Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Am J Health Promot. 2020 Jan;34(1):42-51. doi: 10.1177/0890117119865112. Epub 2019 Jul 30.
Young black gay, bisexual, and other MSM (YBMSM) that carry a disproportionate HIV burden in the US Geosocial networking applications (GSN apps) are environments that may increase HIV risk among users. This study explored the acceptability and feasibility of using these apps for HIV/sexually transmitted infection (STI) public health outreach.
Semi-structured in-depth qualitative interviews.
A frequently reported GSN app for meeting sex partners by newly diagnosed HIV-infected MSM in Baltimore.
Seventeen YBMSM aged 18 to 24 (mean = 21.5/SD = 1.8) who were logged-on to the GSN app in venues or census tracts in high HIV transmission areas.
Participants completed 60 to 90 minute semi-structured interviews, which were audio-recorded and transcribed. Interview data were analyzed in NVivo10 using categorical analysis and double-coded until consistency was achieved.
Participants described GSN apps as acceptable and feasible resources for public health practitioners seeking to access YBMSM to provide HIV/STI treatment and prevention services and resources. Three themes emerged: (1) the need to authenticate public health messages to distinguish from spam; (2) improved access to YBMSM including opportunities to identify and access virtual congregations of youth in non-gay-related spaces; and (3) the importance of avoiding stigmatizing YBMSM when targeting sexual health messages.
GSN apps have great potential as tools for identifying and engaging at-risk YBMSM. Additional work is needed to understand limitations of this medium, to develop strategies to engage YBMSM without further stigmatizing them, and to maximize their outreach potential.
在美国，年轻的黑人男同性恋、双性恋和其他男男性行为者（YBMSM）承担着不成比例的 HIV 负担，社交网络应用程序（GSN apps）可能会增加用户的 HIV 风险。本研究探讨了使用这些应用程序进行 HIV/性传播感染（STI）公共卫生宣传的可接受性和可行性。
半结构式深入定性访谈。
巴尔的摩新诊断感染 HIV 的男同性恋、双性恋和其他男男性行为者（MSM）经常报告的一种用于与性伴侣见面的 GSN 应用程序。
17 名年龄在 18 至 24 岁之间（平均年龄=21.5/标准差=1.8）的 YBMSM，他们在 HIV 传播率高的场所或普查区登录到 GSN 应用程序。
参与者完成了 60 至 90 分钟的半结构式访谈，访谈内容被录音并转录。使用 NVivo10 对访谈数据进行了分类分析和双重编码，直到达成一致。
参与者描述 GSN 应用程序是可接受和可行的资源，公共卫生从业者可以利用这些资源接触 YBMSM，为他们提供 HIV/性传播感染治疗和预防服务和资源。出现了三个主题：（1）需要对公共卫生信息进行认证，以将其与垃圾信息区分开来；（2）改善对 YBMSM 的获取途径，包括有机会在非同性恋相关空间识别和访问青年虚拟群体；（3）在针对性健康信息时，避免污名化 YBMSM 至关重要。
GSN 应用程序作为识别和接触高危 YBMSM 的工具具有很大的潜力。需要进一步研究这种媒介的局限性，制定策略在不进一步污名化他们的情况下吸引 YBMSM，并最大限度地发挥他们的宣传潜力。
