Qualitative research to understand consumer opinions and preferences for emerging HIV prevention products among MSM in Atlanta, Houston, and Miami
Generic Information Collection Request under OMB #0920-1091
Section A: Supporting Statement
May 15, 2020
CONTACT
Ayana Stanley, DrPH
Technical
Monitor & Principal Investigator
Centers
for Disease Control and Prevention
Division
of HIV/AIDS Prevention
1600
Clifton Road, NE, Mailstop MS US8-5
Atlanta,
GA 30329
Phone:
404-488-3906
Fax:
404-471-8029
E-mail: [email protected]
TABLE OF CONTENTS
1. Circumstances Making the Collection of Information Necessary 4
2. Purpose and Use of the Information Collection 5
3. Use of Improved Information Technology and Burden Reduction 6
4. Efforts to Identify Duplication and Use of Similar Information 7
5. Impact on Small Businesses or Other Small Entities 7
6. Consequences of Collecting the Information Less Frequently 7
7. Special Circumstances Relating to the Guidelines of 5 CFR 1320.5 7
8. Comments in Response to the Federal Register Notice and Efforts to Consult Outside the Agency 7
9. Explanation of Any Payment or Gift to Participants 8
10. Protection of the Privacy and Confidentiality of Information Provided by Participants 8
11. Institutional Review Board (IRB) and Justification for Sensitive Questions 10
12. Estimates of Annualized Burden Hours and Costs 10
12A. Estimated Annualized Burden Hours 10
12B. Estimated Annualized Burden Costs 11
13. Estimates of Other Total Annual Cost Burden to Participants and Record Keepers 11
14. Annualized Cost to the Federal Government 11
15. Explanation for Program Changes or Adjustments 12
16. Plans for Tabulation and Publication and Project Time Schedule 12
17. Reason(s) Display of OMB Expiration Date is Inappropriate 12
18. Exceptions to Certification for Paperwork Reduction Act Submissions 12
EXHIBITS
Exhibit 2.1: Overview of Key Variables 6
Exhibit 12.1: Estimated Annualized Burden Hours 10
Exhibit 12.2: Estimated Annualized Burden Costs 11
LIST OF ATTACHMENTS
Attachment 0 Authorizing Legislation
Attachment 1 Recruitment Materials
Attachment 2 Data Collection Instruments
2a. Screener
2b. Contact Information Form
2c. In-Depth Interview Guide
2d. Focus Group Guide
2e. Survey on PrEP
2f. Survey not on PrEP
Attachment 3 Consent Forms
3a. Consent for Interview
3b. Consent for Focus Group
Attachment 4 IRB Approval
Attachment 5 Data Use Plan
Attachment 6 Privacy Impact Assessment
Attachment 7 Product Graphics
Attachment 8 Show Cards
|
Supporting Statement
A. Justification
The Centers for Disease Control and Prevention’s (CDC) Division of HIV/AIDS Prevention, (DHAP) requests OMB approval for 1 year for a qualitative, extramural research study entitled, “Qualitative research to understand consumer opinions and preferences for emerging HIV prevention products among MSM in Atlanta, Houston, and Miami” under the Using Qualitative Methods to Understand Issues in HIV Prevention, Care and Treatment in the United States Generic Clearance (OMB #0920-1091, expires 09/30/2021). CDC will sponsor this data collection activity. Data collection will be carried out by the CDC’s contractor, Research Support Services, in conjunction with its subcontracting partners, University of Nevada Las Vegas, and IMPAQ International. Data collection (in-depth interviews and focus groups) will convene when it is permitted by the local and state authorities. Respondents and staff will be appropriately distanced (at least six feet), and all will be required to wear face masks. We will adhere to the CDC guidelines for prevention of COVID-19 at the time that CDC approves in-person (small group) research activities.
This information is collected under the authority of the Public Health Service Act, Section 301, "Research and Investigation," (42 U.S.C. 241); and Sections 304, 306 and 308(d) which discuss authority to maintain data and provide assurances of privacy for health research and related activities (42 U.S.C. 242 b, k, and m(d)). This information is also being collected in conjunction with the provisions of the Government Paperwork Elimination Act and the Paperwork Reduction Act (PRA). This information will only be used by the Centers for Disease Control and Prevention (CDC) staff to assess MSM preferences and opinions about new HIV prevention products (PrEP or pre-exposure prophylaxis) products currently undergoing, or being considered for, commercial development.
This project will assess consumer preferences and opinions regarding emerging biomedical products designed to prevent HIV infection among high-risk men who have sex with men (MSM) living in the Atlanta, Houston, and Miami metropolitan areas. This project will enable us to learn about the willingness of MSM to consider future prevention options for HIV. This study is timely because even though oral PrEP is efficacious as an HIV prevention option, the uptake is low. Additionally, new products are in development; therefore, it is critical to understand what barriers and facilitators exist that would influence consideration for uptake of emerging biomedical prevention options among MSM.
A proven effective HIV biomedical prevention method is the daily oral pill (tenofovir emtricitabine, brand name Truvada), used for pre-exposure prophylaxis (PrEP).1 Despite the high efficacy (92% reduction in HIV acquisition)2 the acceptability of PrEP among MSM is not high in some geographic locations and among some demographic groups.3 Uptake of PrEP in the southern U.S. overall has been lagging. In 2016, the northeastern U.S. had twice the rate of PrEP use (47.4 per 100,000) as compared to the southern U.S. (22.6 per 100,000).4 Some studies indicate that specific cities have alarmingly low rates of PrEP uptake (e.g., the estimate for Atlanta is 2%).5,6 Among PrEP users, only 11% are African American and 13% are Hispanic/Latino despite these populations making up 43% and 26% of those newly diagnosed with HIV in the U.S. respectively.7 In a recent national study of MSM in the U.S., most (93%) respondents agreed that having to take the PrEP pill everyday was a barrier to PrEP uptake. Of this, 74% indicated that they would take PrEP episodically or for short periods of anticipated increased risk.8
In the recent state of the union address, President Trump announced a new public health initiative, “Ending the HIV Epidemic: A Plan for America”.9 One of the four key strategies to end the HIV epidemic is protecting individuals at risk for HIV using proven prevention approaches, including increasing PrEP use among high-risk groups.9 Additionally, part of the vision for the National HIV/AIDS Strategy (NHAS) is that the U.S. will become a place where new HIV infections are rare.10 Emerging biomedical HIV prevention products may contribute substantially to reducing HIV incidence among MSM.11 With the low uptake rates of daily oral PrEP and associated barriers to use, research is needed on the opinions about and preferences for emerging prevention products among sexually active, HIV-uninfected MSM – particularly different subgroups of MSM (e.g., by current users and non-users of daily oral PrEP or race/ethnicity).12 To reduce HIV burden among MSM, it is important to identify factors that may facilitate or hinder the acceptability and adoptability of emerging biomedical products.
There is limited information about how different populations may perceive PrEP and other biomedical technologies.12 The purpose of this study is to advance understanding of consumer preferences and opinions about emerging biomedical products designed to prevent HIV infection among MSM who (a) have heard of PrEP but are not using it to assess whether the emerging products would lead them to be more inclined to adopt PrEP or (b) those who are currently using daily oral PrEP to assess whether the emerging products would be more or less favorable options as compared to their current PrEP regimen. MSM who are unfamiliar with PrEP are ineligible to participate. This study is not meant to be an introduction to PrEP as consumer preferences and opinions of the biomedical tool to those who are PrEP naïve is beyond the scope of this study. This study is an advanced discussion on usability and will explore preferences and opinions about specific PrEP delivery products currently in development (Attachments 2a-f, 7, and 8).
The project will help address two NHAS goals: preventing new infections (through consumer acceptability of new prevention technologies), and reducing HIV-related disparities and health inequities (by focusing eligibility and data collection among MSM in Atlanta, Houston, and Miami, particularly MSM of color) 10. Additionally, this study will build on data collected from a previous qualitative study. The 2015 Pulse study asked 150 HIV-uninfected black/African American and Hispanic/Latino MSM about their PrEP knowledge. Findings suggest just over half of the sample were aware of PrEP and had concerns that it promoted promiscuity. Black/African American MSM were more likely to be concerned about side effects, access, and cost, but were also more likely to think of PrEP as an insurance policy against HIV. Hispanic/Latino MSM were more likely to believe they did not need PrEP and to express their dislike of taking pills as a barrier to PrEP use 13. The previous study explored general knowledge and perceptions about PrEP; this study will explore preferences and opinions about specific PrEP delivery products currently in development.
The primary target audiences for the proposed study findings are MSM, the CDC, health departments, and other HIV prevention organizations that serve MSM. Findings will provide an improved understanding about the HIV prevention products that MSM prefer. This knowledge is important, as knowing more about preferences and acceptability may influence the development and availability of products and improve client-centered counseling about PrEP. Increased acceptability may result in more frequent use of prevention products and thereby a reduction of HIV transmission.
Exhibit 2.1: Overview of Key Variables
Key Topics |
Emerging Prevention Products |
|
|
The contracted research team will recruit and screen potential participants by telephone or in-person. The contracting team will conduct small (n=5) focus groups and one-on-one interviews at a time and location that is publicly accessible and convenient for the participants. Telephone or visual remote interviews or focus group attendance (utilizing tools such as Skype) are not good vehicles for developing rapport between the interviewer and participant or between focus group participants, especially when discussing topics that may be viewed as sensitive (e.g. disease status and risk behaviors). Body language and facial cues are critical to interviewers to help them understand where additional questions may be needed and to focus group guides to help them steer group discussions. Telephone or web participation limits a researcher’s ability to read and respond appropriately to participants. Thus, the research team will conduct the interviews and focus groups in person.
Participants will be informed of their privacy and confidentiality rights and protections prior to participation. In addition, they will be asked to provide a signed informed consent prior to the interview or focus group (Attachment 3a-b). After receiving permission from the participant, the contracting team will audio-record the focus groups and interviews and transcribe the recordings shortly after the interview. This limits the burden on the participant (no additional burden after completing the interview or focus group) and allows the interviewer and focus group guide to focus on building and maintaining rapport with the participants.
There is limited research of MSM’s perception of PrEP and emerging biomedical products.12This study is an advanced discussion on usability and will explore preferences and opinions about specific PrEP delivery products currently in development. Past studies usually focus on one emerging biomedical product, whereas, our studies focuses on the acceptability of six. There was a study that evaluated the acceptability of the skin injection, but it took place in New York and San Francisco.14 Yet, over half of all new U.S. HIV diagnoses in 2016 occurred in the South15 and in Atlanta, GA, for instance, 70% of people living with HIV were African American and 7% were Hispanic/Latino.16 Therefore, it is critical to understand what barriers and facilitators exist that would influence consideration for uptake of emerging biomedical prevention options among this unique population of MSM residing in the Southern U.S. Our evaluation indicates the collection of this new primary data is unique. There would be no reason for another Federal Agency to evaluate these research questions.
This information collection does not involve burden to small businesses or other small entities.
This information collection will provide the qualitative data needed by the developers of these emerging biomedical products as well as by HIV prevention researchers, health departments and other HIV prevention organizations to understand barriers and facilitators among MSM for potential uptake of emerging prevention products. Information from this study can help guide the development and prioritization of emerging biomedical products. If this study were not conducted, it would not be possible to form an understanding of the acceptability of these emerging biomedical products in the South, where HIV prevalence is high. The length of data collection is 6 months and data will only be collected once.
This data collection effort does not involve any special circumstances.
A 60-day FRN notice to solicit public comments was published for the Generic umbrella collection (0920-1091) in the Federal Register on 03/13/2018, Volume 83, Number 49, Page Number 10853-10855. No public comments were received.
In addition, University of Nevada Las Vegas, Research Support Services, and IMPAQ International were consulted for the development of this study. There were no unresolved issues associated with the consultation process. Aside from the official 60-day public comment period for the Generic data collection, there were no other public contacts or opportunities for public comment on this information collection.
Paula Frew, UNLV Lead University of Nevada Las Vegas 4505 S Maryland Pkwy The Harry Reid Research Building, Room 413 Las Vegas, NV 89154 702-774-2400 |
Laura Randall, UNLV Project Manager University of Nevada Las Vegas 4505 S Maryland Pkwy The Harry Reid Research Building, Room 413 Las Vegas, NV 89154 702-774-2400 |
Alisu Schoua-Glusberg, Project Director Research Support Services, Inc. 906 Ridge Ave. Evanston, IL 60202-1720 Phone: 847-864-5677 |
Casey Tesfaye, Project Manager Research Support Services, Inc. 906 Ridge Ave. Evanston, IL 60202-1720 847-864-5677 |
Elizabeth Gall, IMPAQ Team Lead IMPAQ International 10420 Little Patuxent Parkway, Suite 300 Columbia, MD 21044 |
Bryan Gale, Senior Research Analyst IMPAQ International 10420 Little Patuxent Parkway, Suite 300 Columbia, MD 21044 |
Respondents will receive $40 in the form cash or a gift card as a token of appreciation for completion of the survey and in-depth interview (which will be a total of 60 minutes). Respondents who participate in focus groups and survey will receive $60 in the form of cash or gift card, due to the focus groups being longer (90 minutes). Offering tokens of appreciation helps recruit historically underrepresented and stigmatized groups, 17 such as African American and Latino MSM. A recent study of recruitment and retention found it difficult to obtain information from participants because many were reluctant to provide their names and contact information because of concerns about being seen giving these personal details to the researchers. In this study, offering a token of appreciation improved participation.18 Further, a meta-analysis found that studies using tokens of appreciation yielded an average increase in response rates of 19.1 percentage points, representing a 65% average increase in response.19 In light of these findings, we hope to enhance our response rate in populations with the greatest need.
Forty U.S. dollars is a generally approved amount for OMB-approved qualitative interviews (such as the Insight OMB#0920-0840-14PA, LEAP OMB#0920-0840-15AQL, and LEAP2 OMB#0920-1091-16AQA studies) and is not considered a coercive amount for participation. The $60 token of appreciation is similar to that of recently approved Prepare for PrEP (P4P) study (OMB #0920-17AZI) that offers the same amount for a 90-minute in-depth interview and behavioral assessment among MSM in Atlanta.
In light of the President’s new public health initiative, “Ending the HIV Epidemic: A Plan for America”, a $40-$60 token of appreciation is also justified by public health need. To prevent disease spread and progression, product developers, researchers and public health professionals need to know the attitudes and perceptions of populations at-risk of contracting HIV infection and their desirable delivery methods for HIV pre-exposure prophylaxis. MSM in the southern U.S., especially racial and ethnic minorities, are an underrepresented and highly affected community who would be incentivized by a token of appreciation for sharing sensitive information on a personal and stigmatizing topic. The token of appreciation is for providing valuable insight directly from communities and populations that are greatly affected by the HIV epidemic.
The Privacy Officer for CDC/ASTDR has reviewed this ICR and determined the Privacy Act applies to this collection of information. However, participant names and contact information will not be transmitted to the CDC. CDC has completed a Privacy Impact Assessment of the data system used by the study contractor team (Attachment 6).
The contractor, Research Support Services, UNLV and IMPAQ, will be responsible for collecting all data for this study. We will inform participants that their responses will be kept private to the extent permitted by the law. All participants interviewed will be informed that the information collected will not be attributable directly to the participant and will only be discussed among members of the research team. Terms of the CDC contract authorizing data collection require the contractor to maintain the privacy of all information collected. Accordingly, individuals’ data will be kept private and protected to the extent permitted by law. This information collection is covered under the Privacy Act system of records notice 09-20-0136, “Epidemiologic Studies and Surveillance of Disease Problems. HHS/CDC”, which enables CDC officials to collect information to better understand disease patterns in the United States, develop programs for prevention and control of health problems, and communicate new knowledge to the health community.
Given this information collection is to learn about consumer preferences and opinions regarding emerging biomedical products designed to prevent HIV infection among men who have sex with men (MSM), we are sensitive to the need to protect personal health information (PHI) as well as personally identifiable information (PII), including name and contact information. To ensure that participants’ PHI and PII is protected, we will take several measures to separate name and contact information from study-related data. All researchers with access to PHI and PII will be required to read and sign a “Rules of Behavior.” Contact information collected for the purposes of recruitment (i.e., name, telephone number, and email address) will be collected via paper form only, will be used only for the purpose of scheduling interviews. All participants will be assigned a unique study identification number, which will be the only link between the PHI and PII contained on the contact information sheet and the interview responses. Both contact information and interview responses will be stored securely in locked cabinets, separately from one another. All research documents and audio recordings will be kept in a locked file cabinet in a secure place. The participant interview transcript will be kept in a password-protected file and only authorized staff will be able to access the information. If any personal characteristics are accidently disclosed by the participant during the interview, that information will be fully redacted from the interview transcripts and data sets used for analysis. We will train researchers who play a role in data collection and analysis in proper procedures for data handling. A limited number of key staffs authorized by the contractors will have access to personal identifiers, and this information will be destroyed as quickly as possible after it no longer is required for study purposes, no later than the end of the contract. The contractors will be prepared to describe these procedures in full detail and to answer any related questions raised by interviewees. CDC will never have access to any participant names or contact information.
In conjunction with the data policy, members of Contractor project staff are required to:
Comply with a privacy pledge and security manual procedures to prevent improper disclosure, use, or alteration of private information. Staff may be subjected to disciplinary and/or civil or criminal actions for knowingly and willfully allowing the improper disclosure or unauthorized use of information.
Access information only on a need-to-know basis when necessary in the performance of assigned duties.
Notify their supervisor, the project director, and the organizational security officer if information has either been disclosed to an unauthorized individual, used in an improper manner, or altered in an improper manner.
Report immediately to both the project director and the organizational security officer all contacts and inquiries concerning information from unauthorized staff and non-research team personnel.
The security procedures implemented by project staff cover all aspects of data handling for hard copy and electronic data. Transcripts of interviews (stripped of personal identifying information) will be stored on encrypted flash drives. The contractor will investigate immediately if any item is delayed or lost. When not in use, all completed hardcopy documents will be stored in locked file cabinets or locked storage rooms. Unless otherwise required by CDC, these documents will be destroyed when no longer needed for the project.
Public access to the data will be provided at the completion of the study and after the dissemination of the main outcome findings. Any data made publicly available after the completion of the study will be de-identified and will not be linked to participant names or contact information (Attachment 5).
IRB Approval
This study has been approved by the CDC IRB (Attachment 4).
Sensitive Questions
This study aims to learn about consumer preferences and opinions regarding emerging biomedical products designed to prevent HIV infection among MSM. As such, our information collection involves measuring sensitive information about sexual health and prevention practices. All contracting staff will be trained to provide participants with city-specific contact information for HIV and mental health care organizations, as needed. We will inform all participants that they may skip any question or stop participation at any time for any reason.
Exhibit 12.1: Estimated Annualized Burden Hours
Type of Participant |
Form Name |
No. of Participants |
No. of Responses Per Participant |
Average Burden Per Response (in Hours) |
Total Burden Hours |
General Public- Adults |
Screener (Att. 2a) |
240 |
1 |
10/60 |
40 |
General Public-Adults |
Contact Information Form (Att. 2b) |
120 |
1 |
5/60 |
10 |
General Public - Adults |
In-Depth Interview Guide (Att. 2c) |
60 |
1 |
1 |
60 |
General Public - Adults |
Focus Group Guide (Att. 2d) |
60 |
1 |
1.5 |
90 |
General Public - Adults |
Survey on PrEP (Att. 2e) |
60 |
1 |
10/60 |
10 |
General Public – Adults |
Survey not on PrEP (Att. 2f) |
60 |
1 |
10/60 |
10 |
Total |
220 |
||||
The annualized costs to the participants are described in Exhibit 12.2. The United States Bureau of Labor Statistics’ employment and wages estimates from May 2018 (https://www.bls.gov/oes/current/oes_nat.htm) were used to estimate the hourly wage rate for the general public for the purpose of this GenIC request. The total estimated cost of the burden to participants is approximately $5495.60. This cost represents the total burden hours of general participants multiplied by the average hourly wage rate ($24.98).
Exhibit 12.2: Estimated Annualized Burden Costs
Type of Participant |
Form Name |
Total Burden Hours |
Hourly Wage Rate |
Total Participant Costs |
General Public- Adults |
Screener (Att. 2a) |
40 |
$24.98 |
$999.20 |
General Public- Adults |
Contact Information Form (Att. 2b) |
10 |
$24.98 |
$249.80 |
General Public- Adults |
In-Depth Interview Guide (Att. 2c) |
60 |
$24.98 |
$1498.80 |
General Public- Adults |
Focus Group Guide (Att. 2d) |
90 |
$24.98 |
$2248.20 |
General Public- Adults |
Survey on PrEP (Att. 2e) |
10 |
$24.98 |
$249.80 |
General Public-Adults |
Survey not on PrEP (Att. 2f) |
10 |
$24.98 |
$249.80 |
Total $5495.60 |
||||
There are no other costs to participants for participating in this survey.
The annualized cost to the government is $651,072. Direct costs include the salaries of CDC staff. The contract cost is $554,614.
Exhibit 14.1: Annualized Cost to the Government
Expense Type |
Expense Explanation |
Annual Costs (dollars) |
Direct Costs to the Federal Government |
CDC, COR (GS-13 0.10 FTE) |
$11,301 |
|
CDC Contracting Officer (GS-13, 0.30 FTE) |
$27,985 |
|
CDC Contracting Officer (GS-13, 0.30 FTE) |
$30,238 |
|
CDC Contracting Officer (GS-15, 0.10 FTE) |
$17,944 |
|
CDC Scientist (GS-12, 0.10 FTE) |
$8,990 |
|
Subtotal, Direct Costs |
$96,458 |
Contract Costs |
Annual Contract Costs (RSS, #200-2013-57341) |
$ 554,614 |
|
TOTAL COST TO THE GOVERNMENT |
$ 651,072 |
This is a new GenIC information collection request (ICR).
Tabulation will include descriptive characteristics of participants collected during screening (e.g., age, race/ethnicity, job category). Data collection will occur between March and August 2020, analyses will be carried out in September – February 2021, and the final data set and report will be submitted March 2021. The project timeline is detailed in exhibit 16.1.
Exhibit 16.1: Project Time Schedule
Activity |
Time Schedule |
Develop data collection tools, sampling and data plans, study protocol |
September 2018 – December 2019 |
OMB Submission |
January 2020 |
Recruitment |
1-6 months after OMB approval (anticipated March – August 2020) |
Data Collection |
1-6 months after OMB approval (anticipated March – August 2020) |
Data analysis finalized and report drafted |
7-12 months after OMB approval (anticipated Sept 2020 – Feb 2020) |
Final data set and final report submitted to CDC |
13 months after OMB approval (anticipated March 2021) |
In compliance with the CDC policy on data management and access, we will develop a final, de-identified (names and contact information will be removed) qualitative database for this study along with the corresponding data documentation, which will be made publicly available within 30 months of the end of data collection.
We do not seek approval to eliminate the expiration date.
There are no exemptions to the certification.
References
1. Centers for Disease Control and Prevention. High-impact HIV prevention. 2011.
2. Centers for Disease Control and Prevention. HIV Surveillance Report, 2016. Atlanta, GA2016.
3. Peng P, Su S, Fairley CK, et al. A Global Estimate of the Acceptability of Pre-exposure Prophylaxis for HIV Among Men Who have Sex with Men: A Systematic Review and Meta-analysis. AIDS and behavior. 2018;22(4):1063-1074.
4. AIDSVu. Mapping PrEP use in the U.S. 2018; https://aidsvu.org/mapping-prep-use-in-the-u-s/. Accessed August 20, 2018, 2018.
5. Rolle C.P., Rosenberg E.S., Luisi N., al. e. Willingness to use pre-exposure prophylaxis among Black and White men who have sex with men in Atlanta, Georgia. International journal of STD & AIDS. 2016.
6. Delaney K.P., Delaney S.T., Bowles K., Emeka O. , DiNenno E. , P.S. S. Awareness and Use of PrEP Appear to Be Increasing Among Internet Samples of US MSM. Paper presented at: Conferences on Retroviruses and Opportunistic Infections (CROI)2016; Boston, Massachusetts.
7. Huang YA, Zhu W, Smith DK, Harris N, Hoover KW. HIV Preexposure Prophylaxis, by Race and Ethnicity - United States, 2014-2016. MMWR Morbidity and mortality weekly report. 2018;67(41):1147-1150.
8. Elsesser SA, Oldenburg CE, Biello KB, et al. Seasons of risk: anticipated behavior on vacation and interest in episodic antiretroviral Pre-exposure Prophylaxis (PrEP) among a large national sample of U.S. men who have sex with men (MSM). AIDS and behavior. 2016;20(7):1400-1407.
9. Azar A. Ending the HIV epidemic: A plan for America. 2019; https://www.hiv.gov/blog/ending-hiv-epidemic-plan-america. Accessed February 25, 2019.
10. HIV.gov. What Is the National HIV/AIDS Strategy? January 31, 2017; https://www.hiv.gov/federal-response/national-hiv-aids-strategy/overview. Accessed October 31, 2018.
11. Atujuna M, Newman PA, Wallace M, et al. Contexts of vulnerability and the acceptability of new biomedical HIV prevention technologies among key populations in South Africa: A qualitative study. PloS one. 2018;13(2):e0191251.
12. Kubicek K, Arauz-Cuadra C, Kipke MD. Attitudes and perceptions of biomedical HIV prevention methods: voices from young men who have sex with men. Archives of sexual behavior. 2015;44(2):487-497.
13. Gelaude D. Personal interview. In:2018.
14. U.S. National Library of Medicine. Pharmacokinetic study of Cabotegravir long-acting in healthy adult volunteers. 2019; https://clinicaltrials.gov/ct2/show/NCT02478463?term=Long+acting+cabotegravir&gndr=Male&rank=6. Accessed May 14, 2019.
15. Centers for Disease Control and Prevention. Trends in U.S. HIV diagnoses, 2005-2014. 2016.
16. AIDSVu. Local data: Atlanta. 2018; https://aidsvu.org/state/georgia/atlanta/. Accessed August 20, 2018, 2018.
17. Kulka R. The use of incentives to survey “hard to reach” respondents. 1995.
18. Painter T, Ngalame P, Lucas B, Lauby J, Herbst J. Strategies used by community-based organizations to evaluate their locally developed HIV prevention interventions: Lessons learned from the CDC's innovative interventions project. AIDS education and prevention : official publication of the International Society for AIDS Education. 2010;22(5):308-401.
19. Church A. Estimating the effect of incentives on mail survey response rates: A meta-analysis. Public opinion quarterly. 1993;57(1):62-79.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Bessler, Patricia (CDC/OID/NCHHSTP) |
| File Modified | 0000-00-00 |
| File Created | 2021-01-13 |