"The problem is that our culture is just so messed up about aging." Recruiting older men who have sex with men (MSM) into research studies: an example from a study of aging, HIV, and anal HPV.
"The problem is that our culture is just so messed up about aging." Recruiting older men who have sex with men (MSM) into research studies: an example from a study of aging, HIV, and anal HPV.
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DOI：
10.1186/s12874-022-01752-0
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发表时间：
2022-11-18
影响因子：
4
通讯作者：
中科院分区：
文献类型：
--
作者：
肛门人类乳头瘤病毒（HPV）对男男性行为者（MSM）的影响尤为严重，尤其是那些年龄较大和感染艾滋病毒的男性。在招募年长的男男性接触者参与一项关于衰老与肛门HPV的研究遇到困难后，我们进行了一项子研究，以获得对我们招募方法的反馈，并探索参与肛门HPV研究的障碍和促进因素。我们对30名男男性行为者（MSM）进行了焦点小组调查，包括艾滋病毒阴性和感染艾滋病毒的男男性行为者，年龄在50-75岁。我们确定了阻碍参与的多个主题，包括：(1)缺乏关于人类乳头瘤病毒和肛门癌的知识；(2)针对肛门癌或与肛门有关的话题或手术的不适的研究；(3)耻辱感，包括与男同性恋者发生性行为、出柜、接受性伴侣以及在同性恋群体中被认为“年长”相关的耻辱感；(4)保密问题，包括对违反保密的恐惧。还确定了参与的促进者；这些动机因素包括利他主义，希望得到医生的建议，以及希望得到最好的治疗。想要招募男男性行为的老年男性的研究人员应该意识到这些障碍和促进参与的因素，以便最大限度地招募。在线版本包含补充材料，可在10.1186/s12874-022-01752-0获得。
Anal human papillomavirus (HPV) disproportionately affects men who have sex with men (MSM), particularly those who are older and those living with HIV. After experiencing difficulty recruiting older MSM into a study on aging and anal HPV, we conducted a sub-study to gain feedback on our recruitment methods and explore barriers and facilitators to participating in anal HPV research. We conducted focus groups with 30 men who have sex with men (MSM), both HIV-negative and MSM living with HIV, ages 50–75. We identified multiple themes that were barriers to participation including: (1) lack of knowledge about human papillomavirus and anal cancer; (2) research focused on anal cancer or discomfort with topics or procedures concerning the anus; (3) stigma including stigma associated with being men who have sex with men, being out, being a receptive partner, and being considered “older” in the gay community; and (4) confidentiality concerns including a fear of breach of confidentiality. Facilitators to participation were also identified; these motivational factors include altruism, wanting recommendations from a doctor, and desire to receive the best available care. Researchers seeking to enroll older men who have sex with men should be aware of these barriers and facilitators to participation in order to maximize recruitment. The online version contains supplementary material available at 10.1186/s12874-022-01752-0.
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