondents returned specimens for collection. 9% of participants tested positive for chlamydia or gonorrhea, and all were linked to care. The intervention has the potential to surmount economic, physical and stigma-related barriers to attending clinics for STI testing, but these results need to be further tested in more diverse samples of male couples.

摘要

男同性恋、双性恋和其他与男性发生性关系的男性(GBMSM)进行艾滋病毒和性传播感染(STI)检测的可能性较低。我们招募了来自更大规模家庭艾滋病毒检测研究中的 51 对男同性恋伴侣,以测试通过远程医疗提供的双联体家庭 STI 检测干预措施的可行性,该措施包括通过视频聊天进行两次远程医疗会议。在第一次会议中,干预者演示了标本采集工具包。在第二次会议中,干预者提供了 STI 结果。参与者对干预措施的接受度非常高:92%的人表示电话质量非常好,99%的人表示样本采集说明很清楚,96%的受访者返回了样本进行采集。9%的参与者检测出衣原体或淋病呈阳性,所有人都被联系到医疗机构进行治疗。该干预措施有可能克服因经济、身体和耻辱感而导致的参加诊所进行 STI 检测的障碍,但这些结果需要在更多不同的男同性恋伴侣样本中进一步测试。

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J Med Internet Res. 2024-11-28

[2]
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JMIR Res Protoc. 2024-8-29

[3]
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Postepy Dermatol Alergol. 2024-2

[4]
Telemedicine for unhealthy alcohol use in adults living with HIV in Alabama using common elements treatment approach: A hybrid clinical efficacy-implementation trial protocol.

Contemp Clin Trials Commun. 2023-3-24

[5]
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Sex Transm Dis. 2023-8-1

[6]
Disruptions of sexually transmitted and blood borne infections testing services during the COVID-19 pandemic: accounts of service providers in Ontario, Canada.

BMC Health Serv Res. 2023-1-13

[7]
Perceptions and Experiences of Returning Self-collected Specimens for HIV, Bacterial STI and Potential PrEP Adherence Testing among Sexual Minority Men in the United States.

AIDS Behav. 2023-4

[8]
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Am J Mens Health. 2022

[9]
HIV and STI Testing Preferences for Men Who Have Sex with Men in High-Income Countries: A Scoping Review.

Int J Environ Res Public Health. 2022-3-4

[10]
The COVID-19 pandemic and reproductive genetic counseling: Changes in access and service delivery at an academic medical center in the United States.

J Genet Couns. 2021-8

本文引用的文献

[1]
Feasibility and Acceptability of an Electronic Health HIV Prevention Toolkit Intervention With Concordant HIV-Negative, Same-Sex Male Couples on Sexual Agreement Outcomes: Pilot Randomized Controlled Trial.

JMIR Form Res. 2020-2-13

[2]
The Impact of Pre-Exposure Prophylaxis on Sexual Communication and Sexual Behavior of Urban Gay and Bisexual Men.

Arch Sex Behav. 2019-10-18

[3]
Acceptability and Feasibility of a Telehealth Intervention for Sexually Transmitted Infection Testing Among Male Couples: Protocol for a Pilot Study.

JMIR Res Protoc. 2019-10-1

[4]
A Pilot Randomized Trial of Intervention Components Addressing Drug Use in Couples HIV Testing and Counseling (CHTC) with Male Couples.

AIDS Behav. 2019-9

[5]
Providing Home-Based HIV Testing and Counseling for Transgender Youth (Project Moxie): Protocol for a Pilot Randomized Controlled Trial.

JMIR Res Protoc. 2017-11-28

[6]
Project Stronger Together: Protocol to Test a Dyadic Intervention to Improve Engagement in HIV Care Among Sero-Discordant Male Couples in Three US Cities.

JMIR Res Protoc. 2017-8-31

[7]
Home-Based HIV Testing and Counseling for Male Couples (Project Nexus): A Protocol for a Randomized Controlled Trial.

JMIR Res Protoc. 2017-5-30

[8]
Internet-Based HIV Prevention With At-Home Sexually Transmitted Infection Testing for Young Men Having Sex With Men: Study Protocol of a Randomized Controlled Trial of Keep It Up! 2.0.

JMIR Res Protoc. 2017-1-7

[9]
Relationship-Based Predictors of Sexual Risk for HIV Among MSM Couples: A Systematic Review of the Literature.

AIDS Behav. 2016-12

[10]
HIV-Negative Partnered Men's Willingness to Use Pre-Exposure Prophylaxis and Associated Factors Among an Internet Sample of U.S. HIV-Negative and HIV-Discordant Male Couples.

LGBT Health. 2015-2-24

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