Baja Emmanuel S, Serrano Jeremiah A, Salinas Reyna V, Pahang Rex Ian P, Regencia Zypher Jude G, Carrascal Stanley Roy L
Institute of Clinical Epidemiology, University of the Philippines Manila National Institutes of Health, Manila, Philippines
Department of Clinical Epidemiology, University of the Philippines Manila College of Medicine, Manila, Philippines.
BMJ Open. 2025 Aug 26;15(8):e095272. doi: 10.1136/bmjopen-2024-095272.
INTRODUCTION: Rapid antibody testing is a cornerstone in HIV case finding and management. Without tools for rapid detection and diagnosis of HIV infection, none of the downstream targets for linkage to antiretroviral therapy and viral suppression in the HIV treatment cascade could be achieved. In the Philippines, oral HIV self-testing (HIVST) has not been adapted for use. Moreover, no study has been conducted to determine HIV testing preferences and acceptability of oral HIVST among Filipino men who have sex with men (MSM) and transgender women (TGW). The protocol describes a mixed-method approach to evaluate HIV testing preferences and acceptability of oral HIVST vs currently available testing modalities among MSM and TGW in the Greater Manila Area and determine the factors underlying the participants' selection of a testing modality. METHODS AND ANALYSIS: This study will use an explanatory sequential mixed-methods design. The initial phase will involve a cross-sectional survey with a pre/post questionnaire format design targeting 480 MSM and 478 TGW. A case study phase follows, with 80 in-depth interviews to provide more detailed qualitative insights. Quantitative data will be analysed using multinomial logistic regression models, while qualitative data will be examined using an inductive approach through thematic analysis. A narrative approach will synthesise the quantitative and qualitative findings for a unified interpretation and comprehensive understanding of the results. ETHICS AND DISSEMINATION: This protocol has been approved by the University of the Philippines Manila Research Ethics Board (UPMREB 2023-0579-01). The study findings will be disseminated through peer-reviewed journal publications and academic presentations at conferences.
引言:快速抗体检测是艾滋病毒病例发现与管理的基石。若没有艾滋病毒感染的快速检测和诊断工具,艾滋病毒治疗流程中抗逆转录病毒治疗及病毒抑制的下游目标均无法实现。在菲律宾,尚未采用口腔艾滋病毒自我检测(HIVST)。此外,尚未开展任何研究来确定菲律宾男男性行为者(MSM)和跨性别女性(TGW)对口腔HIVST的检测偏好及接受程度。本方案描述了一种混合方法,用于评估大马尼拉地区男男性行为者和跨性别女性对口腔HIVST与现有检测方式的检测偏好及接受程度,并确定参与者选择检测方式的潜在因素。 方法与分析:本研究将采用解释性序列混合方法设计。初始阶段将进行一项横断面调查,采用前后问卷格式设计,目标对象为480名男男性行为者和478名跨性别女性。随后进入案例研究阶段,进行80次深入访谈,以提供更详细的定性见解。定量数据将使用多项逻辑回归模型进行分析,而定性数据将通过主题分析采用归纳法进行审查。将采用叙述性方法综合定量和定性研究结果,以统一解释并全面理解研究结果。 伦理与传播:本方案已获得菲律宾大学马尼拉分校研究伦理委员会(UPMREB 2023 - 0579 - 01)批准。研究结果将通过同行评审期刊发表及在会议上进行学术报告的方式进行传播。
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