Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study

José I. Gutierrez; Alex Dubov; Frederick L. Altice; David Vlahov

doi:10.1186/s40779-021-00323-6

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Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study

RESEARCH | Updated：2023-02-28

- Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study
- Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study
- 解放军医学杂志（英文版） 2022年9卷第2期页码：141-151
- Affiliations：
  
  1.Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477, USA
  2.Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California St, San Francisco, CA 94118, USA
  3.Loma Linda University, Griggs Hall 11065, Loma Linda, CA 92350, USA
  4.Yale School of Medicine, Section of Infectious Diseases, 135 College Street, Suite 323, New Haven, CT 06510, USA
  5.Department of Epidemiology-Microbial Diseases, Yale School of Public Health, 60 College St, New Haven, CT 06510, USA
- Author bio：
  
  * jose.gutierrez@aya.yale.edu
- Funds：
  
  Research reported in this publication was supported by the National Institute of Nursing Research (NINR)(under award number 1F31NR018620-01A1);the National Institute of Mental Health (NIMH);Center for HIV Identification, Prevention, and Treatment Services (CHIPTS)(P30MH059107);Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NIH
- DOI：10.1186/s40779-021-00323-6
  中图分类号：
- 纸质出版：2022-04
- Accepted：
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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]. 解放军医学杂志（英文版）, 2022,9(2):141-151.

Gutierrez et al.: Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study. Mil Med Res, 2021, 8: 32.
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]. 解放军医学杂志（英文版）, 2022,9(2):141-151. DOI： 10.1186/s40779-021-00323-6.

Gutierrez et al.: Preferences for pre-exposure prophylaxis among U.S. military men who have sex with men: results of an adaptive choice based conjoint analysis study. Mil Med Res, 2021, 8: 32. DOI： 10.1186/s40779-021-00323-6.

摘要

Abstract

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.

关键词

Keywords

references

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