基于手机的干预措施对男男性行为者(MSM)甲基苯丙胺使用及高危性行为的影响:一项系统综述

Impact of Mobile Phone-Based Interventions on Methamphetamine Use and High-risk Sexual Behaviors in Men Who Have Sex with Men (MSM): A Systematic Review.

作者信息

Ameri Arefeh, Keshvardoost Sareh, Bahaadinbeigy Kambiz

机构信息

Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Addict Health. 2020 Jan;12(1):58-68. doi: 10.22122/ahj.v12i1.254.

Abstract

BACKGROUND

Today, increased use of methamphetamine in homosexual men is associated with high-risk sexual behaviors and (HIV) epidemic. Mobile phone-based interventions are an accessible and rapid method to provide healthcare services to this population. This study aimed to systematically review the effects of mobile phone-based interventions on methamphetamine use and high-risk sexual behaviors in homosexual men.

METHODS

This systematic review was conducted by two researchers via searching in PubMed, Google Scholar, Web of Science, Scopus, and PsycINFO databases to retrieve the published articles regarding the effects of mobile phone-based interventions on the control of methamphetamine use and high-risk sexual behaviors.

FINDINGS

Among 250 unique articles that were retrieved, only five cases met all the inclusion criteria of the study. Accordingly, some of the applied interventions included text messaging (n = 4) and mobile apps (n = 1). In this regard, the use of text messaging significantly decreased the rates of methamphetamine use, condomless anal intercourse (CAI), and HIV transmission among homosexual men.

CONCLUSION

According to the results, short-term interventions based on text messaging could decrease the rates of methamphetamine use and the high-risk sexual behaviors associated with HIV infection in homosexual men. Despite the positive impact of these interventions, long-term follow-ups are required for individuals using methamphetamine in different communities.

摘要

背景

如今,男同性恋者中甲基苯丙胺使用量的增加与高危性行为及(人类免疫缺陷病毒)流行有关。基于手机的干预措施是为这一人群提供医疗服务的一种便捷且快速的方法。本研究旨在系统评价基于手机的干预措施对男同性恋者甲基苯丙胺使用及高危性行为的影响。

方法

两位研究人员通过在PubMed、谷歌学术、科学网、Scopus和PsycINFO数据库中检索,进行了这项系统评价,以获取已发表的关于基于手机的干预措施对控制甲基苯丙胺使用及高危性行为影响的文章。

结果

在检索到的250篇独特文章中,仅有5例符合该研究的所有纳入标准。相应地,一些应用的干预措施包括短信(n = 4)和移动应用程序(n = 1)。在这方面,短信的使用显著降低了男同性恋者中甲基苯丙胺的使用率、无保护肛交(CAI)率及人类免疫缺陷病毒传播率。

结论

根据研究结果,基于短信的短期干预措施可降低男同性恋者中甲基苯丙胺的使用率以及与人类免疫缺陷病毒感染相关的高危性行为发生率。尽管这些干预措施具有积极影响,但对于不同社区中使用甲基苯丙胺的个体仍需要进行长期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9be1/7291897/dca253e1de22/AHJ-12-058f1.jpg

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