School of Psychology and Counselling, The Open University, UK.
School of Psychology & Health, University of Strathclyde, Glasgow, UK.
Br J Health Psychol. 2021 Feb;26(1):132-160. doi: 10.1111/bjhp.12461. Epub 2020 Jul 31.
Increasing appropriate HIV testing among men who have sex with men (MSM) is crucial to HIV prevention. Mass media interventions are effective in promoting testing, but to date, there has been little examination of their active content.
We conducted a qualitative analysis of intervention materials (n = 69) derived from a systematic review of mass media interventions designed to improve testing with MSM.
Visual data were analysed for their affective and ideological content using a novel method drawing on concepts from semiotics (i.e., broadly speaking, the analysis of signs).
Whilst affect was not explicitly theorized or examined in any of the studies, there are clearly identifiable affective elements implicitly at play in these interventions. Four thematic categories of affect/ideology were identified including (1) sexual desire and the 'pornographication' of the gay/bisexual male subject; (2) narratives of romance and love; (3) fear, threat, and regret; and (4) 'flattened' affect.
This is the first study to examine and detail the affective and ideological aspects of intervention content in this field. Using analytic techniques such as those reported here, in addition to approaches that focus on the manner in which intervention content address more proximal determinants of behaviour, can provide a rich and potentially more useful evidence base to assist with future interventions.
增加男男性行为者（MSM）中适当的艾滋病毒检测至关重要，这是艾滋病毒预防的关键。大众媒体干预措施在促进检测方面非常有效，但迄今为止，对其积极内容的研究很少。
我们对干预材料（n=69）进行了定性分析，这些材料源自对旨在提高 MSM 检测的大众媒体干预措施的系统综述。
使用一种新颖的方法对视觉数据进行情感和意识形态内容分析，该方法借鉴了符号学的概念（即广义上的符号分析）。
虽然在任何一项研究中都没有明确地理论化或检查情感，但这些干预措施中显然存在隐含的情感元素。确定了四个主题类别的情感/意识形态，包括：（1）性欲望和同性恋/双性恋男性主体的“色情化”；（2）浪漫和爱情的叙述；（3）恐惧、威胁和遗憾；（4）“扁平化”的情感。
这是第一项研究，旨在检查和详细说明该领域干预内容的情感和意识形态方面。除了关注干预内容如何针对行为更接近的决定因素的方法外，使用这里报告的分析技术可以为未来的干预措施提供更丰富、更有用的证据基础。
