Using Online Settings to Identify Gay and Bisexual Men Willing to Take or With Experience Taking PrEP: Implications for Researchers and Providers

Grov, Christian; Rendina, H. Jonathon; Jimenez, Ruben H.; Parsons, Jeffrey T.

doi:10.1521/aeap.2016.28.5.378

Cited by 27 publications

(14 citation statements)

References 19 publications

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“…Scholars have suggested that bisexual men may be less likely to receive HIV prevention information than gay men due to low levels of integration and acceptance in the gay community (Doll, Myers, Kennedy, & Allman, 1997; Kennedy & Doll, 2001). Although few studies have compared self-identified gay and bisexual men on HIV/STI testing and PrEP use, there is some evidence that self-identified bisexual men are less likely to get tested for HIV/STIs (Jeffries, 2010; Jin et al, 2002) and to use PrEP (Grov, Rendina, Jimenez, & Parsons, 2016) compared to self-identified gay men. Consistent with these findings, we also found that self-identified bisexual young men had lower odds of ever having an HIV test and lower odds of ever using PrEP compared to self-identified gay young men.…”

Section: Discussionmentioning

confidence: 99%

Differences in HIV Risk Behaviors Between Self-Identified Gay and Bisexual Young Men Who are HIV-Negative

et al. 2018

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Young men who have sex with men (MSM) are disproportionately affected by HIV, but it remains unclear whether there are differences in HIV risk behaviors between self-identified gay and bisexual young men. To address this, the current study examined differences in condomless sex and substance use before sex with male partners between self-identified gay and bisexual young men who are HIV-negative. Additionally, we examined differences in HIV risk behaviors with male versus female partners among the bisexual men. We used four waves of data spanning 24 months from a cohort of young MSM ages 16-29. At each wave, participants reported on up to four partners, allowing us to examine within-person associations. Compared to gay men, bisexual men reported more insertive condomless anal sex (CAS) with casual partners, they were more likely to report marijuana use before sex, and they were less likely to report lifetime HIV testing and PrEP use. Alcohol and marijuana use before sex were associated with CAS for both gay and bisexual men, but the association between marijuana use and insertive CAS was stronger for bisexual men. Bisexual men reported more condomless sex with female partners compared to male partners, but this was not significant after accounting for alcohol and marijuana use. Bisexual men were more likely to report alcohol and marijuana use with female partners compared to male partners, but both alcohol and marijuana use were associated with condomless sex regardless of partner gender. Findings support the need for tailored HIV prevention for self-identified bisexual men to address their lack of preventive behaviors, their increased engagement in certain risk behaviors with male partners, and their engagement in risk behaviors with female partners.

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Section: Discussionmentioning

confidence: 99%

Differences in HIV Risk Behaviors Between Self-Identified Gay and Bisexual Young Men Who are HIV-Negative

et al. 2018

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“…Studies looking to replicate our findings should consider the strengths and weaknesses of various recruitment and sampling approaches to obtain the most representative sample of MSM. Lastly, we note that there are many venues in which we did not recruit from (e.g., bars/clubs, bathhouses) as well as emerging popular digital venues (i.e., geosocial networking apps like Grindr and Scruff) that may capture yet another segment of MSM (Holloway et al, 2014; Grov, Rendina, Jimenez, & Parsons, 2016). Future studies looking at sampling representativeness should also incorporate these survey modalities into their study designs.…”

Section: Discussionmentioning

confidence: 99%

Comparing Self-Reported Demographic and Sexual Behavioral Factors Among Men Who Have Sex with Men Recruited Through Mechanical Turk, Qualtrics, and a HIV/STI Clinic-Based Sample: Implications for Researchers and Providers

2017

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Recruitment for HIV research among gay, bisexual, and other men who have sex with men (MSM) has increasingly moved to the online sphere. However, there are limited data comparing the characteristics of clinic-based respondents versus those recruited via online survey platforms. MSM were recruited from three sampling sites (STI clinic, MTurk, and Qualtrics) to participate in a survey from March 2015 to April 2016. Respondents were compared between each of the sampling sites on demographics, sexual history, substance use, and attention filter passage. Attention filter passage was high for the online sampling sites (MTurk = 93%; Qualtrics = 86%), but significantly lower for the clinic-based sampling site (72%). Clinic-based respondents were significantly more racially/ethnically diverse, reported lower income, and reported more unemployment than online respondents. Clinic-based respondents reported significantly more male sexual partners in the previous 3 months (M clinic-based = 6; MTurk = 3.6; Qualtrics = 4.5), a higher proportion of gonorrhea, chlamydia, and/or syphilis in the last year, and a greater proportion of methamphetamine use (clinic-based = 21%; MTurk = 5%), and inhaled nitrates use (clinic-based = 41%; MTurk = 11%). The clinic-based sample demonstrated more demographic diversity and a greater proportion of HIV risk behaviors when compared to the online samples, but also a relatively low attention filter passage rate. We recommend the use of attention filters across all modalities to assess response validity and urge caution with online survey engines as samples may differ demographically and behaviorally when compared to clinic-based respondents.

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“…Given the capacity to reach potential subjects, some researchers have successfully utilized Facebook for research advertisement. Through the use of filters (zip codes, gender, age, ethnicity) and interest terms, Facebook allows targeted outreach to certain populations [40][41][42][43][44][45]. Facebook can also adapt to preferences based on search history.…”

Section: The Changing Landscape Of Healthcare Delivery and Researchmentioning

confidence: 99%

Engaging patients throughout the health system: A landscape analysis of cold-call policies and recommendations for future policy change

McHugh

Swamy

Hernandez

2018

J. Clin. Trans. Sci.

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Healthcare institutions may often prohibit “cold-calling” or direct contact with a potential research participant when the person initiating contact is unknown to the patient. This policy aims to maintain patient privacy, but may have unintended consequences as a result of physician gatekeeping. In this review, we discuss recruitment policies at the top academic institutions. We propose an ethical framework for evaluating cold-call policies based on three principles of research ethics. In order to maximize engagement of potential research participants, while maintaining patient privacy and autonomy, we then propose several alternative solutions to restrictive cold-call policies, including opt-in or opt-out platforms, a team-based approach, electronic solutions, and best practices for recruitment. As healthcare has evolved with more collaborative, patient-centered, data-driven care, the engagement of potential research participants should similarly evolve.

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Using Online Settings to Identify Gay and Bisexual Men Willing to Take or With Experience Taking PrEP: Implications for Researchers and Providers

Cited by 27 publications

References 19 publications

Differences in HIV Risk Behaviors Between Self-Identified Gay and Bisexual Young Men Who are HIV-Negative

Differences in HIV Risk Behaviors Between Self-Identified Gay and Bisexual Young Men Who are HIV-Negative

Comparing Self-Reported Demographic and Sexual Behavioral Factors Among Men Who Have Sex with Men Recruited Through Mechanical Turk, Qualtrics, and a HIV/STI Clinic-Based Sample: Implications for Researchers and Providers

Engaging patients throughout the health system: A landscape analysis of cold-call policies and recommendations for future policy change

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