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: 10704067
• 负责人: John Guigayoma
• 金额: $ 4.77万
• 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/10704067
• 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; Meta-Analysis; Methodology; Methods; Mississippi; Patient Preferences; Patients; Pharmacy facility; Policies; Population; Prevention program; Price; Provider; Public Health; Randomized, Controlled Trials; Recommendation; Research; Research Personnel; STI prevention; Self Administration; Services; Sexual Partners; Structure; Study models; Surveys; Testing; Time; Training; Translating; Work; black men who have sex with men; 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 美国南部男男性行为者 (BLMSM) 的黑人和拉丁裔男性艾滋病毒感染率最高 增加男男性行为者的艾滋病毒检测可能会减少新的艾滋病毒感染率。 但南方 BLMSM 的艾滋病毒自我检测率却很低。 (HST)，或自我管理艾滋病毒筛查设备，是增加艾滋病毒检测的有效策略 然而，在美国南部的卫生机构中，HST 的实施情况却很糟糕。 实施的一个可能障碍是计划规划者对 BLMSM 如何实施的了解有限。 例如，南方更喜欢使用 HST 以及他们愿意支付的费用，尽管送货上门和同行。 交付是成功增加美国其他地方 BLMSM 中 HST 使用的两种策略， 研究人员尚未确定南方的 BLMSM 更喜欢哪种策略以及他们的看法 此外，对于促进者和促进者的整体了解甚少。 从公共卫生决策者的角度来看，启动 HST 计划的障碍 美国南部的各部门、艾滋病毒/性病检测诊所和社区组织。 博士前奖学金，我将在几个州进行BLMSM（N=300）的离散选择实验 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），以了解该人群对 一些 HST 交付策略以及他们将为每个计划支付的预计金额。 我将通过离散选择实验评估的交付策略是在药店零售购买， 我还将进行有关艾滋病毒预防的半结构化访谈（N=30）。 为美国南部 BLMSM 提供服务的各个卫生组织的计划决策者了解 通过增加 HST 实施的知识，了解 HST 实施的促进因素和障碍。 从患者和提供者的角度来看，该项目将为启动制定路线图 HST 计划旨在降低艾滋病毒感染率，其中受影响最严重的人群之一 美国。