在中国与男性发生性关系的男性中,自愿医疗男性割礼和事件艾滋病毒感染 (COM研究):随机对照试验的协议
Yanxiao Gao1, Weiran Zheng1, Yinghui Sun1
1School of Public Health, Sun Yat-sen University, Shenzhen, China.
JMIR research protocols
|May 29, 2023
概括
这项随机对照试验调查了自愿医疗男性割礼 (VMMC) 以预防与男性发生性关系的男性 (MSM) 感染艾滋病毒. 这项研究旨在提供证据,证明VMMC在减少这一群体中艾滋病毒感染的有效性.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 临床试验 临床试验
背景情况:
- 观察性研究表明,自愿医疗男性割礼 (VMMC) 可能会降低与男性发生性关系的男性 (MSM) 的艾滋病毒风险.
- 缺乏随机对照试验 (RCT) 数据存在关于VMMC在MSM中预防HIV的有效性.
- 这项研究解决了在这个特定人群中需要强有力的RCT证据的需求.
研究的目的:
- 评估VMMC在预防MSM中艾滋病毒感染方面的有效性.
- 评估VMMC的有效性,特别是在主要从事插入性交的男性中.
- 提供第一个基于RCT的证据,用于MSM中预防HIV的VMMC.
主要方法:
- 一个多中心的RCT涉及8个中国城市18-49岁的MSM.
- 参与者随机选择接受VMMC (干预) 或没有割礼 (控制).
- 主要终点:HIV血清转化;次要终点:VMMC安全性,满意度和行为变化. 使用治疗意图分析的数据.
主要成果:
- 招聘发生在2020年8月至2022年7月期间.
- 数据收集预计将于2023年7月结束.
- 计划在2023年9月之前完成完整的数据分析.
结论:
- 这项试验是第一个评估VMMC在MSM中预防HIV的疗效的RCT.
- 预计结果将提供初步证据,支持VMMC在减少MSM中发生的HIV感染中的潜在作用.
- 这些发现将为针对MSM的艾滋病毒预防的公共卫生战略提供关键数据.
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