Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 S Main Street, Box G-S121-3, Providence, RI, 02903, USA.
Center for Health Equity Research, Brown School of Public Health, Providence, RI, USA.
Arch Sex Behav. 2021 Oct;50(7):2981-2993. doi: 10.1007/s10508-020-01889-3. Epub 2021 Apr 12.
Geosocial networking applications (GSN apps) are widely utilized by gay, bisexual, and other men who have sex with men (GBMSM) to meet potential sexual/romantic partners, foster friendships, and build community. However, GSN apps usage has been linked to elevated levels of HIV sexual risk behavior among GBMSM. Little is known about how GSN apps can facilitate HIV sexual risk behaviors, especially among GBMSM in Africa. To fill this gap in research, the present study aimed to characterize the frequency of GSN apps usage and its association with sociodemographic characteristics, sexual health, healthcare access, psychosocial problems, and substance use in a large multicity sample of community-recruited GBMSM in Nigeria (N = 406). Bivariate and multivariable ordinal logistic regression procedures were used to examine factors associated with GSN apps usage. We found that 52.6% of participants reported recent (≤ 3 months) GSN apps use to meet sexual partners. Factors associated with increased odds of GSN apps usage included: being single, having a university degree or higher, reporting higher recent receptive anal sexual acts, being aware of PrEP, having a primary care provider, and reporting higher levels of identity concealment. HIV-related intervention delivered through GSN apps may help curb the spread of HIV among Nigerian GBMSM.
基于位置的社交网络应用(GSN 应用)被男同性恋者、双性恋者和其他与男性发生性关系的男性(GBMSM)广泛用于寻找潜在的性/浪漫伴侣、培养友谊和建立社区。然而,GSN 应用的使用与 GBMSM 中的艾滋病毒性风险行为增加有关。人们对 GSN 应用如何促进艾滋病毒性风险行为知之甚少,尤其是在非洲的 GBMSM 中。为了填补这一研究空白,本研究旨在描述 GSN 应用的使用频率及其与社会人口特征、性健康、获得医疗保健、心理社会问题和物质使用之间的关联,研究对象是来自尼日利亚的 406 名社区招募的 GBMSM 的大样本。使用双变量和多变量有序逻辑回归程序来检查与 GSN 应用使用相关的因素。我们发现,52.6%的参与者报告最近(≤3 个月)使用 GSN 应用来寻找性伴侣。与 GSN 应用使用几率增加相关的因素包括:单身、拥有大学学位或更高学历、报告最近有更高的接受肛交性行为、了解 PrEP、有初级保健提供者和报告更高水平的身份隐瞒。通过 GSN 应用提供的艾滋病毒相关干预措施可能有助于遏制艾滋病毒在尼日利亚 GBMSM 中的传播。