Addressing Key Issues in HIV Self-Testing Program Implementation for Black and Latino Men Who Have Sex with Men in the US South

解决美国南部男男性行为黑人和拉丁裔男性艾滋病毒自我检测计划实施中的关键问题

• 批准号: 10547901
• 负责人: John Guigayoma
• 金额: $ 4.68万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10547901
• 关键词: AIDS prevention; Address; Black race; Caring; Characteristics; Clinic; Communities; Consolidated Framework for Implementation Research; Counseling; Country; Data; Devices; Ensure; Evidence based intervention; Fellowship; Florida; Future; Geography; Guidelines; HIV; HIV Infections; HIV diagnosis; HIV/STD; Health; Home; Human immunodeficiency virus test; Incidence; Intervention; Interview; Knowledge; Latino; Lead; Louisiana; Medical; Methodology; Methods; Mississippi; Patient Preferences; Patients; Pharmacy facility; Plant Roots; Policies; Population; Prevention program; Price; Provider; Public Health; Randomized Controlled Trials; Research; Research Personnel; STI prevention; Self Administration; Services; Sexual Partners; Structure; Study models; Surveys; Testing; Time; Training; Translating; Work; base; career; cis-male; cost; design; effective intervention; experimental study; health organization; high risk; implementation barriers; implementation outcomes; implementation science; infection rate; innovation; male; men; men who have sex with men; peer; pre-doctoral; preference; preventive intervention; programs; public health intervention; screening; self testing; sex; stem; willingness to pay

ABSTRACT Black and Latino men who have sex with men (BLMSM) in the US South have the highest HIV infection rates in the country. Increasing HIV testing among men who have sex with men may decrease new HIV infections in this population, yet rates of regular testing among BLMSM in the South are low. HIV self-testing (HST), or the self-administration of an HIV screening device, is an effective strategy to increase HIV testing among men whohave sex with men. However, HST implementation within health settings in the US South is limited. One possible barrier to implementation is program planners’ limited knowledge of how BLMSM in the South prefer to access HST and how much they would pay. For example, although home delivery and peer delivery are two strategies that successfully increase HST use among BLMSM elsewhere in the US, researchers have yet to determine which of these strategies BLMSM in the South prefer and their corresponding willingness to pay for each strategy. In addition, little overall is known about facilitators and barriers to initiating HST programs from the perspectives of implementation decisionmakers at public health departments, HIV / STD testing clinics, andcommunity-based organizations in the US South. In this predoctoral fellowship, I will conduct a discrete choice experiment among BLMSM (N=300) in several states in the US South (Louisiana, Mississippi, Georgia, Florida) to elicit this population’s relative preferences for several HST delivery strategies and an estimated dollar amount they would pay for each program. The delivery strategies I will evaluate through the discrete choice experiment are retail purchase at drugstores, home delivery, and peer delivery. I will also conduct semi-structured interviews (N=30) with HIV prevention program decisionmakers at various health organizations serving BLMSM in the US South to understand facilitators and barriers to HST implementation. By increasing the knowledge of HST implementation outcomes from the perspectives of patients and providers, this project will build a roadmap for the initiation of HST programs to decrease HIV incidence among one of the most disproportionately impacted populations in the US.

抽象的 在美国南部与男性发生性关系的黑人和拉丁裔男人的艾滋病毒感染最高 该国的费率。在与男性发生性关系的男性中增加艾滋病毒测试可能会减少新的艾滋病毒 该人群的感染，但南方BLMSM的常规测试率很低。艾滋病毒自我测试 （HST）或HIV筛查装置的自我管理是增加HIV测试的有效策略 在与男人发生性关系的男人中。但是，美国南部健康环境中的HST实施是 有限的。实施的一个可能障碍是计划计划者对BLMSM如何在 南方更喜欢访问HST以及他们将支付多少。例如，虽然送货和同行 交付是两种策略，可成功地增加美国其他地方BLMSM中HST的使用， 研究人员尚未确定南方的哪些策略BLMSM及其优先 相应的愿意为每种策略付费。此外，关于促进者和 从公共卫生实施决策者的角度启动HST计划的障碍 部门，艾滋病毒/性病测试诊所，美国南部基于社区的组织。在这个 我将在几个州对BLMSM（n = 300）之间进行离散选择实验 在美国南部（路易斯安那州，密西西比州，佐治亚州，佛罗里达州），以引起该人口的相对偏好 他们将为每个计划支付的几种HST交付策略和估计的美元金额。 我将通过离散选择实验评估的交付策略是在药店购买零售， 送货上门和同行交货。我还将对预防HIV进行半结构化访谈（n = 30） 在美国南部为BLMSM服务的各种卫生组织的计划决策者以了解 HST实施的促进者和障碍。通过增加对HST实施的知识 从患者和提供者的角度来看，该项目将建立一个路线图 HST计划减少艾滋病毒的艾滋病毒事件是最受影响的人群之一 美国。