J. Med. Internet Res. - Predictors of retention in an online follow-up study of men who have sex with men.

Tópicos

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Resumo

CKGROUND: In the past 10 years, the Internet has emerged as a venue for men who have sex with men (MSM) to meet sex partners. Because online sex seeking has increased among MSM, Internet-based human immunodeficiency virus (HIV) prevention interventions are of interest. However, few online studies to date have demonstrated an ability to retain study participants, specifically MSM of color, in longitudinal online studies.OBJECTIVE: The current analysis examines data from a 3-month online prospective study of MSM to determine the association of race and incentive level with two retention outcomes: (1) agreeing to participate in a follow-up survey and providing an email address and (2) linking into the follow-up survey at the follow-up time point.METHODS: Internet-using MSM were recruited through banner advertisements on MySpace.com. White, black, and Hispanic participants from 18 to 35 years of age were randomized to an offer of enrollment in an online follow-up survey at four levels of incentive (US $0, US $5, US $10, and US $20). Multivariable logistic regression models were used to estimate the odds of the two outcome measures of interest controlling for additional independent factors of interest.RESULTS: Of eligible participants, 92% (2405/2607) agreed to participate in the follow-up survey and provided an email address. Hispanic men had decreased odds (adjusted odds ratio [OR] = 0.66, 95% confidence interval [CI] 0.47-0.92) of agreeing to participate in the follow-up survey compared with white men. Men reporting unprotected anal intercourse with a male sex partner in the past 12 months had increased odds of agreeing to participate in the follow-up survey (adjusted OR = 1.42, 95% CI 1.05-1.93). Of the participants who provided an email address, 22% (539/2405) linked into the follow-up survey at the 3-month follow-up time point. The odds of linking into the follow-up survey for black men were approximately half the odds for white men (adjusted OR = 0.47, 95% CI 0.35-0.63). Participants who were offered an incentive had increased odds of linking into the follow-up survey (adjusted OR = 1.29, 95% CI 1.02-1.62). Email addresses provided by participants that were used for online financial management and email accounts that were checked daily were associated with increased odds of linking into the follow-up survey (adjusted OR = 1.97, 95% CI 1.54-2.52; adjusted OR = 1.51, 95% CI 1.22-1.87, respectively).CONCLUSIONS: This analysis identified factors that predicted retention in an online, prospective study of MSM. Hispanic and black study participants were less likely to be retained in the study compared with white study participants. Because these men bear the greatest burden of HIV incidence among MSM in the United States, it is critical that new research methods be developed to increase retention of these groups in online research studies.

Resumo Limpo

ckground past year internet emerg venu men sex men msm meet sex partner onlin sex seek increas among msm internetbas human immunodefici virus hiv prevent intervent interest howev onlin studi date demonstr abil retain studi particip specif msm color longitudin onlin studiesobject current analysi examin data month onlin prospect studi msm determin associ race incent level two retent outcom agre particip followup survey provid email address link followup survey followup time pointmethod internetus msm recruit banner advertis myspacecom white black hispan particip year age random offer enrol onlin followup survey four level incent us us us us multivari logist regress model use estim odd two outcom measur interest control addit independ factor interestresult elig particip agre particip followup survey provid email address hispan men decreas odd adjust odd ratio confid interv ci agre particip followup survey compar white men men report unprotect anal intercours male sex partner past month increas odd agre particip followup survey adjust ci particip provid email address link followup survey month followup time point odd link followup survey black men approxim half odd white men adjust ci particip offer incent increas odd link followup survey adjust ci email address provid particip use onlin financi manag email account check daili associ increas odd link followup survey adjust ci adjust ci respectivelyconclus analysi identifi factor predict retent onlin prospect studi msm hispan black studi particip less like retain studi compar white studi particip men bear greatest burden hiv incid among msm unit state critic new research method develop increas retent group onlin research studi

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