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开发和评估一种在线教育-娱乐干预措施,以提高哥伦比亚男男性行为者(MSM)对艾滋病毒的认识和接受艾滋病毒检测。

Development and Evaluation of an Online Education-Entertainment Intervention to Increase Knowledge of HIV and Uptake of HIV Testing among Colombian Men Who Have Sex with Men (MSM).

机构信息

Department of Psychological and Brain Sciences, The George Washington University, Washington, DC 20052, USA.

Liga Colombiana de Lucha Contra el SIDA (LigaSida), Bogotá 111311, Colombia.

出版信息

Int J Environ Res Public Health. 2021 Feb 12;18(4):1811. doi: 10.3390/ijerph18041811.

Abstract

Using a community-based participatory approach, we developed a film to promote HIV testing among young men who have sex with men (MSM) in Bogotá. Using a 5-step process to develop the intervention, we conducted 11 focus groups with MSM (n = 141) to receive community feedback at each step. To evaluate the intervention we recruited 300 young MSM to complete a baseline survey in December 2017. Between February-June 2018, 63 participants watched the film and completed a post-viewing survey, which showed the intervention was acceptable for the target population. Between August-December 2018, 48 MSM who watched the film and 47 who did not (control group) completed a follow-up survey. To obtain preliminary evidence of the efficacy of the intervention, we assessed the main effect of time (baseline vs. follow-up) and the interaction between time and group (intervention vs. control) on HIV testing uptake and intentions, and knowledge of HIV transmission dynamics and HIV-related rights. Knowledge of HIV rights increased from baseline to follow-up in the intervention group only. HIV Knowledge increased for both groups. HIV testing intentions increased significantly more for non-gay-identified men in the intervention group, but the overall effect of the intervention was not significant. Testing uptake did not change.

摘要

采用社区参与式方法,我们制作了一部电影,以促进波哥大男男性行为者(MSM)进行 HIV 检测。我们采用 5 步流程来开发干预措施,在每一步骤中都与 MSM 进行了 11 次焦点小组讨论,以获得社区反馈。为了评估干预措施,我们于 2017 年 12 月招募了 300 名年轻 MSM 完成基线调查。2018 年 2 月至 6 月,63 名参与者观看了电影并完成了观影后调查,结果表明该干预措施适合目标人群。2018 年 8 月至 12 月,观看了电影的 48 名 MSM 和未观看电影的 47 名(对照组)完成了随访调查。为了获得干预措施有效性的初步证据,我们评估了时间(基线与随访)的主要效应以及时间与组(干预与对照)之间的相互作用对 HIV 检测率和意愿以及对 HIV 传播动态和与 HIV 相关权利的了解的影响。仅在干预组中,HIV 权利知识从基线到随访都有所增加。两组的 HIV 知识都有所增加。非同性恋身份男性在干预组中的 HIV 检测意愿显著增加,但干预的总体效果并不显著。检测率没有变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a816/7918496/7c1f1f749848/ijerph-18-01811-g001.jpg

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