Blackstock Oni J, Haughton Lorlette J, Garner Ruby Y, Horvath Keith J, Norwood Chris, Cunningham Chinazo O
a Montefiore Medical Center/Albert Einstein College of Medicine , Department of Medicine , Bronx , NY , USA.
AIDS Care. 2015;27(4):536-44. doi: 10.1080/09540121.2014.980215. Epub 2014 Nov 20.
Internet-based HIV interventions are increasingly common, although little focus has been on HIV-positive women. To understand the feasibility of using the Internet to deliver behavioral interventions to HIV-positive women, we sought to describe patterns of Internet use for general and health-related purposes and to explore differences between Internet-using and non-using women. From February 2014 to April 2014, 103 women were recruited at six community-based organizations in the Bronx, NY that provide services to HIV-positive persons. Women completed a 30-minute interview and answered a brief survey of socio-demographic factors, risk behavior and clinical characteristics. We performed χ(2) and Kruskal-Wallis tests to compare Internet users and non-users. Sixty-one percent of participants were current Internet users, most of whom used a personal electronic device (e.g., cellphone/smartphone) to access the Internet. While higher proportions of Internet users were passively engaged (e.g., signed up to receive email updates [42.9%] or watched an online video [58.7%] for health-related purposes), smaller proportions (12.7-15.9%) were involved in more interactive activities such as posting comments, questions, or information about health-related issues in an online discussion or a blog. A majority of Internet non-users (60.0%) expressed interest in going online. Lack of computer or Internet access (37.5%) and Internet navigation skills (37.5%) were the primary reasons for non-use. Compared with non-users, Internet users were more likely to be younger, to have higher socioeconomic status, and to report low health-related social support. Despite having a lower proportion of Internet users in our study than the general population, Internet-using women in our study had relatively high levels of online engagement and went online for both general and health-related purposes. However, Internet-based interventions targeting HIV-positive women will likely need to include providing computer and/or Internet access as well as training participants in how to navigate the Internet.
基于互联网的HIV干预措施越来越普遍，不过针对HIV阳性女性的关注却很少。为了解利用互联网向HIV阳性女性提供行为干预措施的可行性，我们试图描述她们出于一般目的和健康相关目的的互联网使用模式，并探究使用互联网和不使用互联网的女性之间的差异。2014年2月至2014年4月期间，在纽约市布朗克斯区为HIV阳性患者提供服务的六个社区组织招募了103名女性。这些女性完成了一次30分钟的访谈，并回答了一份关于社会人口学因素、风险行为和临床特征的简短调查问卷。我们进行了卡方检验和克鲁斯卡尔-沃利斯检验，以比较互联网使用者和非使用者。61%的参与者是当前的互联网使用者，其中大多数人使用个人电子设备（如手机/智能手机）访问互联网。虽然更高比例的互联网使用者是被动参与（例如，注册接收电子邮件更新[42.9%]或观看在线视频[58.7%]以获取健康相关信息），但较小比例（12.7 - 15.9%）参与了更多互动活动，如在在线讨论或博客中发布关于健康相关问题的评论、问题或信息。大多数非互联网使用者（60.0%）表示有上网的兴趣。缺乏计算机或互联网接入（37.5%）以及互联网导航技能（37.5%）是不使用互联网的主要原因。与非使用者相比，互联网使用者更可能较年轻、社会经济地位较高，并且报告称与健康相关的社会支持较低。尽管我们研究中的互联网使用者比例低于一般人群，但我们研究中的使用互联网的女性在线参与度相对较高，并且出于一般目的和健康相关目的上网。然而，针对HIV阳性女性的基于互联网的干预措施可能需要包括提供计算机和/或互联网接入，以及培训参与者如何浏览互联网。
