Using Online Settings to Identify Gay and Bisexual Men Willing to Take or With Experience Taking PrEP: Implications for Researchers and Providers.
Using Online Settings to Identify Gay and Bisexual Men Willing to Take or With Experience Taking PrEP: Implications for Researchers and Providers.
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DOI：
10.1521/aeap.2016.28.5.378
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发表时间：
2016-10
期刊：
影响因子：
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通讯作者：
Parsons JT
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文献类型：
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作者：
Grov C;Rendina HJ;Jimenez R;Parsons JT
鉴于目前艾滋病毒的流行，必须确定有兴趣开始PrEP的男同性恋者和双性恋者以及活跃的PrEP使用者。我们报告了2014-2015年17个月期间从通过六个招聘来源(n=2903)确定的同性恋和双性恋男性收集的在线调查数据：Facebook，一个勾搭网站，两个地方性社交网络应用程序(这里称为“App 1-Pop Up Adds”和“App 2-Banner Adds”)，以及两种类型的列表服务(一种专注于一般同性恋夜生活，另一种专注于同性恋性派对)。使用PrEP的意愿依次为：性派对列表(71.3%)、两个应用(69.8%)、Facebook(67.6%)、交友网站(65.2%)和夜生活列表(50.5%)。使用PrEP的经历如下：性派对列表(23.4%)、应用2-横幅广告(22.5%)、夜生活列表(17.1)、Facebook(14.2%)、应用1-弹出广告(12.4%)和勾搭网站(2.1%)。在多变量模型中，接受PrEP的意愿与年轻、单身、有色人种以及在过去12个月内接受过艾滋病毒检测独立相关。招募来源在很大程度上与启动PrEP的意愿无关。最近男性伴侣的数量、最近无套肛交(CAS)事件的数量以及收集数据的时间(即以月为单位的时间)与开始PrEP的意愿没有显著关联。在多变量模型中，服用PrEP的经历与同性恋性认同、最近的男性性伴侣数量、最近的CAS行为数量、最近12个月内接受艾滋病毒检测的数量以及时间(以月为单位)呈正相关。参加PrEP的经历因招聘来源的不同而有很大不同，这表明研究人员和提供者都可以很好地利用数字媒体来有效识别这些人；然而，这样做应该谨慎，因为并不是所有的数字选择都可能被证明是有效的。
Given the ongoing HIV epidemic, it is essential to identify gay and bisexual men who are interested in starting PrEP as well as active PrEP users. We report on online survey data gathered over a 17-month period in 2014–2015 from gay and bisexual men identified via six sources of recruitment (n = 2903): Facebook, a hookup website, two geosocial-sexual networking apps (herein “App 1 – Pop up ads” and “App 2 – Banner ads”), and two types of listservs (one focused on general gay nightlife, and one focused on gay sex parties). Willingness to take PrEP were as follows: sex party listservs (71.3%), both Apps (69.8%), Facebook (67.6%), hookup website (65.2%), and nightlife listservs (50.5%). Experience having taken PrEP was as follows: sex party listservs (23.4%), App 2 – Banner ads (22.5%), nightlife listservs (17.1) Facebook (14.2%), App 1 – Pop-up ads (12.4%), and hookup website (2.1%). In multivariable modeling, willingness to go on PrEP was independently associated with being younger, single, a person of color, and having been tested for HIV in the last 12 months. Source of recruitment was largely unassociated with willingness to start PrEP. Number of recent male partners, number of recent condomless anal sex (CAS) events, and when data were collected (i.e., time in months) were not significantly associated with willingness to start PrEP. In multivariable models, experience having taken PrEP was positively associated with sexual identity as gay, number of recent male sex partners, number of recent CAS acts, being tested for HIV in the last 12 months, and time (in months). Experience taking PrEP varied greatly by recruitment source, suggesting both researchers and providers might be well served to utilize digital mediums to effectively identify these individuals; however, should do so with caution as not all digital options may prove fruitful.