Zhang Aidi, Reynolds Nancy R, Farley Jason E, Wang Xiao, Tan Simin, Yan Jin
The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Changsha, 40013, China.
Johns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21205, USA.
BMC Public Health. 2019 Mar 12;19(1):297. doi: 10.1186/s12889-019-6617-4.
Men who have sex with men (MSM) have a disproportionate burden of HIV infection. Mobile phone apps provide a promising means of improving HIV prevention among MSM. But this has received little examination in China. The objective of this study was to explore MSM's preferences for an HIV prevention mobile phone app.
Qualitative semi-structured personal interviews were conducted with 19 MSM to determine their preferences for features and content to inform the design of an app aimed at HIV prevention in China.
Five categories were identified under the main category preferences for features of the app: target population, attributes, language used, potential user access, and perceived usefulness. Five categories were identified under the main category preferences for content of the app: functions to facilitate HIV testing behavior, HIV post-exposure prevention, warning against substance use, psychological support, and areas for communication.
Findings suggest that the design of an app targeting MSM in China should use an integrated framework addressing behavioral and psychological aspects, satisfy common needs of potential users, avoid perpetuating negative stereotypes and stigma, and avoid possible increase of risk behavior due to using the app.
男男性行为者（MSM）承受着不成比例的艾滋病毒感染负担。手机应用程序为改善男男性行为者中的艾滋病毒预防工作提供了一种有前景的手段。但在中国，这方面的研究很少。本研究的目的是探索男男性行为者对一款艾滋病毒预防手机应用程序的偏好。
对19名男男性行为者进行了定性半结构化个人访谈，以确定他们对功能和内容的偏好，为一款旨在在中国预防艾滋病毒的应用程序的设计提供参考。
在应用程序功能的主要偏好类别下确定了五个类别：目标人群、属性、使用的语言、潜在用户访问和感知有用性。在应用程序内容的主要偏好类别下确定了五个类别：促进艾滋病毒检测行为的功能、艾滋病毒暴露后预防、对药物使用的警示、心理支持以及交流领域。
研究结果表明，针对中国男男性行为者的应用程序设计应采用一个综合框架，解决行为和心理方面问题，满足潜在用户的共同需求，避免延续负面刻板印象和污名化，避免因使用该应用程序而可能增加风险行为。
