Internet use and uptake of a web-based prevention and risk reduction intervention for persons who use drugs in New York City - WebHealth4Us study (2013-2016).

Internet use and uptake of a web-based prevention and risk reduction intervention for persons who use drugs in New York City - WebHealth4Us study (2013-2016).
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DOI:
10.1080/08897077.2022.2028701
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发表时间:
2022
期刊:
影响因子:
3.5
通讯作者:
Amesty, Silvia C.
Amesty, Silvia C.
中科院分区:
医学3区
文献类型:
--
作者:
Lewis, Crystal Fuller;Williams, Sharifa Z.;Tofighi, Babak;Lekas, Helen-Maria;Joseph, Adriana;Rivera, Alexis;Amesty, Silvia C.

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需要关于互联网使用情况的数据,特别是在面对面服务有限或只能虚拟提供的时候。本研究的目的是确定使用药物的人之间的互联网使用的特点,并评估通过一个互动的,减少风险的信息网站-WebHealth 4Us。参与者招募发生在参加纽约州药房注射器访问计划的药房(n=209)。ACASI的调查是在现场进行的,以确定互联网的使用和相关的社会人口统计学和风险行为。向互联网用户(每月使用≥一次)展示了一个网站WebHealth 4Us,该网站突出了4个主题领域的社会服务和风险降低信息:心理健康、艾滋病毒、丙型肝炎病毒和其他性传播感染;用户还可以注册任何主题领域的每周短信。4周后进行后续ACASI,以评估用户体验和网站采用情况。研究样本(n=196)大多为男性(60%),平均年龄46岁,黑人/拉丁裔(76%),有监禁史(79%),报告既往/当前注射(53%)或非注射(51%)药物使用。互联网的使用率很高(79%),每周访问超过4次(60%),最常见的原因是:住房(61%),健康问题(54%)和药物治疗(45%)。超过三分之一的人在随访期间访问了WebHealth 4Us,其中35%的人选择每周发短信(心理健康最常见的主题)。调整后,年龄较小(AOR=0.96)和饮酒(AOR=2.26)预测WebHealth 4Us访问。互联网使用率很高,有相当多的WebHealth 4Us访问,特别是心理健康需求。基于网络的干预措施需要在高风险社区进行大规模调查,优先考虑社会决定因素和行为健康。
Data on internet utilization is needed, particularly during a time when in-person services are limited or only available virtually. The purpose of this study was to identify characteristics of internet use among persons who use drugs and assess adoption of an interactive, risk reduction informational website - WebHealth4Us. Participant recruitment occurred in pharmacies participating in the New York State pharmacy syringe access program (n=209). ACASI surveys were conducted on-site to ascertain internet use and related sociodemographics and risk behaviors. Internet users (use ≥ once/month) were shown a website WebHealth4Us highlighting social services and risk reduction information on 4 topic areas: mental health, HIV, HCV, and other STI; users could also sign-up for weekly text messages for any topic area. Follow-up ACASI occurred at 4-weeks to assess user experiences and website adoption. Study sample (n=196) was mostly male (60%), average age 46, black/Latinx (76%), had a history of incarceration (79%), and reported past/current injection (53%) or non-injection (51%) drug use. Internet use was high (79%), accessed >4 times/week (60%) most commonly for: housing (61%), health issues (54%), and drug treatment (45%). Over one-third accessed WebHealth4Us during follow-up, and 35% of those opted for weekly text messages (mental health most common topic selected). After adjustment, younger age (AOR=0.96) and alcohol use (AOR=2.26) predicted WebHealth4Us access. Internet use was high with considerable WebHealth4Us access, and specifically for mental health needs. Web-based interventions warrant large-scale investigation in high-risk communities, prioritizing social determinants and behavioral health.
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