Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, China.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Front Public Health. 2022 Nov 17;10:1056720. doi: 10.3389/fpubh.2022.1056720. eCollection 2022.
OBJECTIVE: We explored the feasibility of app-based HIV testing services (AHTS) among men who have sex with men (MSM) according to the perspectives of testing service providers. METHODS: Twenty-one current or previous AHTS providers participated in a semi-structured interview which explored the facilitators and barriers to AHTS. Ten participants originating from the Center for Disease Control and Prevention (CDC) and 11 from the non-governmental organization (NGO) in Shijiazhuang, China took part in this study. Interviews was transcribed verbatim, and the socioecological model (SEM) was applied to thematic analysis. RESULTS: Twenty-one participants from AHTS services commented on the integration of online appointment schedules into HIV testing services. AHTS was deemed a convenient and efficient method for MSM and service providers to choose their preferred location and times. Moreover, it allowed for important HIV-related information to be accessed online and targeted toward at-risk individuals. Participants thought MSM may feel unsure about personal information security being stored within a privatized app and was considered a barrier to AHTS's usability. As such, they believed establishing a government-led national online platform for AHTS would allow for greater trust from MSM, rather than a social media app. CONCLUSION: By linking booking services to an online platform, AHTS was deemed a convenient and efficient method for HIV testing services, especially for young MSM who are familiar with smartphone applications. To improve the use of these services, AHTS apps should focus on ensuring the confidentiality of personal information and internet security to build trust between MSM and service providers.
目的:根据检测服务提供者的观点,探索基于应用程序的艾滋病毒检测服务(AHTS)在男男性行为者(MSM)中的可行性。
方法:21 名当前或前任 AHTS 提供者参加了半结构化访谈,探讨了 AHTS 的促进因素和障碍。本研究的参与者来自中国石家庄市疾病预防控制中心(CDC)的 10 人和非政府组织(NGO)的 11 人。访谈内容逐字记录,并应用社会生态学模型(SEM)进行主题分析。
结果:21 名来自 AHTS 服务的参与者对将在线预约时间表纳入艾滋病毒检测服务发表了评论。AHTS 被认为是 MSM 和服务提供者选择他们喜欢的地点和时间的一种方便、高效的方法。此外,它允许在线获取重要的艾滋病毒相关信息,并针对高危人群。参与者认为 MSM 可能对存储在私有化应用程序中的个人信息安全感到不确定,这被认为是 AHTS 可用性的障碍。因此,他们认为建立一个由政府主导的全国性在线 AHTS 平台将允许 MSM 建立更大的信任,而不是社交媒体应用程序。
结论:通过将预约服务与在线平台相连接,AHTS 被认为是艾滋病毒检测服务的一种方便、高效的方法,特别是对于熟悉智能手机应用程序的年轻 MSM 而言。为了提高这些服务的使用,AHTS 应用程序应专注于确保个人信息和互联网安全的保密性,以在 MSM 和服务提供者之间建立信任。
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