Willingness of Joining Online Support Groups Among Men Who Have Sex With Men Living With HIV in Shandong Province of China: A Mixed Methods Study.

IF 2.4 4区 医学 Q3 INFECTIOUS DISEASES Sexually transmitted diseases Pub Date : 2025-01-01 Epub Date: 2024-08-06 DOI:10.1097/OLQ.0000000000002067
Kedi Jiao, Jing Ma, Yuxi Lin, Chunmei Wang, Meizhen Liao, Xiaosong Cheng, Mingming Song, Dongying Liu, Dianmin Kang, Wei Ma
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Abstract

Background: Online support groups afford new opportunities to help individuals affected by HIV/AIDS to seek social support from peers. The study aimed to understand the willingness and associated factors of joining online support groups among men who have sex with men living with HIV.

Methods: The study followed a mixed methods approach, with qualitative in-depth interviews followed by a quantitative cross-sectional survey in 3 cities of Shandong Province, China, from 2019 to 2020. The in-depth interviews were audio-taped, transcribed verbatim, and analyzed using a thematic approach. In the quantitative analysis, explanatory variables included sociodemographic, behavioral, clinical, psychological, and demand factors. Univariate and multivariable logistic regressions were conducted to examine the associated factors of willing to join online support groups.

Results: A total of 576 and 20 participants were included in the quantitative survey and qualitative interviews, respectively. Only 24.7% (142 of 576) of participants in the quantitative study were willing to join the online support group. Multivariable analysis showed that the associated factors included income level, sexual orientation, and availability of information. The barriers to joining online support groups included privacy disclosure concern and psychological pressure exposed to HIV-related information. Facilitators included information acquisition, mutual medication reminding, and emotional support.

Conclusions: Men who have sex with men living with HIV in China had relatively low willingness to join the online support groups. This study highlighted the importance of safeguarding privacy, involving professional mental health providers, and providing high-quality information when establishing online support groups for people living with HIV.

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中国山东省感染艾滋病的男男性行为者参加在线支持小组的意愿:一项混合方法研究。
背景:在线支持小组为帮助受艾滋病病毒/艾滋病影响的个人从同伴那里寻求社会支持提供了新的机会。本研究旨在了解感染艾滋病病毒的男男性行为者(MSM)参加在线支持小组的意愿和相关因素:本研究采用混合方法,先进行定性深度访谈,然后于2019年至2020年在中国山东省的三个城市进行定量横断面调查。对深度访谈进行录音、逐字转录,并采用主题方法进行分析。在定量分析中,解释变量包括社会人口学因素、行为因素、临床因素、心理因素和需求因素。对愿意参加在线支持小组的相关因素进行了单变量和多变量逻辑回归分析:共有 576 人参加了定量调查,20 人参加了定性访谈。只有 24.7%(142/576)的定量研究参与者愿意加入在线支持小组。多变量分析显示,相关因素包括收入水平、性取向和信息的可获得性。加入在线支持小组的障碍包括对隐私披露的担忧和接触艾滋病相关信息的心理压力。促进因素包括信息获取、相互提醒服药和情感支持:结论:在中国,感染艾滋病病毒的男男性行为者加入在线支持小组的意愿相对较低。本研究强调了在为艾滋病病毒感染者建立在线支持小组时保护隐私、让专业心理健康服务提供者参与以及提供高质量信息的重要性。
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来源期刊
Sexually transmitted diseases
Sexually transmitted diseases 医学-传染病学
CiteScore
4.00
自引率
16.10%
发文量
289
审稿时长
3-8 weeks
期刊介绍: ​Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association​, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.
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