Effects of Internet popular opinion leaders (iPOL) among Internet-using men who have sex with men.
Effects of Internet popular opinion leaders (iPOL) among Internet-using men who have sex with men.
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DOI：
10.2196/jmir.2264
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发表时间：
2013-02-25
影响因子：
7.4
通讯作者：
Hsu ST
中科院分区：
文献类型：
--
作者：
Ko NY;Hsieh CH;Wang MC;Lee C;Chen CL;Chung AC;Hsu ST
互联网已经成为男男性行为者（MSM）建立性网络的热门场所。摘要本研究旨在评估网路民意领袖（iPOL）在传播爱滋病毒资讯、增加爱滋病毒检测频率、以及减少台湾男同性恋者危险行为方面的成效。采用非等效对照网站的准实验研究来评估iPOL的有效性。在Facebook社交网站和top1069作为对照，进行了社区层面的干预，iPOL。ipol通过网络意见领袖和艾滋病信息中心等平台，积极传播艾滋病相关信息，并对上网的男男性行为者进行问题讨论和回答。369名ipol在Facebook上发表了432篇文章和503篇回复，影响了959088人。共有1037名男男性行为者参与了随访研究调查，其中干预网站552人（53.23%），对照组网站485人（46.76%），回复率96%。在干预后6个月的随访中，访问干预网站的男男性接触HIV相关信息（25.49%比10.47%，P< 0.001）、与他人讨论HIV问题（41.88%比23.79%，P< 0.001）、评论HIV相关文章（90.58%比79.73%，P< 0.001）、被问及或讨论HIV相关问题（51.11%比31.78%，P< 0.001）的可能性高于对照组网站。此外，MSM在6个月内进行艾滋病毒检测的可能性（43.89%比22.31%，P< 0.001），并且在与网络性伴侣肛交时始终使用避孕套的可能性比使用对照网站的人（34.15%比26.19%，P= 0.004）更高。该研究显示了iPOL干预作为一项在线艾滋病毒预防计划的可行性和有效性。这些发现强调了在线传播艾滋病毒信息的重要性，以及iPOL在减少使用互联网的男男性行为者中与艾滋病毒相关的危险行为的努力中所固有的挑战。
The Internet has become a popular venue for facilitating sex networking for men who have sex with men (MSM). The study aimed to evaluate the effectiveness of Internet popular opinion leaders (iPOL) in disseminating information about the human immunodeficiency virus (HIV), increasing the frequency of HIV testing, and reducing risky behaviors among MSM in Taiwan. A quasi-experimental study with a nonequivalent control website for comparison was used to estimate the effectiveness of iPOL. A community-level intervention, iPOL, was conducted at the Facebook social networking website and at top1069 as a control. The iPOLs actively disseminated HIV-related information via the platform of Internet opinion leaders and AIDS information center, and discussed and responded to questions or replied to Internet-using MSM. A total of 369 iPOLs posted 432 articles and 503 replies to others, influencing 959,088 persons on Facebook. A total of 1037 MSM, 552 (53.23%) from an intervention website and 485 (46.76%) from a control website, participated in the follow-up study survey (response rate 96%). At the 6-month follow-up after the intervention was conducted, MSM who visited the intervention website were more likely to receive HIV-related information (25.49% versus 10.47%, P<.001), discuss HIV issues with others (41.88% versus 23.79%, P<.001), review articles about HIV (90.58% versus 79.73%, P<.001), and be asked about or discuss HIV-related questions (51.11% versus 31.78%, P<.001) than those on the control website. In addition, MSM were more likely to have HIV tests within 6 months (43.89% versus 22.31%, P<.001) and consistently use condoms during anal sex with online sex partners than those using the control website (34.15% versus 26.19%, P=.004). The study showed the feasibility and effectiveness of the iPOL intervention as an online HIV prevention program. These findings underscore the importance of disseminating HIV information online, as well as the challenges inherent in the efforts of iPOL to reduce HIV-related risky behaviors among Internet-using MSM.
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