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参与一项HIV疫苗试验的注射吸毒者的医学合格性、对同意程序的理解以及留存情况。

Medical eligibility, comprehension of the consent process, and retention of injection drug users recruited for an HIV vaccine trial.

作者信息

Harrison K, Vlahov D, Jones K, Charron K, Clements M L

机构信息

Department of International Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD, USA.

出版信息

J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Nov 1;10(3):386-90.

PMID:7552502
Abstract

Injection drug users (IDUs) at high risk for human immunodeficiency virus (HIV) infection are being identified as a population for HIV vaccine trials. We studied willingness of drug users to enroll and their comprehension of consent procedures in the context of a Phase II trial at one site. Of 175 people screened for enrollment and whose data sets were complete, 119 (68%) were IDUs. Of the 71 who were eligible, 39 (55%) were IDUs. Exclusion of IDUs was usually for medical reasons. Using a 17-item true/false test, comprehension of the informed consent procedure was high (median score, 16 of 17 for IDUs and non-IDUs); only three subjects (all of whom were IDUs) were excluded from enrollment due to lack of comprehension. Follow-up rates were similar for IDUs and non-IDUs. These data suggest that recruitment of IDUs into HIV vaccine trials is feasible, that IDUs can comprehend and complete the informed consent procedures, and that they return for follow-up visits.

摘要

注射吸毒者(IDU)被视为感染人类免疫缺陷病毒(HIV)的高危人群,正被确定为HIV疫苗试验的对象群体。我们在一个试验点进行的II期试验背景下,研究了吸毒者参与试验的意愿以及他们对同意程序的理解。在175名接受入组筛查且数据集完整的人中,119人(68%)为注射吸毒者。在71名符合条件的人中,39人(55%)为注射吸毒者。排除注射吸毒者通常是出于医学原因。通过一项包含17道对错题的测试,对知情同意程序的理解程度较高(注射吸毒者和非注射吸毒者的中位数得分均为17分中的16分);只有三名受试者(均为注射吸毒者)因理解不足而被排除在入组之外。注射吸毒者和非注射吸毒者的随访率相似。这些数据表明,招募注射吸毒者参与HIV疫苗试验是可行的,注射吸毒者能够理解并完成知情同意程序,而且他们会返回接受随访。

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