Online social networking for HIV education and prevention: a mixed-methods analysis.
Online social networking for HIV education and prevention: a mixed-methods analysis.
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DOI：
10.1097/olq.0b013e318278bd12
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发表时间：
2013-02
影响因子：
3.1
通讯作者：
Jaganath D
中科院分区：
文献类型：
--
作者：
Young SD;Jaganath D
本研究的目的是使用混合（定性/定量）方法来确定1)使用在线社交网络促进艾滋病毒相关讨论的可行性和可接受性，以及2)在线艾滋病毒相关讨论与男男性行为者（MSM）要求家庭艾滋病毒检测试剂盒之间的关系。参与者主要是非裔美国人和拉丁裔美国人，他们被邀请加入社交网站Facebook上的一个“秘密”小组。接受过艾滋病毒预防培训的同行领导人发布了与艾滋病毒有关的内容。参与者没有义务对讨论做出回应或留在小组中。参与者的公共小组对话进行了定性和主题分析。定量方法测试了定性数据、参与者人口统计信息和要求家庭艾滋病毒检测试剂盒的可能性之间的关联。拉丁裔和非裔美国人参与者（N=57）自愿使用Facebook讨论以下与艾滋病毒相关的话题（N=485次对话）：预防和检测；知识;污名;和宣传。年长的参与者更频繁地讨论预防和检测、污名化和宣传，而年轻的参与者更频繁地讨论与艾滋病毒知识相关的对话。随着研究的进展，与预防和检测以及艾滋病毒污名相关的信息比例有所增加。多变量分析显示，发布艾滋病预防和检测信息的参与者（与那些没有发布信息的参与者相比）更有可能要求使用艾滋病毒检测试剂盒（OR 11.14, p = 0.001）。Facebook可以作为一个创新的论坛，在高危人群中增加艾滋病毒预防讨论和艾滋病毒检测请求。
The purpose of this study is to use mixed (qualitative/quantitative) methods to determine 1) the feasibility and acceptability of using online social networking to facilitate HIV-related discussions, and 2) the relationship between HIV-related online discussions and requests for a home-based HIV testing kit, among men who have sex with men (MSM). Participants, primarily African American and Latino, were invited to join a “secret” group on the social networking website, Facebook. Peer leaders, trained in HIV prevention, posted HIV-related content. Participants were not obligated to respond to discussions or remain within the group. Participant public group conversations were qualitatively and thematically analyzed. Quantitative methods tested associations between qualitative data, participants’ demographic information, and likelihood of requesting a home-based HIV testing kit. Latino and African-American participants (N=57) voluntarily used Facebook to discuss the following HIV-related topics (N=485 conversations): Prevention and Testing; Knowledge; Stigma; and Advocacy. Older participants more frequently discussed Prevention and Testing, Stigma, and Advocacy, though younger participants more frequently discussed HIV Knowledge-related conversations. As the study progressed, the proportion of messages related to Prevention and Testing and HIV Stigma increased. Multivariate analysis showed that participants posting about HIV Prevention and Testing (compared to those who did not) were significantly more likely to request an HIV testing kit (OR 11.14, p = 0.001). Facebook can serve as an innovative forum to increase both HIV prevention discussions and HIV testing requests among at-risk groups.