Use of social media for sexual health promotion: a scoping review.

Use of social media for sexual health promotion: a scoping review.
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DOI:
10.3402/gha.v9.32193
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发表时间:
2016
影响因子:
2.6
通讯作者:
Wynn R
Wynn R
中科院分区:
医学3区
文献类型:
--
作者:
Gabarron E;Wynn R

文献摘要

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为了预防性传播感染(STI),世界卫生组织建议对人们进行性健康教育。在线社交媒体在全球拥有超过 20 亿活跃用户,有可能成为促进健康(包括性健康)的强大渠道。回顾有关使用在线社交媒体促进性健康的科学文献。对科学和医学数据库进行了检索,还包括灰色文献。所选出版物根据研究设计、性健康促进主题、目标受众年龄和社交媒体使用情况进行分类。包括五十一份出版物; 4 项出版物介绍了随机干预研究、39 项非随机干预研究和 8 项观察性研究。在 29 份出版物(56.9%)中,性健康促进的主要主题是“一般”或增加性传播感染检测。 30 份出版物 (58.8%) 特别关注青少年(11-29 岁)。十四份使用社交媒体作为性健康促进干预措施的独特渠道或作为支持性健康促进的工具的出版物报告了对行为的影响(27%),其中两项研究发现与社交媒体干预相关的衣原体和淋病阳性病例数量减少。 44 份出版物(86.3%)以某种方式涉及 Facebook。尽管全球有数十亿人积极使用社交媒体,但我们仅发现了 51 篇关于使用社交媒体促进性健康的出版物。大约四分之一的出版物已经确定了有希望的结果,并且越来越多的证据表明社交媒体干预措施对促进性健康具有积极作用。需要更多的研究来明确讨论其理论框架,并具有强有力的研究设计,以进一步增加该领域的证据基础。
In order to prevent sexually transmitted infections (STIs), the World Health Organization recommends educating people on sexual health. With more than 2 billion active users worldwide, online social media potentially represent powerful channels for health promotion, including sexual health. To review the scientific literature on the use of online social media for sexual health promotion. A search was conducted of scientific and medical databases, and grey literature was also included. The selected publications were classified according to their study designs, sexual health promotion main subject, target audience age, and social media use. Fifty-one publications were included; 4 publications presenting randomized intervention studies, 39 non-randomized intervention studies, and 8 observational studies. In 29 publications (56.9%), the main subject of the sexual health promotion was ‘general’ or to increase STI testing. Thirty publications (58.8%) specifically focused on youth or young people (aged 11–29 years). Fourteen publications that used social media either as unique channels for sexual health promotion interventions or as a tool supporting the sexual health promotion reported an effect on behavior (27%), and two of those studies found a reduction in the number of positive chlamydia and gonorrhea cases linked to social media intervention. Forty-four publications (86.3%) involved Facebook in some way. Although billions of people worldwide actively use social media, we identified only 51 publications on the use of social media for promoting sexual health. About a quarter of the publications have identified promising results, and the evidence for positive effects of social media interventions for promoting sexual health is increasing. There is a need for more studies that explicitly discuss their theoretical framework, and that have strong research designs, in order to further increase the evidence base of the field.