为未来欧洲预防艾滋病毒和其他性传播感染干预措施的疗效试验做准备:来自为男男性行为易感染人群提供服务的十家德国诊所关于参与意愿和参与障碍的经验教训。

Preparing for future European efficacy trials of interventions to prevent HIV and other sexually transmitted infections: Lessons on willingness to participate and barriers to participation from ten German clinics serving behaviorally vulnerable men who have sex with men.

作者信息

Esber Allahna L, Jansen Klaus, Dorsey-Spitz Julie, Robb Merlin L, Streeck Hendrik, Crowell Trevor A

机构信息

U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.

Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.

出版信息

Vaccine X. 2023 Apr 14;14:100302. doi: 10.1016/j.jvacx.2023.100302. eCollection 2023 Aug.

Abstract

Future efficacy testing of interventions to prevent HIV or other infections will require engagement of vulnerable populations. We characterized willingness to participate in a future HIV vaccine trial and barriers to participation among men who have sex with men in a 12-month German cohort study. Among 1015 participants at enrollment, 604 (60%) reported willingness, 60 (6%) were unwilling, 351 (35%) were unsure or refused to answer. Among those unwilling, the primary reason was fear of getting HIV. Among those willing, reasons included protection against HIV and furthering scientific knowledge. In a multivariable logistic regression model, higher odds of willingness to participate were seen among participants at the 12-month visit (aOR: 1.09, 95% CI: 1.04-1.15) and with prior knowledge of HIV vaccine research (aOR: 1.14, 95% CI: 1.06-1.23). Educating potential participants about vaccine research may facilitate recruitment and participation in future trials of HIV vaccine candidates and other prevention interventions.

摘要

未来预防艾滋病毒或其他感染干预措施的疗效测试将需要弱势群体的参与。在一项为期12个月的德国队列研究中,我们对男男性行为者参与未来艾滋病毒疫苗试验的意愿以及参与的障碍进行了特征描述。在入组的1015名参与者中,604人(60%)表示愿意,60人(6%)不愿意,351人(35%)不确定或拒绝回答。在那些不愿意的人中,主要原因是害怕感染艾滋病毒。在那些愿意的人中,原因包括预防艾滋病毒和增进科学知识。在多变量逻辑回归模型中,在12个月随访时的参与者中参与意愿的几率更高(调整后比值比:1.09,95%置信区间:1.04 - 1.15),以及有艾滋病毒疫苗研究的先验知识的参与者中参与意愿的几率更高(调整后比值比:1.14,95%置信区间:1.06 - 1.23)。对潜在参与者进行疫苗研究教育可能有助于招募和参与未来艾滋病毒候选疫苗及其他预防干预措施的试验。

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