Reducing the discussion divide by digital questionnaires in healthcare settings: Disruptive innovation for HIV testing and pre-exposure prophylaxis (PrEP) screening

Details

• Alternative Title:
  J Acquir Immune Defic Syndr
• Personal Author:
  John, Steven A. ; Petroll, Andrew E. ; Walsh, Jennifer L. ; Quinn, Katherine G. ; Patel, Viraj V. ; Grov, Christian
• Description:
  Background:
  
  Healthcare provider assessment of patient sexual behavior and substance use is essential for determining appropriate prevention interventions—including HIV pre-exposure prophylaxis (PrEP)—for sexual minority men (SMM). We sought to explore acceptability and utility of using electronic surveys to conduct health behavior assessments in clinical settings among SMM.
  
  Methods:
  
  Among a U.S. nationwide sample of SMM (n=4187; mean age = 38.3 years; 60% White; 82% HIV-negative), we examined associations of demographics, recruitment venue, sexual behavior characteristics, and recent substance use with participants’ comfort communicating verbally and via electronic survey with a healthcare provider about sexual and substance use behavior.
  
  Results:
  
  On average, SMM had greater comfort communicating via electronic survey vs. verbally. In our fully-adjusted analysis, preference favoring electronic surveys more strongly than verbal communication differed by age (β=−0.07, p≤0.001). SMM with a Bachelor’s degree or more (β=0.04, p<0.05), those recruited from non-clinical settings (β=0.06, p≤0.001), and those without primary care providers (β=0.04, p<0.05) favored electronic surveys more strongly in the fully-adjusted multivariable model. SMM who reported any recent casual sex partners (β=0.05, p<0.01), those never tested for HIV (β=0.03, p<0.05), and HIV-negative/unknown men not on PrEP (compared to PrEP users; β=0.09, p≤0.001) also favored electronic surveys in the fully-adjusted model.
  
  Conclusions:
  
  Reducing communication barriers by incorporating electronic surveys into patient assessments could help identify HIV testing and PrEP needs for SMM most susceptible to HIV acquisition. Nonetheless, no one screening strategy is likely to work for a vast majority of SMM and multiple approaches are needed.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Communication HIV Infections HIV Testing Humans Male Middle Aged Patient Acceptance Of Health Care Pre-Exposure Prophylaxis Sexual And Gender Minorities Sexual Behavior Surveys And Questionnaires United States Young Adult

  More +
• Keywords:
  Gay And Bisexual Men HIV HIV Testing Pre-exposure Prophylaxis Sexual Minority Men
• Source:
  J Acquir Immune Defic Syndr. 85(3):302-308
• Pubmed ID:
  32701822
• Pubmed Central ID:
  PMC7572720
• Document Type:
  Journal Article
• Funding:
  U48DP005008/ACL/ACL HHSUnited States/ ; UG3 AI133675/AI/NIAID NIH HHSUnited States/ ; K23 MH102118/MH/NIMH NIH HHSUnited States/ ; UH3 AI133675/AI/NIAID NIH HHSUnited States/ ; P30 AI124414/AI/NIAID NIH HHSUnited States/ ; K01 MH118939/MH/NIMH NIH HHSUnited States/ ; L30 MH117751/MH/NIMH NIH HHSUnited States/ ; K01 MH112412/MH/NIMH NIH HHSUnited States/ ; P30 MH052776/MH/NIMH NIH HHSUnited States/
• Volume:
  85
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:61a6b45991ab039a2f01e67f358a553da1435c3c4c2e480c44676b7175d4e598
• Download URL:
  https://stacks.cdc.gov/view/cdc/158025/cdc_158025_DS1.pdf
• File Type:
  [PDF - 337.46 KB ]