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男同性恋和双性恋者对后 COVID-19 时代潜在 HIV 疫苗的看法:一项定性研究。

Gay and Bisexual Men's Perceptions about a Potential HIV Vaccine within a Post-COVID-19 Era: A Qualitative Study.

机构信息

Department of Community Health and Social Sciences, City University of New York (CUNY), Graduate School of Public Health and Health Policy, New York, NY, USA.

CUNY Institute for Implementation Science in Population Health (ISPH), New York, NY, USA.

出版信息

AIDS Behav. 2024 Nov;28(11):3787-3800. doi: 10.1007/s10461-024-04450-8. Epub 2024 Aug 10.

Abstract

To end the HIV epidemic, there is need for targeted strategies to reduce HIV incidence for those most vulnerable, including an HIV vaccine. This study seeks to understand the perceptions that non-PrEP using gay and bisexual men and other men who have sex with men (GBMSM) have about a potential HIV vaccine, while contextualizing their perspectives within the context of heightened vaccine hesitancy that has emerged since the COVID-19 pandemic. Between March and May of 2022, GBMSM (N = 20) participated in in-depth interviews, which assessed their perceptions about an HIV vaccine. Interviews were analysed using a codebook approach to thematic analysis. We oversampled for those unvaccinated against COVID-19 as a proxy for vaccine hesitation. Participants expressed a range of enthusiastic support, cautious optimism and skepticism when presented with the possibility of an HIV vaccine. Factors that drove willingness to receive an HIV vaccine included community-oriented altruism, individualized risk-benefit assessment, and/or the perception that a vaccine could provide a beneficial shift in sexual experiences. Participants also expressed hesitations about receiving an HIV vaccine, including concerns about potential side-effects and efficacy, as well as mistrust in the vaccine development process. Notably, participants often evaluated the vaccine in comparison to PrEP and condoms. Participants offered specific insights into information they would like to receive about an HIV and where/how they would like to receive it. Our findings can help inform future HIV vaccine implementation efforts by offering insights into the factors that motivate and deter GBMSM to receive an HIV vaccine.

摘要

为了终结艾滋病疫情,我们需要制定有针对性的策略,降低高危人群(包括男同性恋、双性恋和其他男男性行为者)的艾滋病感染率,其中包括研发艾滋病疫苗。本研究旨在了解未使用暴露前预防(PrEP)的男同性恋、双性恋和其他男男性行为者(GBMSM)以及其他男男性行为者对潜在艾滋病疫苗的看法,并结合他们在 COVID-19 大流行以来出现的高度疫苗犹豫背景下的观点。在 2022 年 3 月至 5 月期间,GBMSM(N=20)参加了深入访谈,评估了他们对艾滋病疫苗的看法。使用主题分析的代码本方法对访谈进行分析。我们对未接种 COVID-19 疫苗的人进行了过度抽样,作为疫苗犹豫的代表。当参与者被介绍艾滋病疫苗的可能性时,他们表达了一系列热情的支持、谨慎的乐观和怀疑。推动接受艾滋病疫苗的因素包括以社区为导向的利他主义、个体化的风险-效益评估、或认为疫苗可以带来有益的性体验转变。参与者还对接受艾滋病疫苗表示了犹豫,包括对潜在副作用和疗效的担忧,以及对疫苗开发过程的不信任。值得注意的是,参与者经常将疫苗与 PrEP 和避孕套进行比较。参与者还就他们希望了解的艾滋病疫苗的信息以及他们希望在哪里和如何获得这些信息提出了具体的建议。我们的研究结果可以帮助为未来的艾滋病疫苗实施工作提供信息,深入了解激励和阻碍 GBMSM 接种艾滋病疫苗的因素。

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