Adherence to rectal gel use among mainly ethnic minority young men who have sex with men during a 3-month placebo gel trial: implications for microbicide research.

Adherence to rectal gel use among mainly ethnic minority young men who have sex with men during a 3-month placebo gel trial: implications for microbicide research.
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DOI:
10.1007/s10461-014-0768-1
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发表时间:
2014-09
期刊:
影响因子:
4.4
通讯作者:
McGowan, Ian
McGowan, Ian
中科院分区:
医学2区
文献类型:
--
作者:
Carballo-Dieguez, Alex;Giguere, Rebecca;Dolezal, Curtis;Bauermeister, Jose;Leu, Cheng-Shiun;Valladares, Juan;Frasca, Timothy;Labbett, Rita;Cranston, Ross D.;Febo, Irma;Mayer, Kenneth;McGowan, Ian

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为了研究在I期杀微生物剂试验之前对产品使用的依从性,我们招募了有无保护的接受性肛交(RAI)史的男男性行为者(YMSM),并为他们提供了40个直肠施用器,其中含有安慰剂凝胶,在12周的时间内在RAI之前使用。95名YMSM完成了试验。基于计算机辅助自我访谈,83名参与者在82.4%的情况下(SD 26.7; 0-100)使用凝胶进行了接受性肛交(RAI)(中位数12次)。基于交互式语音应答系统,88名参与者在87.9%的情况下(SD 20.0; 20-100)使用凝胶发生RAI(中位数10次)。通过涂抹器计数,凝胶使用的中位数为12。参与者对凝胶使用的依从性很高。那些没有持续使用产品的人(n=40)列举了没有随身携带(85%),忘记使用(48%),不想使用(13%),伴侣拒绝(10%)和凝胶凌乱(10%)。
To study adherence to product use prior to a Phase I microbicide trial, we recruited young men who have sex with men (YMSM) with a history of unprotected receptive anal intercourse (RAI) and provided them with 40 rectal applicators containing a placebo gel to use prior to RAI during a 12-week period. Ninety-five YMSM completed the trial. Based on a Computer Assisted Self Interview, 83 participants had receptive anal intercourse (RAI) (Median 12 occasions) using gel on 82.4% of occasions (SD 26.7; 0–100). Based on an interactive voice response system, 88 participants had RAI (Median 10 occasions) using gel on 87.9% of occasions (SD 20.0; 20–100). By applicator counts the median gel use was 12. Participants showed high adherence to gel use. Those who did not use the product consistently (n=40) adduced not having it with them (85%), forgetting to use it (48%), not wanting to use it (13%), partner refusal (10%) and gel messiness (10%).
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