Interest in HIV Prevention Mobile Phone Apps: Focus Group Study With Sexual and Gender Minority Persons Living in the Rural Southern United States.
Interest in HIV Prevention Mobile Phone Apps: Focus Group Study With Sexual and Gender Minority Persons Living in the Rural Southern United States.
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DOI：
10.2196/38075
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发表时间：
2022-06-13
影响因子：
2.2
通讯作者：
Stephenson, Rob
中科院分区：
文献类型：
--
作者：
Jones, Jeb;Edwards, O. Winslow;Merrill, Leland;Sullivan, Patrick S.;Stephenson, Rob
关键词：
人们发现，包括智能手机应用程序在内的移动医疗 (mHealth) 干预措施是提高艾滋病毒预防工具使用率的有效手段，其中包括艾滋病毒和性传播感染 (STI) 检测以及暴露前预防。然而，在美国测试的大多数艾滋病毒预防移动医疗应用程序都是在城市中心周边地区的人口中进行测试的。由于宽带互联网和可靠的蜂窝数据服务的接入减少，目前尚不清楚这些干预措施在农村地区的可及性和有效性如何。此外，与城市同龄人相比，农村地区的男同性恋者和双性恋者以及少数性别人群遭受的耻辱感更大，这些经历可能会影响他们对移动医疗应用程序的意愿和兴趣。本研究旨在对美国南部农村地区的男男性行为者、跨性别者和性别多样化人群进行在线焦点小组讨论，以评估他们对 mHealth HIV 预防应用程序的兴趣以及他们最有兴趣使用的功能。焦点小组参与者是从更多的性少数群体受访者中招募来进行一项基于网络的研究调查。与会者表示愿意参加在线焦点小组讨论。焦点小组通过安全的 Zoom（Zoom Video Communications Inc）视频会议进行。在焦点小组讨论中，参与者被要求讨论他们在艾滋病毒和性传播感染预防方面的经验，以及这些经验如何受到农村地区生活的影响。然后，他们向他们展示了一款旨在促进农村人口艾滋病毒和性传播感染预防的新应用程序的屏幕截图，并要求他们对该应用程序的功能提供意见。使用持续比较的方法对讨论记录进行审查和编码。总共进行了 6 个焦点小组，共有 26 名参与者。大多数参与者是与男性发生性关系的顺性别男同性恋和双性恋男性（19/26，73%）；其余参与者是跨性别男性（2/26，8%）、非二元性别者（2/26，8%）或具有多重性别认同（3/26，12%）。参与者报告了获得艾滋病毒和性传播感染预防服务的许多障碍以及有关艾滋病毒和性传播感染预防方案的准确信息。总体而言，参与者对预防艾滋病毒和性传播感染的移动医疗干预措施表现出高度兴趣，并就对农村居民最有用的基于应用程序的干预措施的功能提出了几项建议。这些焦点小组讨论表明，农村居住并不是移动医疗艾滋病毒和性传播感染预防干预措施实施的主要障碍，并且人们对这些艾滋病毒和性传播感染预防方法高度感兴趣。
Mobile health (mHealth) interventions, including smartphone apps, have been found to be an effective means of increasing the uptake of HIV prevention tools, including HIV and sexually transmitted infection (STI) tests and pre-exposure prophylaxis. However, most HIV prevention mHealth apps tested in the United States have been tested among populations living in areas surrounding urban centers. Owing to reduced access to broadband internet and reliable cellular data services, it remains unclear how accessible and effective these interventions will be in rural areas. In addition, gay and bisexual men who have sex with men and gender minority populations in rural areas experience enhanced stigma when compared with their more urban counterparts, and these experiences might affect their willingness and interest in mHealth apps. This study aimed to conduct online focus groups with men who have sex with men and transgender and gender diverse populations in the rural southern United States to assess their interest in mHealth HIV prevention apps and the features that they would be the most interested in using. Focus group participants were recruited from a larger pool of sexual and gender minority respondents to a web-based research survey. The participants indicated that they would be willing to participate in an online focus group discussion. Focus groups were conducted via secure Zoom (Zoom Video Communications Inc) videoconferencing. During the focus group discussions, participants were asked to discuss their experiences with HIV and STI prevention and how these experiences were affected by living in a rural area. They were then shown screenshots of a new app to promote HIV and STI prevention among rural populations and asked to provide their opinions on the app’s features. The transcripts of the discussions were reviewed and coded using a constant comparative approach. A total of 6 focus groups were conducted with 26 participants. Most participants were cisgender gay and bisexual men who have sex with men (19/26, 73%); the remaining participants were transgender men (2/26, 8%), were nonbinary people (2/26, 8%), or had multiple gender identities (3/26, 12%). Participants reported numerous barriers to accessing HIV and STI prevention services and accurate information about HIV and STI prevention options. Overall, the participants reported a high degree of interest in mHealth interventions for HIV and STI prevention and suggested several recommendations for the features of an app-based intervention that would be the most useful for rural residents. These focus group discussions indicate that rural residence is not a major barrier to mHealth HIV and STI prevention intervention implementation and that there is a high degree of interest in these approaches to HIV and STI prevention.
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DOI：
10.1097/med.0000000000000227
发表时间：
2016-04
期刊：
Current opinion in endocrinology, diabetes, and obesity
影响因子：
--
作者：
Safer JD;Coleman E;Feldman J;Garofalo R;Hembree W;Radix A;Sevelius J
通讯作者：
Sevelius J
影响因子：
4.4
作者：
Liu AY;Laborde ND;Coleman K;Vittinghoff E;Gonzalez R;Wilde G;Thorne AL;Ikeguchi E;Shafner L;Sunshine L;van der Straten A;Siegler AJ;Buchbinder S
通讯作者：
Buchbinder S
影响因子：
1.8
作者：
Hubach, Randolph D.;Currin, Joseph M.;Croff, Julie M.
通讯作者：
Croff, Julie M.
影响因子：
1.7
作者：
Liu, Albert;Coleman, Kenneth;Scott, Hyman
通讯作者：
Scott, Hyman
影响因子：
2.2
作者：
Seelman, Kristie L.;Miller, Jordan F.;Cline, Logan
通讯作者：
Cline, Logan