Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, NC, USA.
Health Educ Behav. 2011 Jun;38(3):311-20. doi: 10.1177/1090198110379572. Epub 2011 Mar 10.
The Internet has emerged as an important tool for the delivery of health promotion and disease prevention interventions. Our community-based participatory research (CBPR) partnership developed and piloted CyBER/testing, a culturally congruent intervention designed to promote HIV testing among men who have sex with men (MSM) within existing Internet chat rooms. Using a quasi-experimental, single-group study design, cross-sectional data were collected from chat room participants, known as "chatters," at pretest (n = 346) and posttest (n = 315). Extant profile data also were collected to describe the demographics of the online population. The intervention significantly increased self-reported HIV testing among chatters overall, increasing rates from 44.5% at pretest to nearly 60% at posttest (p < .001). Furthermore, chatters who reported having both male and female sexual partners had nearly 6 times the odds of reporting HIV testing at posttest. Findings suggest that chat room-based HIV testing intervention may increase testing among MSM who may be difficult to reach in traditional physical spaces.
互联网已成为提供健康促进和疾病预防干预措施的重要工具。我们的社区参与式研究（CBPR）合作伙伴开发并试行 CyBER/testing，这是一种文化上一致的干预措施，旨在促进男男性行为者（MSM）在现有互联网聊天室中进行 HIV 检测。采用准实验、单组研究设计，从聊天室参与者（称为“聊天者”）中收集横截面数据，在预测试（n=346）和后测试（n=315）时进行。还收集了现有的个人资料数据，以描述在线人群的人口统计学特征。该干预措施显著增加了聊天者总体上自我报告的 HIV 检测，将检测率从预测试时的 44.5%提高到后测试时的近 60%（p<0.001）。此外，报告既有男性又有女性性伴侣的聊天者报告在接受测试后的 HIV 检测的可能性是前者的近 6 倍。研究结果表明，基于聊天室的 HIV 检测干预措施可能会增加那些在传统物理空间难以接触到的男男性行为者的检测率。
