Holloway Ian W, Winder Terrell Ja, Lea Charles Herbert, Tan Diane, Boyd Donte, Novak David
Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, CA, United States.
Department of Sociology, University of California, Los Angeles, CA, United States.
JMIR Mhealth Uhealth. 2017 Apr 13;5(4):e46. doi: 10.2196/mhealth.6436.
Black young men who have sex with men (BYMSM) experience higher human immunodeficiency virus (HIV) incidence than their white and Latino counterparts.
The aim of our study was to understand BYMSM's preferences for mobile phone-based HIV prevention and treatment in order to inform culturally tailored interventions to reduce the spread of HIV and improve HIV treatment outcomes in this population.
Qualitative focus groups (N=6) with BYMSM aged 18-29 years (N=41; 46%, 19/41 HIV-positive) were conducted to elucidate their preferences for the design and delivery of mobile phone-based HIV prevention and treatment interventions. A modified grounded theory approach to data analysis was undertaken using ATLAS.ti textual analysis software.
Participants preferred holistic health interventions that did not focus exclusively on HIV prevention and treatment. Issues of privacy and confidentiality were paramount. Participants preferred functionality that enables discreet connections to culturally competent health educators and treatment providers who can address the range of health and psychosocial concerns faced by BYMSM.
Mobile phone-based HIV prevention has the potential to increase engagement with HIV prevention and treatment resources among BYMSM. For these approaches to be successful, researchers must include BYMSM in the design and creation of these interventions.
与男性发生性关系的黑人青年（BYMSM）感染人类免疫缺陷病毒（HIV）的几率高于白人及拉丁裔同龄人。
我们研究的目的是了解BYMSM对基于手机的HIV预防和治疗的偏好，以便为文化上量身定制的干预措施提供参考，以减少HIV在该人群中的传播并改善HIV治疗效果。
对年龄在18至29岁的BYMSM进行了定性焦点小组访谈（N = 6）（N = 41；46%，19/41为HIV阳性），以阐明他们对基于手机的HIV预防和治疗干预措施的设计和实施的偏好。使用ATLAS.ti文本分析软件采用改良的扎根理论方法进行数据分析。
参与者更喜欢并非仅专注于HIV预防和治疗的整体健康干预措施。隐私和保密问题至关重要。参与者更喜欢能够与具备文化能力的健康教育者和治疗提供者进行谨慎联系的功能，这些人员能够解决BYMSM面临的一系列健康和心理社会问题。
基于手机的HIV预防措施有可能增加BYMSM对HIV预防和治疗资源的参与度。为使这些方法取得成功，研究人员必须让BYMSM参与这些干预措施的设计和创建。
