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Recruiting a US National Sample of HIV-Negative Gay and Bisexual Men to Complete at-Home Self-Administered HIV/STI Testing and Surveys: Challenges and Opportunities

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Abstract

We describe enrollment for the One Thousand Strong panel, present characteristics of the panel relative to other large US national studies of gay and bisexual men (GBM), and examine demographic and behavioral characteristics that were associated with passing enrollment milestones. A US national sample of HIV-negative men was enrolled via an established online panel of over 22,000 GBM. Participants (n = 1071) passed three milestones to join our panel. Milestone 1 was screening eligible and providing informed consent. Milestone 2 involved completing an hour-long at-home computer-assisted self-interview (CASI) survey. Milestone 3 involved completing at-home self-administered rapid HIV testing and collecting/returning urine and rectal samples for gonorrhea and chlamydia testing. Compared to those who completed milestones: Those not passing milestone 1 were more likely to be non-White and older; those not passing milestone 2 were less likely to have insurance or a primary care physician; and those not passing milestone 3 were less educated, more likely to be bisexual as opposed to gay, more likely to live in the Midwest, had fewer male partners in the past year, and less likely to have tested for HIV in the past year. Effect sizes for significant findings were small. We successfully enrolled a national sample of HIV-negative GBM who completed at-home CASI assessments and at-home self-administered HIV and urine and rectal STI testing. This indicates high feasibility and acceptability of incorporating self-administered biological assays into otherwise fully online studies. Differences in completion of study milestones indicate a need for further investigation into the reasons for lower engagement by certain groups.

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Acknowledgments

The One Thousand Strong study was funded by NIH/NIDA (R01 DA 036466: Jeffrey T. Parsons & Christian Grov). We would like to acknowledge other members of the One Thousand Strong Study Team (Dr. Tyrel Starks, Michael Castro, Ruben Jimenez, Dr. Jonathan Lassiter, Brett Millar, Chloe Mirzayi, Raymond Moody, and Anita Viswanath) and other staff from the Center for HIV/AIDS Educational Studies and Training (Qurrat-Ul Ain, Andrew Cortopassi, Chris Hietikko, Doug Keeler, Chris Murphy, Carlos Ponton, and Brian Salfas). We would also like to thank the staff at Community Marketing Inc. (David Paisley, Thomas Roth, and Heather Torch) and Dr. Patrick Sullivan, Jessica Ingersoll, Deborah Abdul-Ali, and Doris Igwe at the Emory Center for AIDS Research (P30 AI050409). Finally, special thanks to Dr. Jeffrey Schulden at NIDA and Dr. Elizabeth Kelvin at Hunter College. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Correspondence to Christian Grov.

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Grov, Cain, Whitfield, Rendina, Pawson, Ventuneac, and Parsons all have no conflicts.

Funding

One Thousand Strong was funded by the National Institutes of Health (R01 DA 036466: Parsons & Grov). H. Jonathon Rendina was supported by a National Institute on Drug Abuse Career Development Award (K01 DA039030).

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Grov, C., Cain, D., Whitfield, T.H.F. et al. Recruiting a US National Sample of HIV-Negative Gay and Bisexual Men to Complete at-Home Self-Administered HIV/STI Testing and Surveys: Challenges and Opportunities. Sex Res Soc Policy 13, 1–21 (2016). https://doi.org/10.1007/s13178-015-0212-y

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