巴尔的摩地区黑人男同性恋、双性恋和其他男男性行为者对基于社区的 HIV/性传播感染检测项目的看法:一项定性分析。

Perceptions of a community-based HIV/STI testing program among Black gay, bisexual, and other MSM in Baltimore: a qualitative analysis.

机构信息

Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Johns Hopkins School of Medicine, Baltimore, MD, USA.

出版信息

AIDS Care. 2024 Nov;36(11):1570-1579. doi: 10.1080/09540121.2024.2372722. Epub 2024 Jul 8.

Abstract

Black gay, bisexual, and other men who have sex with men (GBM) are disproportionately affected by HIV and STIs. Safe Spaces 4 Sexual Health (SS4SH), a community-informed, status-neutral HIV/STI testing intervention combines online outreach via geo-social networking apps and social media with mobile van testing. During 2018-2019, we recruited 25 participants for interviews about their perceptions of SS4SH compared to clinic-based testing. Participants were aged 21-65 years (mean 35); 22 (88%) identified as Black/African American; 20 (80%) identified as gay; and 10 (40%) were living with HIV. Interviews were transcribed, coded, and analyzed using a modified thematic constant comparative approach. Five themes emerged; two related to perceptions of online outreach materials (participants were drawn to eye-catching and to-the-point messages and desired more diversity and representation in messages), and three related to preference for the mobile van (participants found SS4SH provided more comfort, more privacy/confidentiality, and increased accessibility and efficiency). GBM is increasingly using geo-social networking apps to meet sexual partners, and tailored online outreach has the potential to reach historically underserved populations. SS4SH is a barrier-reducing strategy that may serve as an entry to a status-neutral approach to services and help reduce stigma and normalize accessing HIV services.

摘要

黑人男同性恋者、双性恋者和其他与男性发生性关系的男性(GBM)受到艾滋病毒和性传播感染(STI)的影响不成比例。安全空间 4 性健康(SS4SH)是一种社区知情、中性地位的 HIV/STI 检测干预措施,结合了地理社交网络应用程序和社交媒体的在线外展以及移动面包车检测。在 2018-2019 年期间,我们招募了 25 名参与者,就他们对 SS4SH 的看法进行了采访,与基于诊所的检测进行了比较。参与者年龄在 21-65 岁之间(平均 35 岁);22 人(88%)自认为是黑人/非裔美国人;20 人(80%)自认为是同性恋;10 人(40%)携带艾滋病毒。采访记录被转录、编码,并使用经过修改的主题常数比较方法进行分析。出现了五个主题;其中两个与对在线外展材料的看法有关(参与者被吸引到引人注目和切中要害的信息,并希望信息中更多样化和代表性),三个与对移动面包车的偏好有关(参与者发现 SS4SH 提供了更多的舒适感、更多的隐私/保密性,并增加了可及性和效率)。GBM 越来越多地使用地理社交网络应用程序来满足性伴侣,量身定制的在线外展有可能接触到历史上服务不足的人群。SS4SH 是一种减少障碍的策略,可以作为一种中性地位的服务方法的切入点,帮助减少污名化并使获得艾滋病毒服务正常化。

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