Hirshfield Sabina, Grov Christian, Parsons Jeffrey T, Anderson Ian, Chiasson Mary Ann
Research and Evaluation Unit, Public Health Solutions, 40 Worth Street, 5th Floor, New York, NY, 10013, USA,
Arch Sex Behav. 2015 Oct;44(7):1969-78. doi: 10.1007/s10508-015-0513-5. Epub 2015 Jul 16.
Though Black and Hispanic men who have sex with men (MSM) are at an increased risk for HIV, few HIV risk reduction interventions that target HIV-positive MSM, and even fewer that use technology, have been designed to target these groups. Despite similar rates of social media and technology use across racial/ethnic groups, online engagement of minority MSM for HIV prevention efforts is low. Since minority MSM tend to have less representation in online HIV prevention studies, the goals of this online anonymous study of HIV-positive gay-identified men were to test the feasibility of conducting targeted recruitment by race/ethnicity and sexual orientation, to assess technology and social media use, and to assess global HIV transmission risk. In 2011, an anonymous online survey was conducted among 463 members of an HIV-positive personals website. Emails were sent to a subset of HIV-positive male members who self-identified as gay. While 57 % were White, substantial proportions of participants were Black (20 %) or Hispanic (18 %). Median age was 46 (range 18-79). Men who reported using 3 or more websites or apps to meet sex partners were significantly more likely to report anal intercourse (AOR 4.43, p < .001) and condomless anal sex (CAS) (AOR 2.70, p < .05) in the past 3 months. The only predictor of CAS with HIV-negative or unknown status partners was being under age 30 (AOR 3.38, p < .01). This study helped to inform online targeted recruitment techniques, access to technology and social media use, and sexual risk among a diverse sample of HIV-positive gay men. Efficacy trials of technology-based HIV prevention interventions targeting high-risk minority HIV-positive MSM are warranted.
尽管与男性发生性关系的黑人及西班牙裔男性感染艾滋病毒的风险有所增加，但针对艾滋病毒呈阳性的男男性行为者的艾滋病毒风险降低干预措施很少，而利用技术手段的此类措施更少，且均未针对这些群体设计。尽管不同种族/族裔群体使用社交媒体和技术的比例相似，但少数族裔男男性行为者参与在线艾滋病毒预防工作的程度较低。由于少数族裔男男性行为者在在线艾滋病毒预防研究中的代表性往往较低，因此这项针对艾滋病毒呈阳性的男同性恋者的在线匿名研究的目标是，测试按种族/族裔和性取向进行定向招募的可行性，评估技术和社交媒体的使用情况，并评估全球艾滋病毒传播风险。2011年，对一个艾滋病毒呈阳性的交友网站的463名成员进行了一项匿名在线调查。电子邮件发送给了自称是同性恋的艾滋病毒呈阳性男性成员的一个子集。虽然57%是白人，但相当一部分参与者是黑人(20%)或西班牙裔(18%)。年龄中位数为46岁(范围为18 - 79岁)。报告使用3个或更多网站或应用程序来结识性伴侣的男性，在过去3个月中更有可能报告肛交(AOR 4.43，p <.001)和无保护肛交(CAS)(AOR 2.70，p <.05)。与艾滋病毒呈阴性或状况不明的伴侣发生无保护肛交的唯一预测因素是年龄在30岁以下(AOR 3.38，p <.01)。这项研究有助于为在线定向招募技术、技术和社交媒体的使用情况以及不同样本的艾滋病毒呈阳性男同性恋者的性风险提供信息。有必要针对高危少数族裔艾滋病毒呈阳性的男男性行为者开展基于技术的艾滋病毒预防干预措施的疗效试验。
