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典型文献
Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study
文献摘要:
Background: Pre-exposure prophylaxis (PrEP) prevents human immunodeficiency virus (HIV) infection, but its use remains low among U.S. military men who have sex with men (MSM), likely due to mis-matching with personal preferences. We conducted a study to characterize preferences to PrEP measures within this population. Methods: HIV-negative military MSM were recruited through a closed, Lesbian, Gay, Bisexual, and Transgendered (LGBT) military social media group. The survey was anonymous, and consisted of five experimentally varied attributes in service delivery: dosing method, provider type, visit location, lab work evaluation location, and dispensing venue. Relative importance and part-worth utility scores were generated using hierarchical bayes (HB) estimation, and the randomized first choice model was used to examine participation interest across eight possible PrEP program scenarios. Results: A total of 429 participants completed the survey. Among the eight scenarios with varying attributes, the most preferred scenario featured a daily tablet, PrEP injection or implant, along with a military provider, smartphone/telehealth visit, and on-base locations for lab evaluation and medication pick-up. The results also emphasized the importance for providers to be familiar with PrEP prescription knowledge, and to provide interactions sensitive to sexual identity and mental health. Conclusions: A PrEP program consisting of daily tablet is preferred in military healthcare settings is preferred. Long-acting implants and injections are also desired.
文献关键词:
作者姓名:
José I.Gutierrez;Alex Dubov;Frederick L.Altice;David Vlahov
作者机构:
Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477,USA;Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California St, San Francisco, CA 94118,USA;Loma Linda University, Griggs Hall 11065, Loma Linda, CA 92350,USA;Yale School of Medicine, Section of Infectious Diseases, 135 College Street, Suite 323, New Haven, CT 06510, USA;Department of Epidemiology-Microbial Diseases, Yale School of Public Health, 60 College St, New Haven, CT 06510, USA
引用格式:
[1]José I.Gutierrez;Alex Dubov;Frederick L.Altice;David Vlahov-.Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study)[J].军事医学研究(英文),2022(02):141-151
A类:
Lesbian,Bisexual,Transgendered,LGBT
B类:
Preferences,exposure,prophylaxis,among,military,who,have,results,adaptive,choice,conjoint,analysis,study,Background,PrEP,prevents,human,immunodeficiency,virus,HIV,infection,its,remains,low,MSM,likely,due,mis,matching,personal,preferences,We,conducted,characterize,measures,within,this,population,Methods,negative,were,recruited,through,closed,Gay,social,media,group,survey,was,anonymous,consisted,five,experimentally,varied,attributes,service,delivery,dosing,method,type,visit,lab,work,evaluation,dispensing,venue,Relative,importance,worth,utility,scores,generated,using,hierarchical,bayes,HB,estimation,randomized,first,model,used,examine,participation,interest,across,eight,possible,program,scenarios,Results,total,participants,completed,Among,varying,most,preferred,featured,daily,tablet,along,smartphone,telehealth,locations,medication,pick,also,emphasized,providers,be,familiar,prescription,knowledge,interactions,sensitive,identity,Conclusions,consisting,healthcare,settings,Long,acting,implants,injections,desired
AB值:
0.5781
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