Gedela K, Luis H, Loverian R F, Maharani S, Rajus N, Wignall F S, Garner A, Sukmaningrum E, McOwan A, Nwokolo N, Whitlock G, Irwanto I
Chelsea and Westminster NHS Foundation Trust, London, UK.
Yayasan Bali Peduli HIV/Sexual Health Clinic, Denpasar, Bali, Indonesia.
Digit Health. 2022 May 5;8:20552076221090049. doi: 10.1177/20552076221090049. eCollection 2022 Jan-Dec.
HIV prevalence among men who have sex with men has increased in Indonesia, amid reports of growing stigma against lesbian, gay, bisexual and transgender individuals and policies that have pushed back public health outreach to these groups.
We assessed the utility of tailored short film and targeted social media engagement to recruit men who have sex with men in Indonesia to HIV social science research. A short HIV testing promotion film, anonymised short survey and invite to a wider research study was embedded on a website platform and disseminated using geo and social/community group targeting for 1 month via a social networking app and social media platforms.
From 3 January 2021 to 3 February 2021, there were over 2200 hits of the website within Indonesia. A total of 177 male web users who identified as men who have sex with men or preferred not to declare their sexuality, engaged by watching the short film and completing the survey, they were aged between 17 and 60 years old, of Indonesian nationality and living in Indonesia. Of these, 88% indicated having at least one HIV test in their lifetime, 66% had felt shame with respect to their sexuality and 53% indicated feeling afraid to have a HIV test. Ninety (51%) of the 177 validated using their email or mobile phone number demonstrating willingness to be contacted to join a further study. Twenty-three eligible men who have sex with men, aged 21-55 years old, joined a further social science research study. Participants were from diverse backgrounds and included men born in provinces outside Bali, of different socio-economic and employment backgrounds and diverse relationship contexts.
Engaging, empowering digital media involving key health messaging can provide health education in more effective ways, build trust and bring communities together. Targeted digital and social media approaches could reach increasingly marginalised and vulnerable communities to promote individual and public health and enable recruitment to valuable medical research.
在印度尼西亚，男男性行为者中的艾滋病毒流行率有所上升，同时有报道称，对女同性恋、男同性恋、双性恋和跨性别者的污名化现象日益严重，而且相关政策阻碍了针对这些群体的公共卫生宣传工作。
我们评估了定制短片和有针对性的社交媒体参与方式在招募印度尼西亚男男性行为者参与艾滋病毒社会科学研究方面的效用。一部简短的艾滋病毒检测宣传影片、匿名简短调查问卷以及参与更广泛研究的邀请被嵌入到一个网站平台上，并通过一款社交网络应用程序和社交媒体平台，利用地理位置和社会/社区群体定位进行了为期1个月的传播。
在2021年1月3日至2021年2月3日期间，印度尼西亚境内该网站的点击量超过2200次。共有177名男性网络用户，他们认定自己为男男性行为者或不愿表明自己的性取向，通过观看短片和完成调查问卷参与进来，他们年龄在17岁至60岁之间，为印度尼西亚国籍且居住在印度尼西亚。其中，88%表示一生中至少进行过一次艾滋病毒检测，66%对自己的性取向感到羞耻，53%表示害怕进行艾滋病毒检测。177人中的90人（51%）通过电子邮件或手机号码进行了验证，表明愿意被联系以参与进一步的研究。23名年龄在21岁至55岁之间符合条件的男男性行为者参与了一项进一步的社会科学研究。参与者来自不同背景，包括出生在巴厘岛以外省份的男性，具有不同的社会经济和就业背景以及不同的关系背景。
运用包含关键健康信息的有吸引力、赋权性数字媒体能够以更有效的方式提供健康教育，建立信任并凝聚社区。有针对性的数字和社交媒体方法可以触及日益边缘化和脆弱的社区，以促进个人和公共健康，并为有价值的医学研究招募参与者。
