1Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Qual Health Res. 2013 Oct;23(10):1344-53. doi: 10.1177/1049732313505712. Epub 2013 Sep 17.
African American young adults are at high risk of HIV infection during their lifetimes, and the male condom remains the best method of prevention. Efforts to increase condom use should address the barrier of condom negotiation. We conducted a thematic analysis of qualitative, semistructured interviews with African American young adults to examine their use of text messaging for requesting human immunodeficiency virus (HIV) or sexually transmitted infection (STI) testing and condom use within the larger context of general sexual communication using text messages. Text messaging gave participants a level of comfort and disinhibition to discuss sexual topics and negotiate sexual safety. Benefits of text messages included ease of communication, privacy, and increased ability to express condom desires. Difficulties reflected the potential relationship implications of suggesting HIV/STI testing and condom use. Condom negotiation strategies using text messages also mirrored those found to be used in face-to-face communication.
非裔美国年轻成年人一生中感染 HIV 的风险很高，而男性保险套仍然是预防的最佳方法。增加保险套使用的努力应该解决保险套协商的障碍。我们对非裔美国年轻成年人进行了定性、半结构化访谈的主题分析，以检查他们在更广泛的短信性沟通背景下使用短信请求人类免疫缺陷病毒 (HIV) 或性传播感染 (STI) 检测和使用保险套的情况。短信让参与者感到舒适和放松，能够讨论性话题并协商性安全。短信的好处包括沟通方便、隐私和增加表达避孕套需求的能力。困难反映了建议 HIV/STI 检测和使用避孕套可能对人际关系产生的影响。使用短信进行避孕套协商的策略也反映了在面对面沟通中发现的策略。
