Social Media Engagement and HIV Testing Among Men Who Have Sex With Men in China: A Nationwide Cross-Sectional Survey.
Social Media Engagement and HIV Testing Among Men Who Have Sex With Men in China: A Nationwide Cross-Sectional Survey.
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DOI：
10.2196/jmir.7251
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发表时间：
2017-07-19
影响因子：
7.4
通讯作者：
Tucker JD
中科院分区：
文献类型：
--
作者：
Cao B;Liu C;Durvasula M;Tang W;Pan S;Saffer AJ;Wei C;Tucker JD
许多干预发现，与健康促进材料的社交媒体接触可以转化为行为改变。然而，只有少数研究调查了各种社交媒体平台上的具体行为与健康行为之间的关系。本研究的目的是研究中国男男性行为者（MSM）使用社交媒体与艾滋病毒检测行为之间的关系。2016年7月，通过全球最大的同性恋手机应用Blued （Blue City Holdings Ltd.）进行了一项基于网络的调查，在中国8个城市招募男同性恋者。收集了社会人口统计变量、社交媒体使用平台和行为、性行为和艾滋病毒检测史的数据。与艾滋病毒检测相关的社交媒体使用被定义为曾经参与社交媒体上的艾滋病毒检测内容，并进一步分为观察（即接收）、认可（如点赞和分享）和贡献（如发布或评论艾滋病毒检测材料）。采用验证性因子分析（CFA）来确定HIV检测相关社交媒体使用的最佳划分。使用单变量和多变量逻辑回归来检验与艾滋病毒检测相关的社交媒体使用与艾滋病毒检测行为之间的关系。共有2105人参与了这项调查。其中年龄在24岁以下的占46.75%（984人），高中及以下文化程度的占35.43%（746人），近3个月内有过无安全套性行为的占47.74%（587人）。超过一半的受访者（58.14%,1224/2105）报告与艾滋病毒检测相关的社交媒体使用。此外，与艾滋病毒检测相关的社交媒体使用，特别是在微信等多功能平台上的使用，被发现与最近的艾滋病毒检测有关（调整优势比[aOR] 2.32, 95% CI 1.66-3.24）。在社交媒体上的贡献与最近的艾滋病毒检测相关（aOR 2.10, 95% CI 1.40-3.16），但观察（aOR 0.66, 95% CI 0.38-1.15）和支持（aOR 1.29, 95% CI 0.88-1.90）均不相关。我们的数据表明，社交媒体的使用，特别是在微信等多功能平台上的使用以及贡献行为，与中国男同性恋者的艾滋病毒检测相关。需要开展活动，促进积极参与者在社交媒体上的贡献，而不是被动地观察和认可宣传材料。这项研究对设计和实施社交媒体干预以促进艾滋病毒检测具有启示意义。
Many interventions find that social media engagement with health promotion materials can translate into behavioral changes. However, only a few studies have examined the ways in which specific actions on various social media platforms are correlated with health behaviors. The objective of this study was to examine the association between social media use and HIV testing behaviors among Chinese men who have sex with men (MSM). In July 2016, a Web-based survey was conducted to recruit MSM in 8 Chinese cities through Blued (Blue City Holdings Ltd.), the world’s largest gay mobile phone app. Data on sociodemographic variables, social media use platforms and behaviors, sexual behaviors, and HIV testing histories were collected. HIV testing–related social media use was defined as having ever engaged with HIV testing content on social media, which was further divided into observing (ie, receiving), endorsing (eg, liking and sharing), and contributing (eg, posting or commenting on HIV testing materials). Confirmatory factor analysis (CFA) was conducted to determine the best division of HIV testing–related social media use. Univariate and multivariable logistic regressions were used to examine the association between HIV testing–related social media use and HIV testing behaviors. A total of 2105 individuals participated in the survey. Among them, 46.75% (984) were under the age of 24 years, 35.43% (746) had high school education or less, and 47.74% (587) had condomless sex in the last 3 months. More than half of the respondents (58.14%, 1224/2105) reported HIV testing–related social media use. Additionally, HIV testing–related social media use, especially on multifunctional platforms such as WeChat, was found to be associated with recent HIV testing (adjusted odds ratio [aOR] 2.32, 95% CI 1.66-3.24). Contributing on social media was correlated with recent HIV testing (aOR 2.10, 95% CI 1.40-3.16), but neither observing (aOR 0.66, 95% CI 0.38-1.15) nor endorsing (aOR 1.29, 95% CI 0.88-1.90) were correlated. Our data suggest that social media use, particularly on multifunctional platforms such as WeChat and with contributing behaviors, is correlated with HIV testing among MSM in China. Campaigns that promote active participant contribution on social media beyond passive observation and endorsement of promotional materials are needed. This study has implications for the design and implementation of social media interventions to promote HIV testing.
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影响因子：
1.8
作者：
Choi, KH;Lui, H;Mandel, JS
通讯作者：
Mandel, JS
影响因子：
9.9
作者：
Davenport, Shaun W.;Bergman, Shawn M.;Fearrington, Matthew E.
通讯作者：
Fearrington, Matthew E.
DOI：
10.1080/09540121.2014.991678
发表时间：
2015-06-03
影响因子：
1.7
作者：
Chen, Liang;Shi, Jingyuan
通讯作者：
Shi, Jingyuan
影响因子：
3.6
作者：
Elliot, E.;Rossi, M.;McOwan, A.
通讯作者：
McOwan, A.
影响因子：
4.2
作者：
Fisher, JD;Fisher, WA;Misovich, SJ
通讯作者：
Misovich, SJ