A Randomized Trial of an Online Risk Reduction Intervention for Young Black MSM.
A Randomized Trial of an Online Risk Reduction Intervention for Young Black MSM.
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DOI：
10.1007/s10461-018-2289-9
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发表时间：
2019-05
影响因子：
4.4
通讯作者：
Egger JR
中科院分区：
文献类型：
--
作者：
Hightow-Weidman LB;LeGrand S;Muessig KE;Simmons RA;Soni K;Choi SK;Kirschke-Schwartz H;Egger JR
HealthMPowerment.org(HMP)是一个移动优化的在线干预工具，旨在通过提供信息和资源、促进社会支持以及包括基于游戏的元素，减少HIV阳性和HIV阴性的年轻黑人男性男男性行为(BMSM)中的性危险行为。一项对474名年轻的BMSM进行的随机对照试验将HMP与仅提供信息的对照网站进行了比较。干预组在3个月时无套肛交的发生率比对照组低32%(IRR 0.68，95%CI：0.43，0.93)，但这种影响在12个月后仍未维持。在HIV阳性的参与者中，干预组中可检测到病毒载量的参与者在3个月随访时的机会率比对照组低82%(IRR为0.18，95%CI：0.04，0.32)。在二次分析中，当我们限制那些在3个月干预期内使用HMP超过60分钟的人(n=50，25.8%)时，我们估计，如果控制组参与者以与干预组相同的速度使用HMP，他们发生的CAI事件比我们预期的要少4.85次(95%可信区间：2.15，7.53)。研究结果表明，至少在短期内，暴露于在线干预可以降低年轻BMSM的CAI发生率。鉴于在那些遵守HMP的参与者中看到了更强的影响，额外的干预参与战略是有必要的。
HealthMpowerment.org (HMP), is a mobile optimized, online intervention to reduce sexual risk behaviors among HIV-positive and HIV-negative young Black men who have sex with men (BMSM) by providing information and resources, fostering social support, and including game-based elements. A randomized controlled trial with 474 young BMSM compared HMP to an information-only control website. The rate of self-reported condomless anal intercourse (CAI) at 3-months was 32% lower in the intervention group compared to the control group (IRR 0.68, 95% CI: 0.43, 0.93), however this effect was not sustained at 12 months. Among HIV-positive participants, the rate of CAI at 3-month follow-up was 82% lower among participants with detectable viral loads in the intervention group compared to the control group (IRR 0.18, 95% CI: 0.04, 0.32). In a secondary analysis, when we limited to those who used HMP for over 60 minutes during the 3-month intervention period (n=50, 25.8%), we estimated 4.85 (95% CI: 2.15, 7.53) fewer CAI events than we would have expected in control participants, had they used the intervention at the same rate as the intervention group. Findings suggest that exposure to an online intervention can reduce the rate of CAI among young BMSM, at least in the short term. Given the stronger effect seen among those participants who complied with HMP, additional intervention engagement strategies are warranted.
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基于网络的干预措施降低男男性接触者性风险的功效。
影响因子：
4.4
作者：
Carpenter, Kelly M.;Stoner, Susan A.;Mikko, Aneke N.;Dhanak, Lynn P.;Parsons, Jeffrey T.
通讯作者：
Parsons, Jeffrey T.
影响因子：
4.4
作者：
Matthews DD;Herrick AL;Coulter RW;Friedman MR;Mills TC;Eaton LA;Wilson PA;Stall RD;POWER Study Team
通讯作者：
POWER Study Team
DOI：
10.1080/13691058.2012.721136
发表时间：
2012-10
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Dodge B;Schnarrs PW;Reece M;Goncalves G;Martinez O;Nix R;Malebranche D;Van Der Pol B;Murray M;Fortenberry JD
通讯作者：
Fortenberry JD
影响因子：
1.7
作者：
LeGrand S;Muessig KE;Pike EC;Baltierra N;Hightow-Weidman LB
通讯作者：
Hightow-Weidman LB
DOI：
10.1080/09540120412331292507
发表时间：
2004-11-01
影响因子：
1.7
作者：
Bull, SS;Lloyd, L;McFarlane, M
通讯作者：
McFarlane, M