Hightow-Weidman Lisa B, Muessig Kathryn E, Pike Emily C, LeGrand Sara, Baltierra Nina, Rucker Alvin Justin, Wilson Patrick
University of North Carolina at Chapel Hill, NC, USA
University of North Carolina at Chapel Hill, NC, USA.
Health Educ Behav. 2015 Aug;42(4):493-9. doi: 10.1177/1090198114562043. Epub 2015 Jan 14.
Both young Black men who have sex with men as well as young Black transgender women (YBMSM/TW) continue to experience a significant increase in HIV incidence. HealthMpowerment.org (HMP) is a mobile phone-optimized, online intervention for both YBMSM/TW to build community and facilitate supportive relationships.
To assess the feasibility, acceptability, and preliminary outcomes, a 1-month pilot trial of HMP among 15 YBMSM/TW was conducted.
Retention was 100%. Mean age was 26 years, 60% were HIV-infected, 87% earned <$21,000, and 67% were uninsured. Despite the small sample size and limited intervention length, statistically significant improvements were seen in social support (p = .012), social isolation (p = .050), and depressive symptoms (p = .045).
The HMP pilot trial demonstrated feasibility and acceptability. Given the burden of the epidemic among YBMSM/TW, there is an imperative to develop, test, and scale up culturally appropriate interventions to both prevent HIV acquisition and limit onward transmission.
与男性发生性关系的年轻黑人男性以及年轻黑人跨性别女性（YBMSM/TW）的艾滋病毒感染率仍在显著上升。HealthMpowerment.org（HMP）是一项针对YBMSM/TW的手机优化在线干预措施，旨在建立社区并促进支持性人际关系。
为评估可行性、可接受性和初步结果，对15名YBMSM/TW进行了为期1个月的HMP试点试验。
保留率为100%。平均年龄为26岁，60%感染了艾滋病毒，87%的年收入低于21,000美元，67%没有保险。尽管样本量小且干预时间有限，但在社会支持（p = .012）、社会孤立（p = .050）和抑郁症状（p = .045）方面仍出现了具有统计学意义的改善。
HMP试点试验证明了可行性和可接受性。鉴于YBMSM/TW群体中艾滋病流行的负担，必须开发、测试并扩大文化上合适的干预措施，以预防艾滋病毒感染并限制病毒传播。
