Department of Family and Community Health, University of Pennsylvania, 418 Curie Blvd., Room 243L, Philadelphia, PA, 19104, USA.
Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Arch Sex Behav. 2023 Feb;52(2):721-732. doi: 10.1007/s10508-022-02403-7. Epub 2022 Sep 12.
Social stigma within Korean society hinders structural efforts to reduce HIV disparities among sexual minority men (SMM). To date, however, there have been limited intervention efforts to reduce HIV disparities among SMM in Korea. Therefore, the current mixed-methods study (n = 180) explored young Korean SMM's perspectives on the acceptability of HIV prevention mHealth interventions to inform effective strategies for future intervention studies. We then analyzed participants' comments and suggestions on HIV research and examined associations with the acceptability of mHealth interventions. Through our textual coding and analysis, we identified four primary themes for comments and suggestions for HIV research in Korea: the centrality of stigma, health service accessibility, informational accessibility, and cultural adaptation. Our study suggests culturally adapted HIV intervention addressing stigma, health service accessibility, and information accessibility and mHealth interventions disseminating information and resources for stigmatized young SMM in Korea.
韩国社会的社会耻辱感阻碍了减少性少数男性(SMM)中 HIV 差距的结构性努力。然而,迄今为止,韩国在减少 SMM 中 HIV 差距方面的干预措施有限。因此,目前的混合方法研究(n=180)探讨了年轻的韩国 SMM 对 HIV 预防移动健康干预措施的可接受性的看法,以为未来的干预研究提供有效的策略。然后,我们分析了参与者对 HIV 研究的评论和建议,并研究了这些评论和建议与 mHealth 干预措施可接受性之间的关联。通过我们的文本编码和分析,我们确定了韩国 HIV 研究的评论和建议的四个主要主题:耻辱感的核心地位、卫生服务可及性、信息可及性和文化适应性。我们的研究表明,在韩国,需要制定针对耻辱感、卫生服务可及性和信息可及性的文化适应性 HIV 干预措施,以及通过 mHealth 干预措施为受污名化的年轻 SMM 传播信息和资源。