Hussman School of Journalism and Media, University of North Carolina at Chapel Hill, 382 Carroll Hall, Campus Box 3365, Chapel Hill, NC, 27599-3365, USA.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA.
J Prim Prev. 2020 Jun;41(3):211-227. doi: 10.1007/s10935-020-00585-1.
Since African Americans are disproportionately affected by HIV/AIDS, interventions that increase correct and consistent condom use are urgently needed. We report baseline acceptability data from a randomized controlled trial (RCT) testing the Tailored Information Program for Safer Sex, a computer-tailored intervention designed to increase correct and consistent condom use among low income, heterosexually active African Americans attending an urban sexually transmitted infection (STI) clinic. We enrolled 274 participants at baseline in an RCT-147 in the intervention group. The intervention had high acceptability, with a mean acceptability of 4.35 on a 5-point scale. We conducted a multiple regression analysis examining demographic, structural, and sexual risk characteristics that revealed only sex to be significantly (p < .01) associated with intervention acceptability. While women were more likely than men to find the intervention acceptable, overall the results indicated broad acceptability of this intervention to the target audience. eHealth interventions are a viable option for HIV prevention among African Americans visiting a publicly-funded STI clinic. We discuss implications of these results for the future application of such programs.
由于非裔美国人受艾滋病毒/艾滋病的影响不成比例,因此迫切需要采取增加正确和一致使用避孕套的干预措施。我们报告了一项随机对照试验(RCT)的基线可接受性数据,该试验测试了安全性行为的定制信息计划,这是一种针对低收入、异性恋活跃的非裔美国人的计算机定制干预措施,旨在增加他们正确和一致使用避孕套的行为。我们在一项 RCT-147 中招募了 274 名基线参与者进入干预组。该干预措施的可接受性很高,平均得分为 5 分制中的 4.35 分。我们进行了一项多元回归分析,研究了人口统计学、结构和性风险特征,结果表明只有性别与干预措施的可接受性显著相关(p <.01)。尽管女性比男性更有可能认为干预措施是可以接受的,但总体而言,结果表明该干预措施对目标受众具有广泛的可接受性。电子健康干预措施是为在公共资助的性传播感染(STI)诊所就诊的非裔美国人提供艾滋病毒预防的可行选择。我们讨论了这些结果对未来应用此类计划的影响。