An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men.
An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men.
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DOI：
10.1186/1471-2458-14-616
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发表时间：
2014-06-18
影响因子：
4.5
通讯作者：
Weatherburn P
中科院分区：
文献类型：
--
作者：
French RS;Bonell C;Wellings K;Weatherburn P
男男性行为者（MSM）在高收入和低收入环境中感染艾滋病毒的风险都有所增加。大众媒体运动被用作向大量男男性行为者宣传艾滋病毒健康促进信息的手段。对于哪种设计最适合于评价这种干预措施的过程和结果，目前还没有达成共识。进行了探索性审查，以评估研究检查的认识，可接受性，对艾滋病毒检测，披露和性风险，艾滋病毒的大众媒体宣传活动的成本效益，以男男性接触者的影响。我们通过科克伦对照试验中心注册中心、MEDLINE、EMBASE、Psych Info、ISI Web of Science、OpenGrey和COPAC以及联系专家检索了1990年至2011年5月期间发表的定量和定性研究。没有根据研究设计或方法进行排除，因为我们的主要目的是绘制证据。我们评估了研究质量，并对研究结果进行了叙述性综合。纳入了12项研究的16份报告。所有人都来自高收入国家，大多数人都采用了多媒体干预措施。一半的研究是单一的横断面调查。三个重复的横断面研究收集了活动启动前后的数据。其余3项研究监测常规数据。三项研究包括嵌套的定性成分。活动覆盖率是最常报告的结果（9项研究）。在质性研究中，意象、语言语调、内容和相关性被确定为影响广告可接受性的因素。五项研究报告了艾滋病毒检测率（或检测意图）。两项研究报告称，参加过这些活动的男性的检测率高于没有参加过这些活动的男性，但这可能反映了混淆。关于减少性风险行为的结果不太一致（4项研究）。没有一项研究审查了成本效益。这些运动旨在向男男性行为者提供信息，帮助预防艾滋病毒的传播，并解决日益增长的预防行为动机和不断变化的规范问题。然而，应当认识到大众媒体在传授影响行为改变的技能方面的局限性，以其他内容作为补充的运动可能更适合于实现这些目标。
Men who have sex with men (MSM) are at increased risk of HIV infection in both high- and low-income settings. Mass media campaigns have been used as a means of communicating HIV health promotion messages to large audiences of MSM. There is no consensus on which designs are most appropriate to evaluate the process and outcomes of such interventions. An exploratory review was conducted to assess research examining awareness, acceptability, effects on HIV testing, disclosure and sexual risk, and cost-effectiveness of HIV mass media campaigns targeting MSM. We searched for quantitative and qualitative studies published between 1990 and May 2011 via the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Psych Info, ISI Web of Science, OpenGrey and COPAC, and contacting experts. No exclusions were made on the basis of study design or methods because our primary aim was to map evidence. We appraised study quality and present a narrative synthesis of findings. Sixteen reports from 12 studies were included. All were from high-income countries and most examined multi-media interventions. Half of the studies were single cross-sectional surveys. Three repeat cross-sectional studies collected data pre and post the campaign launch. The remaining three studies monitored routine data. Three studies included a nested qualitative component. Campaign coverage was the most commonly reported outcome (9 studies). Imagery, tone of language, content and relevance were identified in the qualitative research as factors influencing campaign acceptability. HIV testing rates (or intention to test) were reported by five studies. Two studies reported that testing rates were higher among men who had seen the campaigns compared to men who had not, but this may reflect confounding. Findings were less consistent regarding reductions in sexual risk behaviours (4 studies). None of the studies examined cost-effectiveness. Campaigns aim to provide MSM with information to help prevent transmission of HIV and to address increasing motivation and changing norms towards precautionary behaviours. However, the limitations of mass media in imparting skills in effecting behaviour change should be recognised, and campaigns supplemented by additional components may be better-suited to achieving these goals.
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影响因子：
15.8
作者：
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通讯作者：
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