Identifying preferences for receiving HIV prevention services among GBMSMs and for providing HIV prevention services among HCPs who are active-duty service members

确定 GBMSM 中接受艾滋病毒预防服务的偏好以及现役军人 HCP 中提供艾滋病毒预防服务的偏好

• 批准号: 10838943
• 负责人: Christofer Alfredo Rodriguez
• 金额: $ 3.83万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-12-16 至 2026-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10838943
• 关键词: AIDS prevention; Address; Affect; Authorization documentation; Behavior; Behavioral Model; Bisexual; Caring; Centers for Disease Control and Prevention (U.S.); Characteristics; Coin; Congresses; Data; Department of Defense; Diagnosis; Epidemic; Future; Gays; Geography; Goals; HIV; HIV Infections; HIV Seronegativity; HIV Seropositivity; HIV/AIDS; HIV/STD; Health; Health Personnel; Health Services; Health behavior; Healthcare; Healthcare Systems; Healthy People 2020; Human immunodeficiency virus test; Individual; Infection; Injections; Interview; Lesbian Gay Bisexual; Measures; Medical; Mentorship; Methods; Military Personnel; Oral; Pathway interactions; Patients; Pharmaceutical Preparations; Policies; Population; Populations at Risk; Prevention program; Prevention strategy; Preventive service; Provider; Recommendation; Reporting; Research; Research Project Grants; Residual state; Respondent; Risk; Services; Sex Behavior; Sexual Health; Sexual Partners; Side; Surveys; Testing; Time; United States Dept. of Health and Human Services; active duty; authority; condoms; cost; doctoral student; evidence base; experience; experimental study; health care delivery; high risk; improved; innovation; men who have sex with men; military health system; patient oriented; pre-exposure prophylaxis; preference; prevention service; programs; psychosocial; response; same sex behavior; service delivery; service member; sex; sexual minority men; sexually active; social stigma; sound; therapy development; transgender; uptake; willingness

PROJECT SUMMARY The proposed research project addresses an important gap in HIV prevention by applying innovative methods to help bolster uptake of HIV Pre-Exposure Prophylaxis (PrEP), as well as identify ways to improve the delivery of sexual health services among active-duty service members in the US military who are at most risk for HIV acquisition: gay, bisexual, and other men who have sex with men (GBMSM). Annually, the military diagnoses approximately 350 new HIV infections, with 236 new HIV infections occurring in 2020, and another 433 new infections diagnosed between January 1, 2021, through June 30, 2022. HIV PrEP is a highly effective prevention strategy, currently underutilized by active-duty service members. When taken as directed, PrEP is ~99% effective at reducing HIV-seroconversion in at-risk populations, such as GBMSM. Despite authorization to provide PrEP and related care free of cost, PrEP uptake among active-duty service members is low. Prior research has noted psychosocial barriers, such as stigma, may exist from residuals of the ‘Don’t Ask, Don’t Tell’ policy era that emphasized hiding one’s identity as a lesbian, gay, bisexual, or transgender (LGBT) and engagement in same-sex behaviors. Other factors may impede uptake-provision of PrEP, such as one’s comfort level of discussing sex-related topics and identifying whether someone is a candidate for PrEP. Currently, there is limited data describing what factors affect active-duty service members’ demand for PrEP and what factors influence providers’ willingness to prescribe it. The proposed project – from a promising doctoral student with a strong mentorship team – will apply an exploratory sequential mixed-method preference-based study to identify how best to bolster the uptake-delivery of sexual health and HIV prevention, including PrEP, among GBMSM and healthcare providers (HCP) who are active-duty service members in the US military. The integrated behavioral model (IBM) will guide the study to accomplish the proposed Specific Aims: (1) Qualitatively explore preferences for receiving sexual health services, including PrEP, among active-duty GBMSM and explore preferences for receiving sexual health services, including PrEP, among active-duty HCP service members. (2) Quantitatively identify, describe, and compare HIV/STI prevention program preferences among active-duty GBMSM and active-duty HCPs using Choice-Based Conjoint and MaxDiff preference-based methods. Findings from this timely, innovative project will identify ways to tailor sexual health services to the individual’s risk profile, merge overlapping concepts from the patient and provider perspective, facilitate more patient-centered provision of sexual health services, and optimize PrEP uptake among GBMSM service members, and PrEP provision among HCPs in the military.

项目摘要 拟议的研究项目通过应用创新方法来帮助预防艾滋病毒的重要差距 增强艾滋病毒暴露前预防的摄取（准备），并确定改善性健康递送的方法 美国军方现役军人的服务最多有艾滋病毒的风险：同性恋，双性恋， 和其他与男人发生性关系的男人（GBMSM）。每年，军方诊断约350名新艾滋病毒 感染，2020年发生236种新的HIV感染，另外433次诊断为1月1日的新感染。 2021年，直到2022年6月30日。HIVPrep是一种高效的预防策略，目前被现役不足 服务成员。当按照指示服用时，PREP在减少高危人群中的HIV-Seroconconversion方面有效〜99％， 例如GBMSM。尽管有权免费提供准备和相关护理的费用 服务成员很低。先前的研究指出，可以从污名等心理障碍中存在。 “不要问，不要说”政策时代强调将自己的身份隐藏为女同性恋，同性恋或变性者 （LGBT）和参与同性行为。其他因素可能会阻碍摄取PREP的吸收，例如 讨论与性有关的话题的舒适水平，并确定某人是否是准备候选人。目前，有 有限的数据描述了哪些因素会影响现役服务成员对准备的需求以及哪些因素影响哪些因素 提供者愿意开处方。拟议的项目 - 来自一个有力心态的应许博士生 团队 - 将采用探索性顺序混合方法基于基于方法的研究，以确定如何最好地加强该研究 GBMSM和医疗保健提供者（HCP）的性健康和艾滋病毒预防促进性健康和艾滋病毒预防（HCP） 是美国军方的现役军人。综合行为模型（IBM）将指导研究 实现拟议的特定目的：（1）定性地探索接受性健康服务的偏好， 包括PREP，在现役的GBMSM中，并探索接受性健康服务的偏好，包括PREP， 在现役HCP服务成员中。 （2）定量识别，描述和比较HIV/STI预防 使用基于选择的conthoint和Maxdiff 基于偏好的方法。这个及时的创新项目中的发现将确定量身定制性健康服务的方法 为了个人的风险概况，从患者和提供者的角度合并重叠的概念，促进更多 以患者为中心的性卫生服务，并优化GBMSM服务成员的预付款，以及 军事中HCP的准备准备。