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一夜情还是健康促进?一项针对男男性行为者的基于聊天室的艾滋病毒预防干预措施的探索性研究。

Hookups or health promotion? An exploratory study of a chat room-based HIV prevention intervention for men who have sex with men.

作者信息

Rhodes Scott D

机构信息

The Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA.

出版信息

AIDS Educ Prev. 2004 Aug;16(4):315-27. doi: 10.1521/aeap.16.4.315.40399.

Abstract

This study sought to explore an online intervention that was initiated by an AIDS service organization to reduce sexual risk within a geographically-oriented chat room frequented by men who have sex with men (MSM). Analyses of bio lines, user profiles, and chat room discussions were used to understand and characterize the online prevention intervention. Six predominate discussion topics were identified, including (a) sexual risk reduction strategies (e.g., safer "barebacking"), (b) HIV testing options, (c) local alternatives for nonsexual social support, (d) referrals for youth, (e) resources related to "coming out," and (f) access to risk reduction materials and supplies. The perceived anonymity promoted by the Internet and the health educator's established relationship with the men in the chat room contributed to the success of this intervention. This analysis suggests that an online HIV/AIDS prevention intervention may reach MSM inaccessible in traditional venues typically used for intervention delivery.

摘要

本研究旨在探索一项由艾滋病服务组织发起的在线干预措施,该措施旨在一个以地理位置为导向的聊天室中降低男男性行为者(MSM)的性风险,该聊天室常有男男性行为者光顾。通过对生物特征信息、用户资料和聊天室讨论进行分析,以了解和描述该在线预防干预措施。确定了六个主要讨论话题,包括(a)降低性风险策略(例如,更安全的“无保护肛交”),(b)HIV检测选项,(c)非性社交支持的当地替代方式,(d)为年轻人提供的转介服务,(e)与“出柜”相关的资源,以及(f)获取降低风险材料和用品的途径。互联网所带来的匿名感以及健康教育工作者与聊天室中的男性建立的关系促成了这项干预措施的成功。该分析表明,在线HIV/艾滋病预防干预措施可能会覆盖传统干预场所难以触及的男男性行为者。

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