If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men.

If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men.
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DOI:
10.1080/09540121.2014.894608
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发表时间:
2014
期刊:
影响因子:
1.7
通讯作者:
Hightow-Weidman LB
Hightow-Weidman LB
中科院分区:
医学4区
文献类型:
--
作者:
LeGrand S;Muessig KE;Pike EC;Baltierra N;Hightow-Weidman LB

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年轻黑人男男性行为者(YBMSM)的艾滋病毒感染率继续以惊人的速度上升。由于经历过种族主义和同性恋恐惧症,同性恋者特别容易受到社会孤立和缺乏社会支持的影响,这可能对性风险行为产生影响。本研究的目的是探讨在基于互联网和移动电话的初级和二级艾滋病毒预防干预中,YBMSM对社会隔离和社区意识的感知,对旨在减少社会隔离和建立社区的社交网络功能的需求和接受程度,并确定发展这些功能的策略。在北卡罗来纳州的三个地点对22名年龄在20-30岁之间的YBMSM进行了焦点小组研究。使用NVivo对焦点小组的数据进行主题分析。同性恋恐惧症的参与者强烈认同社会孤立感和缺乏社区意识,缺乏社交机会,在与其他同性恋者的人际关系中更注重性而不是友谊,这些都是导致同性恋的因素。参与者接受旨在减少社会孤立和建立社区的社会网络干预。参与者为提高这些功能的可接受性和可用性提出的建议包括:提供有关健康关系的信息,与其他YBMSM和医疗保健提供者建立联系的能力,确保研究小组持续促进该网站,并监测不适当的内容。发展艾滋病毒预防干预措施的社会网络特征可能为减少社会孤立、建立社区和减少男同性恋者之间的危险性行为提供机会。这项研究的结果正被用于为现有的基于互联网和移动电话的YBMSM初级和二级艾滋病毒预防干预的社交网络功能的开发提供信息。
The rate of HIV infections among young black men who have sex with men (YBMSM) continues to rise at an alarming pace. YBMSM are particularly vulnerable to social isolation and a lack of social support due to experiences with racism and homophobia, which may have implications for sexual risk behaviors. The purpose of this study was to explore perceptions of social isolation and sense of community among YBMSM, the need for and receptivity to social networking features designed to reduce social isolation and build community within an internet and mobile phone-based primary and secondary HIV prevention intervention for YBMSM and to identify strategies to develop these features. Focus groups were conducted with 22 YBMSM ages 20–30 at three sites in North Carolina. Data from the focus groups were thematically analyzed using NVivo. Feelings of social isolation and lack of a sense of community were strongly endorsed by participants with homophobia, lack of opportunities for social engagement, and a focus on sex rather than friendship in interpersonal relationships with other YBMSM cited as contributing factors. Participants were receptive to a social networking intervention designed to reduce social isolation and build community. Recommendations offered by participants to increase acceptability and usability of such features included: availability of information about healthy relationships, the ability to connect with other YBMSM and health care providers, and ensuring the site had ongoing facilitation by the study team as well as monitoring for inappropriate content. The development of a social networking feature of an HIV prevention intervention may present an opportunity to reduce social isolation, build community and reduce risky sexual behaviors among YBMSM. The findings from this study are being used to inform the development of a social networking feature for an existing internet and mobile phone-based primary and secondary HIV prevention intervention for YBMSM.
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