Recruiting a U.S. national sample of HIV-negative gay and bisexual men to complete at-home self-administered HIV/STI testing and surveys: Challenges and Opportunities.
Recruiting a U.S. national sample of HIV-negative gay and bisexual men to complete at-home self-administered HIV/STI testing and surveys: Challenges and Opportunities.
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DOI：
10.1007/s13178-015-0212-y
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发表时间：
2016-03-01
期刊：
影响因子：
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通讯作者：
Parsons JT
中科院分区：
文献类型：
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作者：
Grov C;Cain D;Whitfield TH;Rendina HJ;Pawson M;Ventuneac A;Parsons JT
我们描述了千人小组的登记情况，介绍了该小组相对于美国其他大型同性恋和双性恋男性（GBM）研究的特征，并检查了与通过登记里程碑相关的人口统计学和行为特征。通过一个已建立的超过22,000 GBM的在线小组，美国全国hiv阴性男性样本被招募。参与者（n = 1071）通过三个里程碑来加入我们的小组。里程碑1是筛选合格患者并提供知情同意。里程碑2包括完成一项长达一小时的在家电脑辅助自我访谈（CASI）调查。里程碑3包括完成家庭自我管理的快速艾滋病毒检测，收集/返回尿液和直肠样本进行淋病和衣原体检测。与那些完成里程碑的人相比：那些没有通过里程碑1的人更有可能是非白人和老年人；未过2期的人投保或看初级保健医生的可能性较小；而那些没有达到第3个里程碑的人受教育程度较低，更有可能是双性恋而不是同性恋，更有可能生活在中西部，在过去一年中有更少的男性伴侣，在过去一年中进行艾滋病毒检测的可能性更低。重大发现的效应量很小。我们成功地招募了一名HIV阴性GBM的国家样本，他们完成了家庭CASI评估和家庭自我管理的HIV、尿液和直肠STI检测。这表明将自我管理的生物测定纳入其他完全在线研究的高度可行性和可接受性。完成学习里程碑的差异表明，需要进一步调查某些群体参与度较低的原因。
We describe enrollment for the One Thousand Strong panel, present characteristics of the panel relative to other large U.S. national studies of gay and bisexual men (GBM), and examine demographic and behavioral characteristics that were associated with passing enrollment milestones. A U.S. national sample of HIV-negative men were enrolled via an established online panel of over 22,000 GBM. Participants (n = 1071) passed three milestones to join our panel. Milestone 1 was screening eligible and providing informed consent. Milestone 2 involved completing an hour-long at-home computer-assisted self-interview (CASI) survey. Milestone 3 involved completing at-home self-administered rapid HIV testing and collecting/returning urine and rectal samples for gonorrhea and chlamydia testing. Compared to those who completed milestones: those not passing milestone 1 were more likely to be non-White and older; those not passing milestone 2 were less likely to have insurance or a primary care physician; and those not passing milestone 3 were less educated, more likely to be bisexual as opposed to gay, more likely to live in the Midwest, had fewer male partners in the past year, and less likely to have tested for HIV in the past year. Effect sizes for significant findings were small. We successfully enrolled a national sample of HIV-negative GBM who completed at-home CASI assessments and at-home self-administered HIV and urine and rectal STI testing. This indicates high feasibility and acceptability of incorporating self-administered biological assays into otherwise fully online studies. Differences in completion of study milestones indicate a need for further investigation into the reasons for lower engagement by certain groups.