解决美国南部黑人和拉丁裔性少数男性实施艾滋病毒自我检测计划中的关键问题：一项多阶段研究方案。
Addressing key issues in HIV self-test program implementation for Black and Latino sexual minority men in the Southern United States: a multiphase study protocol.
作者信息
Guigayoma John, Becker Sara J, Ong Jason J, Kanamori Mariano, Hickson DeMarc, Ward Lori M, Biello Katie B, Wray Tyler
机构信息
Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 S. Main St., Providence, RI, 02912, USA.
Center for Dissemination and Implementation Science, Institute for Public Health and Medicine, Northwestern University, 633 N. Saint Clair St., Chicago, IL, 60611, USA.
出版信息
Implement Sci Commun. 2023 Feb 13;4(1):14. doi: 10.1186/s43058-023-00395-6.
BACKGROUND
Black and Latino sexual minority men in the Southern United States have the highest HIV infection rates in the country. Increased HIV testing can help decrease onward HIV transmission through detecting previously undiagnosed infections. HIV self-testing is an evidence-based strategy to increase HIV testing among sexual minority men, but the implementation of this intervention in the Southern United States is limited. One implementation barrier is the lack of knowledge of Black and Latino sexual minority men's preferences for various HIV self-testing program characteristics and their willingness to pay for these preferences. In addition, little is known about facilitators and barriers to initiating HIV self-testing programs from the perspectives of HIV prevention implementation decision-makers in this region.
METHODS
We will conduct an online discrete choice experiment among Black and Latino sexual minority men in the Southern United States (n = 300) to estimate this population's preferences for the following HIV self-testing program characteristics: delivery strategy (home delivery, peer delivery, clinic pickup); delivery speed (same day, next day, 3 days, and 5 days); support (instructions only, during test, and 1 week after delivery); and price ($0, $20, $40, $50, $60). We will also use this choice data to generate willingness-to-pay estimates for each program characteristic. Guided by the Consolidated Framework for Implementation Research, we will then conduct semi-structured interviews (n = 30) with HIV prevention program decision-makers at various health organizations serving Black and Latino sexual minority men in the region to further understand facilitators and barriers to implementation of the most preferred HIV self-testing program design.
DISCUSSION
By gaining perspectives on HIV self-testing implementation from patients and providers, this project will build a roadmap for the initiation of HIV self-testing programs to decrease HIV incidence among one of the most disproportionately impacted populations in the USA.
背景
美国南部的黑人及拉丁裔性少数男性的艾滋病毒感染率在全国最高。增加艾滋病毒检测有助于通过发现先前未被诊断出的感染来减少艾滋病毒的进一步传播。艾滋病毒自我检测是一项基于证据的策略，可增加性少数男性中的艾滋病毒检测，但在美国南部实施这一干预措施的情况有限。一个实施障碍是缺乏了解黑人及拉丁裔性少数男性对各种艾滋病毒自我检测项目特征的偏好以及他们为这些偏好付费的意愿。此外，从该地区艾滋病毒预防实施决策者的角度来看，对于启动艾滋病毒自我检测项目的促进因素和障碍知之甚少。
方法
我们将在美国南部的黑人及拉丁裔性少数男性（n = 300）中进行一项在线离散选择实验，以估计该人群对以下艾滋病毒自我检测项目特征的偏好：交付策略（上门交付、同伴交付、诊所自取）；交付速度（当天、次日、3天和5天）；支持（仅提供说明、检测期间以及交付后1周）；以及价格（0美元、20美元、40美元、50美元、60美元）。我们还将使用这些选择数据来生成每个项目特征的支付意愿估计值。在实施研究综合框架的指导下，我们随后将对该地区为黑人及拉丁裔性少数男性服务的各种卫生组织中的艾滋病毒预防项目决策者进行半结构化访谈（n = 30），以进一步了解实施最受欢迎的艾滋病毒自我检测项目设计的促进因素和障碍。
讨论
通过从患者和提供者那里获取关于艾滋病毒自我检测实施的观点，该项目将为启动艾滋病毒自我检测项目制定路线图，以降低美国受影响最严重的人群之一中的艾滋病毒发病率。
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