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An online needs assessment of a virtual community: what men who use the internet to seek sex with men want in Internet-based HIV prevention.

机译:对虚拟社区的在线需求评估:使用互联网与男性发生性关系的男性在基于Internet的艾滋病毒预防中想要什么。

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As part of a study to develop effective Internet-based HIV prevention interventions for Men who use the Internet to seek Sex with Men (MISM), we sought information from the target population on; (a) acceptability of sexually explicit media; (b) interest in specific content areas; and (c) identification of credible sources of information. A cross-sectional stratified Internet-based survey design was employed. Between September and November 2005, we recruited 2,716 MISM through Gay.com stratified across race/ethnicity to ensure adequate racial/ethnic diversity. Sixteen Likert-type items assessed acceptability of sexual explicitness, 24 items identified topics for inclusion, and two assessed sources of information. There was near universal acceptability for highly sexually explicit education. Over 75% reported high interest in 10 sexual health topics. HIV positive MISM and MISM engaged in unprotected anal sex with multiple male partners reported significantly less interest in HIV prevention specific content. Differences across age, race/ethnicity and education were identified. Idiosyncratic searches and gay sites were frequently cited sources of information; however blogs, government, and media sites were not. It is acceptable for web-based HIV prevention for MISM to be highly sexually explicit and to provide detailed content relevant to men's sexual health. Since demographic differences in acceptability and content were minor, it is appropriate for interventions to target across demographics. Interventions to re-engage men engaging in high risk and HIV + MISM should be considered. Leading health agencies should review whether their web information is retrievable, credible and useful to those most at risk.
机译:作为一项研究的一部分,该研究旨在开发有效的基于互联网的艾滋病毒预防干预措施,以利用互联网寻求与男性发生性关系的男性(MISM),我们从目标人群中获取信息; (a)接受露骨色情媒体; (b)对特定内容领域的兴趣; (c)确定可靠的信息来源。采用了基于互联网的横断面分层调查设计。在2005年9月至2005年11月之间,我们通过Gay.com招募了2,716名MISM,按种族/民族进行分层,以确保适当的种族/民族多样性。十六个李克特型项目评估了性明确性的可接受性,二十四个项目确定了纳入的主题,两个评估了信息来源。高度性明确的教育几乎被普遍接受。超过75%的人表示对10个性健康话题非常感兴趣。 HIV阳性MISM和与多个男性伴侣进行无保护的肛交的MISM报告对HIV预防特定内容的兴趣大大降低。确定了年龄,种族/民族和教育之间的差异。特质搜索和同性恋网站经常被引用为信息来源。但是博客,政府和媒体网站却没有。基于Web的MISM艾滋病毒预防具有高度的性暗示性,并提供与男性性健康有关的详细内容是可以接受的。由于受众在可接受性和内容方面的差异很小,因此针对人群进行干预是合适的。应该考虑采取干预措施,使从事高风险和HIV + MISM的男性重新参与。领先的卫生机构应审查其网络信息对于最易受威胁的人是否可检索,可信且有用。

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