Department of Sociology and the Health Sciences Research Institute, University of California, Merced, Merced, CA, USA.
Continuing and Distance Education, University of Vermont, Burlington, VT, USA.
Health Soc Care Community. 2022 Sep;30(5):e2580-e2589. doi: 10.1111/hsc.13702. Epub 2022 Jan 5.
Community-based rapid HIV testing is effective for reaching racial-ethnically diverse men who have sex with men (MSM), offering an opportunity for bundled health promotion interventions. Given MSM experience a heightened prevalence of human papillomavirus (HPV) and meningococcal disease, we examined their preferences for bundling rapid HIV testing with an intervention to promote vaccination against these infections. In 2020, we conducted five virtual focus groups (N = 25 participants) in English and Spanish with MSM in Southern California's Inland Empire. Participants discussed their knowledge about HPV and meningitis vaccination and attitudes toward receiving vaccination information and referrals during rapid HIV tests. We used the rigorous and accelerated data reduction technique to systematically analyse the data. Participants had a mean age of 30, were socioeconomically diverse, and predominantly (68%) Hispanic. 96% had ever been tested for HIV, while only 28% were vaccinated against HPV and/or meningitis. Most participants were unaware of MSM's elevated risk for HPV and meningitis and were eager to receive vaccination information from LGBTQ+-friendly providers. However, many participants emphasised rapid HIV testing was stressful and anticipated feeling overwhelmed if presented with vaccination information in this setting. Preferred formats for vaccine promotion included pamphlets and resources that could be discretely accessed online, supported by broader advertising featuring diverse MSM on social media, dating apps, and posters in the community. Overall, our findings suggest that bundling health promotion messages with rapid HIV testing may be ineffective, as the anxiety associated with taking an HIV test may interfere with such messages and their impact.
社区为基础的快速 HIV 检测对于接触不同种族和民族的男男性行为者（MSM）是有效的，可以提供整合健康促进干预的机会。鉴于 MSM 中人类乳头瘤病毒（HPV）和脑膜炎球菌病的发病率较高，我们研究了他们对将快速 HIV 检测与促进这些感染疫苗接种的干预措施相结合的偏好。2020 年，我们在加利福尼亚州内陆帝国南部以英语和西班牙语进行了五次虚拟焦点小组（N=25 名参与者），对象是 MSM。参与者讨论了他们对 HPV 和脑膜炎疫苗接种的了解，以及对在快速 HIV 检测期间获得疫苗接种信息和转介的态度。我们使用严格和加速的数据缩减技术对数据进行系统分析。参与者的平均年龄为 30 岁，社会经济背景多样，主要是（68%）西班牙裔。96%的人曾接受过 HIV 检测，而只有 28%的人接种过 HPV 和/或脑膜炎疫苗。大多数参与者不知道 MSM 感染 HPV 和脑膜炎的风险较高，渴望从 LGBTQ+友好的提供者那里获得疫苗接种信息。然而，许多参与者强调快速 HIV 检测压力很大，如果在这种环境下提供疫苗接种信息，他们预计会感到不知所措。疫苗推广的首选格式包括可以在网上私下访问的小册子和资源，辅以更广泛的广告，在社交媒体、约会应用程序和社区海报上展示不同的 MSM。总体而言，我们的研究结果表明，将健康促进信息与快速 HIV 检测捆绑可能无效，因为与接受 HIV 检测相关的焦虑可能会干扰这些信息及其影响。
