Attrition and HIV Risk Behaviors: A Comparison of Young Men Who Have Sex with Men Recruited from Online and Offline Venues for an Online HIV Prevention Program

Krystal Madkins; George J. Greene; Eric Hall; Ruben Jimenez; Jeffrey T. Parsons; Patrick S. Sullivan; Brian Mustanski

doi:10.1007/s10508-018-1253-0

Attrition and HIV Risk Behaviors: A Comparison of Young Men Who Have Sex with Men Recruited from Online and Offline Venues for an Online HIV Prevention Program

Krystal Madkins, George J. Greene, Eric Hall, Ruben Jimenez, Jeffrey T. Parsons, Patrick S. Sullivan, Brian Mustanski^*

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

In addition to offline venue-based and time–space sampling, recruitment of young men who have sex with men (YMSM) into HIV surveillance and prevention studies has expanded over time to include Internet-based approaches. Despite broadening recruitment strategies, enrolling racially and ethnically diverse YMSM who are disproportionately impacted by HIV continues to be challenging. Additionally, there is little literature on the impact of recruitment venue on participant characteristics and likelihood to enroll YMSM into online randomized control trials (RCT). This study used data from the multisite RCT, Keep It Up! 2.0, to examine the impact of recruitment venue on participant demographics, behavioral HIV risks, and enrollment. A total of 2984 participants were screened for eligibility from community-based organizations, Facebook, dating apps, and outreach events. There were significant differences by venue in age (χ²[3] = 54.38, p <.001), race/ethnicity (χ²[9] = 110.78, p <.001), sexual orientation (χ²[3] = 7.85, p <.05), relationship status (χ²[6] = 27.71, p <.001), and region of recruitment (χ²[6] = 1480.51, p <.001). There were no significant differences by venue in attrition during the enrollment process. The only difference in attrition was by race/ethnicity. Compared to White participants, eligible Black (OR: 0.35, p <.01) and Latino (OR: 0.46, p <.05) participants were significantly less likely to enroll in the intervention. There were also no significant differences by recruitment venue in sexual risk behaviors among enrolled participants. These findings suggest that recruitment into online HIV interventions from a variety of venues is feasible for diverse YMSM who are at similar risk for HIV infection.

Original language	English (US)
Pages (from-to)	2135-2148
Number of pages	14
Journal	Archives of Sexual Behavior
Volume	47
Issue number	7
DOIs	https://doi.org/10.1007/s10508-018-1253-0
State	Published - Oct 1 2018

Funding

Funding This study was funded by the National Institute on Drug Abuse and National Institute of Mental Health (Grant Number R01DA035145). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse or the National Institute of Mental Health. Conflict of interest All authors received grants from the National Institute on Drug Abuse (NIDA) and National Institute of Mental Health (NIMH) in support of the work under consideration for publication.

Keywords

HIV
Men who have sex with men
Sexual orientation
Sexually transmitted infections
eHealth

ASJC Scopus subject areas

Arts and Humanities (miscellaneous)
General Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10508-018-1253-0

Cite this

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title = "Attrition and HIV Risk Behaviors: A Comparison of Young Men Who Have Sex with Men Recruited from Online and Offline Venues for an Online HIV Prevention Program",

abstract = "In addition to offline venue-based and time–space sampling, recruitment of young men who have sex with men (YMSM) into HIV surveillance and prevention studies has expanded over time to include Internet-based approaches. Despite broadening recruitment strategies, enrolling racially and ethnically diverse YMSM who are disproportionately impacted by HIV continues to be challenging. Additionally, there is little literature on the impact of recruitment venue on participant characteristics and likelihood to enroll YMSM into online randomized control trials (RCT). This study used data from the multisite RCT, Keep It Up! 2.0, to examine the impact of recruitment venue on participant demographics, behavioral HIV risks, and enrollment. A total of 2984 participants were screened for eligibility from community-based organizations, Facebook, dating apps, and outreach events. There were significant differences by venue in age (χ2[3] = 54.38, p <.001), race/ethnicity (χ2[9] = 110.78, p <.001), sexual orientation (χ2[3] = 7.85, p <.05), relationship status (χ2[6] = 27.71, p <.001), and region of recruitment (χ2[6] = 1480.51, p <.001). There were no significant differences by venue in attrition during the enrollment process. The only difference in attrition was by race/ethnicity. Compared to White participants, eligible Black (OR: 0.35, p <.01) and Latino (OR: 0.46, p <.05) participants were significantly less likely to enroll in the intervention. There were also no significant differences by recruitment venue in sexual risk behaviors among enrolled participants. These findings suggest that recruitment into online HIV interventions from a variety of venues is feasible for diverse YMSM who are at similar risk for HIV infection.",

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author = "Krystal Madkins and Greene, {George J.} and Eric Hall and Ruben Jimenez and Parsons, {Jeffrey T.} and Sullivan, {Patrick S.} and Brian Mustanski",

note = "Publisher Copyright: {\textcopyright} 2018, Springer Science+Business Media, LLC, part of Springer Nature.",

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Attrition and HIV Risk Behaviors: A Comparison of Young Men Who Have Sex with Men Recruited from Online and Offline Venues for an Online HIV Prevention Program

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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