Promoting vaccination during rapid HIV testing: Recommendations from men who have sex with men in California.

Promoting vaccination during rapid HIV testing: Recommendations from men who have sex with men in California.
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DOI:
10.1111/hsc.13702
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发表时间:
2022-09
影响因子:
2.4
通讯作者:
Brown, Brandon
Brown, Brandon
中科院分区:
医学4区
文献类型:
--
作者:
Polonijo, Andrea N.;Sein, Shawna;Maldonado, Raul;Delos Santos, Jorge;Brown, Brandon

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基于社区的艾滋病毒快速检测对接触不同种族和族裔的男男性行为者是有效的,为捆绑式健康促进干预措施提供了机会。鉴于男男性接触者的人乳头瘤病毒(HPV)和脑膜炎的患病率较高,我们研究了他们对捆绑快速艾滋病毒检测与干预措施,以促进对这些感染的疫苗接种的偏好。2020年,我们在南加州内陆帝国用英语和西班牙语与男男性接触者进行了五次虚拟焦点小组(N=25名参与者)。与会者讨论了他们对HPV和脑膜炎疫苗接种的了解,以及在快速HIV检测期间接受疫苗接种信息和转诊的态度。我们使用严格和加速的数据简化技术来系统地分析数据。参与者的平均年龄为30岁,社会经济多样化,主要是(68%)西班牙裔。96%的人曾经接受过艾滋病毒检测,而只有28%的人接种了HPV和/或脑膜炎疫苗。大多数参与者不知道MSM的HPV和脑膜炎风险升高,并渴望从LGBTQ+友好的提供者那里获得疫苗接种信息。然而,许多参与者强调,快速艾滋病毒检测是有压力的,如果在这种情况下提供疫苗接种信息,预计会感到不知所措。疫苗推广的首选形式包括可以在网上单独访问的小册子和资源,以及在社交媒体、约会应用程序和社区海报上展示不同MSM的更广泛广告的支持。总体而言,我们的研究结果表明,将健康促进信息与快速艾滋病毒检测捆绑在一起可能是无效的,因为与艾滋病毒检测相关的焦虑可能会干扰这些信息及其影响。
Community-based rapid HIV testing is effective for reaching racial-ethnically diverse men who have sex with men (MSM), offering an opportunity for bundled health promotion interventions. Given MSM experience a heightened prevalence of human papillomavirus (HPV) and meningitis, we examined their preferences for bundling rapid HIV testing with an intervention to promote vaccination against these infections. In 2020, we conducted five virtual focus groups (N=25 participants) in English and Spanish with MSM in Southern California’s Inland Empire. Participants discussed their knowledge about HPV and meningitis vaccination and attitudes toward receiving vaccination information and referrals during rapid HIV tests. We used the rigorous and accelerated data reduction technique to systematically analyse the data. Participants had a mean age of 30, were socioeconomically diverse, and predominantly (68%) Hispanic. 96% had ever been tested for HIV, while only 28% were vaccinated against HPV and/or meningitis. Most participants were unaware of MSM’s elevated risk for HPV and meningitis and were eager to receive vaccination information from LGBTQ+-friendly providers. However, many participants emphasized rapid HIV testing was stressful and anticipated feeling overwhelmed if presented with vaccination information in this setting. Preferred formats for vaccine promotion included pamphlets and resources that could be discretely accessed online, supported by broader advertising featuring diverse MSM on social media, dating apps, and posters in the community. Overall, our findings suggest that bundling health promotion messages with rapid HIV testing may be ineffective, as the anxiety associated with taking an HIV test may interfere with such messages and their impact.
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