Flowers Paul, McDaid Lisa M, Knussen Christina
Department of Psychology and Allied Health Sciences, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK.
BMC Public Health. 2013 Aug 8;13:737. doi: 10.1186/1471-2458-13-737.
This paper explores the exposure and impact of a Scottish mass media campaign: Make Your Position Clear. It ran from October 2009 to July 2010, targeted gay men and other men who have sex with men (MSM), and had two key aims: to promote regular sexual health and HIV testing every 6 months, and to promote the use of appropriate condoms and water-based lubricant with each episode of anal intercourse.
A cross-sectional survey (anonymous and self-report) was conducted 10 months after the campaign was launched (July 2010). Men were recruited from commercial venues. Outcome measures included use of lubricant, testing for sexually transmitted infections and HIV, and intentions to seek HIV testing within the following six months. Linear-by-linear chi-square analysis and binary logistic regressions were conducted to explore the associations between the outcome measures and campaign exposure.
The total sample was 822 men (62.6% response rate). Men self-identifying as HIV positive were excluded from the analysis (n=38). Binary logistic analysis indicated that those with mid or high campaign exposure were more likely to have been tested for HIV in the previous six months when adjusted for age, area of residence and use of the "gay scene" (AOR=1.96, 95% CI=1.26 to 3.06, p=.003), but were not more likely to be tested for STIs (AOR=1.37, 95% CI=0.88 to 2.16, p=.167). When adjusted for previous HIV testing, those with mid or high campaign exposure were not more likely to indicate intention to be tested for HIV in the following six months (AOR=1.30, 95% CI=0.73 to 2.32, p=.367). Those with no campaign exposure were less likely than those with low exposure to have used appropriate lubricant with anal sex partners in the previous year (AOR=0.42, 95% CI=0.23 to 0.77, p=.005).
The campaign had demonstrable reach. The analysis showed partial support for the role of mass media campaigns in improving sexual health outcomes. This suggests that a role for mass media campaigns remains within combination HIV prevention.
本文探讨了苏格兰一场大众媒体宣传活动“明确你的立场”的覆盖面及影响。该活动于2009年10月至2010年7月开展，目标受众为男同性恋者及其他与男性发生性行为的男性（MSM），有两个关键目标：推广每6个月定期进行性健康和艾滋病毒检测，以及在每次肛交时推广使用合适的避孕套和水性润滑剂。
在活动启动10个月后（2010年7月）进行了一项横断面调查（匿名且为自我报告）。从商业场所招募男性。结果指标包括润滑剂的使用、性传播感染和艾滋病毒检测情况，以及在接下来六个月内进行艾滋病毒检测的意向。进行线性卡方分析和二元逻辑回归以探讨结果指标与活动曝光之间的关联。
总样本为822名男性（应答率为62.6%）。自我认定为艾滋病毒阳性的男性被排除在分析之外（n = 38）。二元逻辑分析表明，在根据年龄、居住地区和“同性恋场所”的使用情况进行调整后，活动曝光程度为中等或较高的男性在过去六个月接受艾滋病毒检测的可能性更大（比值比[AOR]=1.96，95%置信区间[CI]=1.26至3.06，p = 0.003），但接受性传播感染检测的可能性并未增加（AOR = 1.37，95% CI = 0.88至2.16，p = 0.167）。在根据之前的艾滋病毒检测情况进行调整后，活动曝光程度为中等或较高的男性在接下来六个月表示进行艾滋病毒检测意向的可能性并未增加（AOR = 1.30，95% CI = 0.73至2.
