The Fenway Institute, Fenway Community Health, Boston, MA 02199, USA.
Am J Health Promot. 2010 Jan-Feb;24(3):170-7. doi: 10.4278/ajhp.08042841.
Sexually transmitted disease (STD) rates have continued to increase among men who have sex with men (MSM). The present study used qualitative methods to assess sources of human immunodeficiency virus (HIV)/STD information and responses to HIV/STD prevention messages among MSM. This was done to understand how to design more effective media campaigns on HIV/STD prevention and testing for this population.
One-on-one semistructured, qualitative interviews and a brief demographic written survey were conducted.
A Massachusetts community-based organization specializing in HIV/AIDS healthcare.
A novel, modified, respondent-driven sampling method was used to recruit a diverse sample of 50 Massachusetts MSM between January and April 2005; qualitative interviews were conducted until redundancy in responses was achieved.
Qualitative data were analyzed using content analysis. NVIVO software was used to organize transcripts, identify themes, and report frequency of responses.
Respondents reported having derived information on sexual health from multiple media sources. Direct outreach, gay- and HIV-centered organizations, print and broadcast media, public transportation ads, and the Internet held the greatest potential for dissemination. Primary care providers were also frequently seen as trusted sources of HIV/STD prevention information. Ideas for content often included having "people just like you" in ads.
Health messages that focus on getting tested for HIV and STDs, practicing safe sex, and incorporating straightforward and accurate information on prevention may be the most acceptable to MSM. Providers should be proactive in disseminating information about HIV/STD prevention.
性传播疾病（STD）在男男性行为者（MSM）中的发病率持续上升。本研究采用定性方法评估了 HIV/STD 信息来源以及 MSM 对 HIV/STD 预防信息的反应，目的是了解如何为这一人群设计更有效的 HIV/STD 预防和检测媒体宣传活动。
对马萨诸塞州的一个社区组织进行了一对一的半结构化定性访谈和简短的人口统计学书面调查。
一个专门从事艾滋病毒/艾滋病医疗保健的马萨诸塞州社区组织。
采用一种新颖的、经过修正的、应答者驱动的抽样方法，于 2005 年 1 月至 4 月期间招募了 50 名马萨诸塞州 MSM 作为研究对象；直到获得应答的重复性为止，对其进行了定性访谈。
采用内容分析法对定性数据进行分析。使用 NVIVO 软件组织转录本，识别主题，并报告应答的频率。
受访者报告称，他们从多种媒体来源获取了有关性健康的信息。直接外展、同性恋和艾滋病毒中心组织、印刷和广播媒体、公共交通广告以及互联网具有最大的传播潜力。初级保健提供者也经常被视为 HIV/STD 预防信息的可信来源。广告内容的创意通常包括有“像你这样的人”。
专注于 HIV 和 STD 检测、安全性行为以及包含预防方面简单准确信息的健康信息可能最能被 MSM 接受。提供者应积极传播有关 HIV/STD 预防的信息。
