Division of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, Illinois; Department of Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
J Adolesc Health. 2024 Jan;74(1):113-122. doi: 10.1016/j.jadohealth.2023.07.030. Epub 2023 Oct 4.
Sexual and gender diverse youth (SGDY) develop and employ safety strategies on their own to manage risks while using dating apps. This study aimed to describe the online dating safety practices of SGDY and determine the effectiveness of an eHealth HIV-prevention educational intervention with dating safety content to promote future safety behaviors.
SGDY aged 13-18 from across the United States (N = 1087) were assigned to increasingly intensive HIV-prevention educational programs using a sequential multiple-assignment randomized trial design. Data were collected at three time points, each three months apart. Participants were asked multiple-choice and open-ended questions about the safety practices they used online and in person; mixed-methods described the safety behaviors of SGDY. Logistic regressions were used to determine psychosocial predictors of safety behaviors and the effectiveness of the intervention in promoting future safety practices.
60% (n = 662) of participants used dating apps, most of whom reported using online (96.4%, n = 638) and in-person (92.9%, n = 615) safety strategies, such as limiting the disclosure of personal information or meeting other users in public. Outness and previous victimization were important psychosocial predictors of engaging in safety behaviors. Additionally, participants who received the online safety education were over 50% more likely to employ certain safety behaviors than SGDY who did not.
While most SGDY reported at least 1 type of safety strategy when dating online, safety practices differed across psychosocial variables, such as outness. This study provides evidence for the effectiveness of an eHealth educational intervention tailored to SGDY to promote additional safety behaviors.
性与性别多样化的年轻人(SGDY)在使用约会应用程序时,会自行制定和实施安全策略来管理风险。本研究旨在描述 SGDY 的在线约会安全实践,并确定具有约会安全内容的电子健康 HIV 预防教育干预措施的有效性,以促进未来的安全行为。
本研究在美国各地招募了年龄在 13-18 岁的 SGDY(N=1087),并采用序贯多分配随机试验设计将他们分配到越来越密集的 HIV 预防教育计划中。数据在三个时间点收集,每个时间点相隔三个月。参与者被问到关于他们在线和当面使用的安全实践的多项选择题和开放性问题;混合方法描述了 SGDY 的安全行为。逻辑回归用于确定安全行为的社会心理预测因素和干预措施在促进未来安全行为方面的有效性。
60%(n=662)的参与者使用约会应用程序,其中大多数人报告说使用在线(96.4%,n=638)和当面(92.9%,n=615)安全策略,例如限制个人信息的披露或在公共场所与其他用户见面。公开度和以前的受害经历是参与安全行为的重要社会心理预测因素。此外,接受在线安全教育的参与者比没有接受教育的 SGDY 更有可能采取某些安全行为,可能性高出 50%以上。
尽管大多数 SGDY 在在线约会时报告了至少 1 种安全策略,但安全实践因公开度等社会心理变量而异。本研究为针对 SGDY 量身定制的电子健康教育干预措施促进更多安全行为的有效性提供了证据。