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“The problem is that our culture is just so messed up about aging.” Recruiting older men who have sex with men (MSM) into research studies: an example from a study of aging, HIV, and anal HPV
Ist Teil von
BMC medical research methodology, 2022-11, Vol.22 (1), p.1-296, Article 296
Ort / Verlag
London: BioMed Central Ltd
Erscheinungsjahr
2022
Link zum Volltext
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Abstract
Background
Anal human papillomavirus (HPV) disproportionately affects men who have sex with men (MSM), particularly those who are older and those living with HIV. After experiencing difficulty recruiting older MSM into a study on aging and anal HPV, we conducted a sub-study to gain feedback on our recruitment methods and explore barriers and facilitators to participating in anal HPV research.
Methods
We conducted focus groups with 30 men who have sex with men (MSM), both HIV-negative and MSM living with HIV, ages 50–75.
Results
We identified multiple themes that were barriers to participation including: (1)
lack of knowledge
about human papillomavirus and anal cancer; (2)
research focused on anal cancer
or discomfort with topics or procedures concerning the anus; (3)
stigma
including stigma associated with being men who have sex with men, being out, being a receptive partner, and being considered “older” in the gay community; and (4)
confidentiality concerns
including a fear of breach of confidentiality. Facilitators to participation were also identified; these
motivational
factors include altruism, wanting recommendations from a doctor, and desire to receive the best available care.
Conclusion
Researchers seeking to enroll older men who have sex with men should be aware of these barriers and facilitators to participation in order to maximize recruitment.