General and health-related Internet use among an urban, community-based sample of HIV-positive women: implications for intervention development.

General and health-related Internet use among an urban, community-based sample of HIV-positive women: implications for intervention development.
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一般和健康相关的互联网在基于社区的艾滋病毒阳性妇女样本中使用:对干预开发的影响。

DOI:
10.1080/09540121.2014.980215
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发表时间:
2015
期刊:
影响因子:
1.7
通讯作者:
Cunningham CO
Cunningham CO
中科院分区:
医学4区
文献类型:
--
作者:
Blackstock OJ;Haughton LJ;Garner RY;Horvath KJ;Norwood C;Cunningham CO

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基于互联网的艾滋病毒干预措施越来越普遍,尽管对艾滋病毒阳性妇女的关注很少。为了了解利用互联网向HIV阳性女性提供行为干预的可行性,我们试图描述一般和与健康相关的互联网使用模式,并探索互联网使用和不使用互联网的女性之间的差异。从2014年2月至2014年4月,在纽约州布朗克斯区为艾滋病毒阳性者提供服务的六个社区组织招募了103名妇女。女性完成了30分钟的采访,并回答了关于社会人口因素、风险行为和临床特征的简短调查。我们进行了χ2和Kruskal-Wallis测试来比较互联网用户和非互联网用户。61%的参与者是目前的互联网用户,他们中的大多数人使用个人电子设备(例如手机/智能手机)访问互联网。虽然较高比例的互联网用户被动参与(例如,注册接收最新电子邮件[42.9%]或观看与健康相关的在线视频[58.7%]),但较小比例(12.7%-15.9%)参与了更具互动性的活动,如在在线讨论或博客中发布关于健康相关问题的评论、问题或信息。大部分非网民(60.0%)表示有兴趣上网。没有使用电脑或互联网(37.5%)和互联网导航技能(37.5%)是不使用的主要原因。与非网民相比,网民更有可能更年轻,拥有更高的社会经济地位,并报告与健康相关的社会支持较低。尽管在我们的研究中,互联网用户的比例低于普通人群,但在我们的研究中,使用互联网的女性的在线参与度相对较高,她们上网的目的既有一般目的,也有与健康相关的目的。然而,针对艾滋病毒阳性妇女的基于互联网的干预措施可能需要包括提供计算机和/或互联网接入以及培训参与者如何驾驭互联网。
Internet-based HIV interventions are increasingly common, although little focus has been on HIV-positive women. To understand the feasibility of using the Internet to deliver behavioral interventions to HIV-positive women, we sought to describe patterns of Internet use for general and health-related purposes and to explore differences between Internet-using and non-using women. From February 2014 to April 2014, 103 women were recruited at six community-based organizations in the Bronx, NY that provide services to HIV-positive persons. Women completed a 30-minute interview and answered a brief survey of socio-demographic factors, risk behavior and clinical characteristics. We performed χ2 and Kruskal-Wallis tests to compare Internet users and non-users. Sixty-one percent of participants were current Internet users, most of whom used a personal electronic device (e.g., cellphone/smartphone) to access the Internet. While higher proportions of Internet users were passively engaged (e.g., signed up to receive email updates [42.9%] or watched an online video [58.7%] for health-related purposes), smaller proportions (12.7–15.9%) were involved in more interactive activities such as posting comments, questions, or information about health-related issues in an online discussion or a blog. A majority of Internet non-users (60.0%) expressed interest in going online. Lack of computer or Internet access (37.5%) and Internet navigation skills (37.5%) were the primary reasons for non-use. Compared with non-users, Internet users were more likely to be younger, to have higher socioeconomic status, and to report low health-related social support. Despite having a lower proportion of Internet users in our study than the general population, Internet-using women in our study had relatively high levels of online engagement and went online for both general and health-related purposes. However, Internet-based interventions targeting HIV-positive women will likely need to include providing computer and/or Internet access as well as training participants in how to navigate the Internet.
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