An Online Needs Assessment of a Virtual Community: What Men Who Use the Internet to Seek Sex with Men Want in Internet-Based HIV Prevention
An Online Needs Assessment of a Virtual Community: What Men Who Use the Internet to Seek Sex with Men Want in Internet-Based HIV Prevention
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DOI：
10.1007/s10461-008-9373-5
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发表时间：
2008-11-01
影响因子：
4.4
通讯作者：
Danilenko, Gene
中科院分区：
文献类型：
--
作者：
Hooper, Simon;Rosser, B. R. Simon;Danilenko, Gene
作为为使用互联网寻求与男性发生性关系的男性制定有效的基于互联网的艾滋病毒预防干预措施的研究的一部分，我们从目标人群中收集了以下信息：（a）对色情媒体的可接受性;（B）对特定内容领域的兴趣;（c）确定可靠的信息来源。一个横截面分层互联网为基础的调查设计。2005年9月至11月，我们通过Gay.com招募了2,716名MISM，按种族/民族分层，以确保足够的种族/民族多样性。16个Likert类型的项目评估性明确的可接受性，24个项目确定的主题列入，和两个评估的信息来源。对高度露骨的性教育几乎普遍接受。超过75%的受访者表示对10个性健康主题非常感兴趣。艾滋病毒阳性的MISM和MISM从事无保护的肛交与多个男性伴侣报告显着减少艾滋病毒预防的具体内容的兴趣。确定了年龄、种族/民族和教育方面的差异。个性搜索和同性恋网站经常被引用的信息来源，但博客，政府和媒体网站没有。可以接受的是，基于网络的艾滋病毒预防措施对男性性行为的影响非常明显，并提供与男性性健康相关的详细内容。由于人口统计学在可接受性和内容方面的差异很小，因此干预措施应针对不同的人口统计学。应考虑采取干预措施，重新吸引从事高风险和艾滋病毒+ MISM的男性。主要卫生机构应审查其网络信息是否可检索、可信和对风险最大的人有用。
As part of a study to develop effective Internet-based HIV prevention interventions for Men who use the Internet to seek Sex with Men (MISM), we sought information from the target population on; (a) acceptability of sexually explicit media; (b) interest in specific content areas; and (c) identification of credible sources of information. A cross-sectional stratified Internet-based survey design was employed. Between September and November 2005, we recruited 2,716 MISM through Gay.com stratified across race/ethnicity to ensure adequate racial/ethnic diversity. Sixteen Likert-type items assessed acceptability of sexual explicitness, 24 items identified topics for inclusion, and two assessed sources of information. There was near universal acceptability for highly sexually explicit education. Over 75% reported high interest in 10 sexual health topics. HIV positive MISM and MISM engaged in unprotected anal sex with multiple male partners reported significantly less interest in HIV prevention specific content. Differences across age, race/ethnicity and education were identified. Idiosyncratic searches and gay sites were frequently cited sources of information; however blogs, government, and media sites were not. It is acceptable for web-based HIV prevention for MISM to be highly sexually explicit and to provide detailed content relevant to men's sexual health. Since demographic differences in acceptability and content were minor, it is appropriate for interventions to target across demographics. Interventions to re-engage men engaging in high risk and HIV + MISM should be considered. Leading health agencies should review whether their web information is retrievable, credible and useful to those most at risk.