Putting Prevention in Their Pockets: Developing Mobile Phone-Based HIV Interventions for Black Men Who Have Sex with Men

Putting Prevention in Their Pockets: Developing Mobile Phone-Based HIV Interventions for Black Men Who Have Sex with Men
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DOI:
10.1089/apc.2012.0404
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发表时间:
2013-04-01
影响因子:
4.9
通讯作者:
Hightow-Weidman, Lisa B.
Hightow-Weidman, Lisa B.
中科院分区:
医学2区
文献类型:
--
作者:
Muessig, Kathryn E.;Pike, Emily C.;Hightow-Weidman, Lisa B.

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与男性发生性关系的年轻黑人男子承担着不成比例的艾滋病毒负担。包括智能手机应用程序在内的移动的技术的迅速发展为外联和定制健康信息提供了独特的机会。我们收集了电子日报,并在北卡罗来纳州的三个地点与22名黑人男男性接触者(年龄18-30岁)进行了调查和焦点小组,以了解基于移动的电话干预的发展。使用NVivo按主题分析定性数据。样本中有一半人的年收入低于11 000美元。所有参与者都拥有智能手机,可以无限发短信,许多人有无限的数据计划。电话是参与者生活中不可或缺的一部分,也是上网的主要手段。沟通主要是通过短信和互联网(在线聊天,社交网站),而不是电话。应用程序每天用于娱乐,信息,生产力和社交网络。一半的参与者使用手机寻找性伴侣;超过一半的人使用手机查找健康信息。对于一个与艾滋病毒相关的应用程序,参与者要求提供用户友好的内容,包括测试地点定位器,性传播疾病,症状评估,药物和酒精风险,安全性行为,性行为和关系,同性恋友好的医疗服务提供者,以及与其他同性恋/艾滋病毒阳性男性的联系。在这项定性研究中,对于年轻的黑人男男性接触者,移动的技术是一种广泛使用的、可接受的艾滋病干预手段。未来的研究需要在更广泛的样本中测量移动的技术使用的模式和偏好。
Young black men who have sex with men (MSM) bear a disproportionate burden of HIV. Rapid expansion of mobile technologies, including smartphone applications (apps), provides a unique opportunity for outreach and tailored health messaging. We collected electronic daily journals and conducted surveys and focus groups with 22 black MSM (age 18-30) at three sites in North Carolina to inform the development of a mobile phone-based intervention. Qualitative data was analyzed thematically using NVivo. Half of the sample earned under $11,000 annually. All participants owned smartphones and had unlimited texting and many had unlimited data plans. Phones were integral to participants' lives and were a primary means of Internet access. Communication was primarily through text messaging and Internet (on-line chatting, social networking sites) rather than calls. Apps were used daily for entertainment, information, productivity, and social networking. Half of participants used their phones to find sex partners; over half used phones to find health information. For an HIV-related app, participants requested user-friendly content about test site locators, sexually transmitted diseases, symptom evaluation, drug and alcohol risk, safe sex, sexuality and relationships, gay-friendly health providers, and connection to other gay/HIV-positive men. For young black MSM in this qualitative study, mobile technologies were a widely used, acceptable means for HIV intervention. Future research is needed to measure patterns and preferences of mobile technology use among broader samples.