HIV Prevention and Care in the Digital Age

HIV Prevention and Care in the Digital Age
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DOI:
10.1097/qai.0b013e3181fcb878
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发表时间:
2010-12-15
影响因子:
3.6
通讯作者:
Rietmeijer, Cornelis
Rietmeijer, Cornelis
中科院分区:
医学3区
文献类型:
--
作者:
Chiasson, Mary Ann;Hirshfield, Sabina;Rietmeijer, Cornelis

文献摘要

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目的:描述数字媒体的技术进步,包括计算机、移动的电话和互联网,这些技术进步极大地扩大了提供基于证据的艾滋病教育、预防和治疗方案的机会。方法:本文考察了美国数字媒体的使用及其在艾滋病预防和护理中的潜在作用。虽然“数字鸿沟”正在缩小,但获得的机会因年龄、种族/民族和教育而异。互联网是提供普遍和有针对性的艾滋病毒教育和预防的重要媒介,特别是对男男性行为者,他们报告说上网是为了在网上寻求健康信息以及建立社交和性关系网。使用数字媒体的在线和离线行为干预范围从考虑个人行为的计算机化多媒体干预到简短的未经定制的视频干预。许多网站通过提供各种服务,包括艾滋病毒检测和治疗网站的位置和链接,便利获得护理。HIV治疗和坚持程序,使用在线医疗记录短信,寻呼,和平板电脑为基础的咨询tools.Conclusions:HIV预防和护理计划,使用数字媒体有很大的潜力,以符合成本效益的复杂需求的多样性,往往服务不足的人群与艾滋病毒感染者或高危人群。
Objectives: To describe the technologic advances in the digital media, including computers, mobile phones, and the Internet, that have greatly expanded opportunities to deliver evidence-based HIV education, prevention, and treatment programs.Methods: This article examines the use of digital media in the United States and its potential role in HIV prevention and care.Results: Although the "digital divide" is shrinking, access varies by age, race/ethnicity, and education. The Internet is an important medium for delivering universal and targeted HIV education and prevention, especially for men who have sex with men, who report going online to seek health information online and for social and sexual networking. Online and off-line behavioral interventions using digital media range from computerized multimedia interventions that take into account individual behaviors to brief untailored video interventions. Numerous Web sites facilitate access to care by providing a variety of services, including location of and linkage to HIV testing and treatment sites. HIV treatment and adherence programs that use online medical records text messaging, paging, and tablet computer based counseling tools are also being developed.Conclusions: HIV prevention and care programs using digital media have great potential to cost-effectively meet the complex needs of diverse and often underserved populations living with or at high risk of HIV.