巴尔的摩黑人男同性恋、双性恋和其他 MSM 对社区 HIV/STI 检测项目的看法:定性分析。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-11-01 Epub Date: 2024-07-08 DOI:10.1080/09540121.2024.2372722
Rashida Hassan, Nicole Thornton, Hope King, Gabrielle Aufderheide, Bradley Silberzahn, Steven Huettner, Jacky M Jennings, Kimberly N Evans, Errol L Fields
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引用次数: 0

摘要

黑人男同性恋、双性恋和其他男男性行为者(GBM)受到艾滋病毒和性传播感染的影响尤为严重。安全空间4性健康(Safe Spaces 4 Sexual Health,SS4SH)是一项社区知情、身份中立的HIV/STI检测干预措施,它将通过地理社交网络应用程序和社交媒体进行的在线宣传与移动车检测相结合。2018-2019 年期间,我们招募了 25 名参与者进行访谈,了解他们对 SS4SH 与诊所检测相比的看法。参与者的年龄在 21-65 岁之间(平均 35 岁);22 人(88%)被认定为黑人/非裔美国人;20 人(80%)被认定为同性恋;10 人(40%)是 HIV 感染者。对访谈内容进行了转录、编码,并采用修改后的主题恒定比较法进行了分析。访谈中出现了五个主题,其中两个主题涉及对在线宣传材料的看法(参与者被吸引到醒目和切中要害的信息中,并希望信息更具多样性和代表性),三个主题涉及对移动宣传车的偏好(参与者发现 SS4SH 提供了更多的舒适性、更多的隐私/保密性,并提高了可访问性和效率)。GBM 越来越多地使用地理社交网络应用程序来结识性伴侣,量身定制的在线外联活动有可能接触到历来得不到充分服务的人群。SS4SH 是一种减少障碍的策略,可作为一种不分身份的服务方法的切入点,并有助于减少污名化,使获得 HIV 服务正常化。
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Perceptions of a community-based HIV/STI testing program among Black gay, bisexual, and other MSM in Baltimore: a qualitative analysis.

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.

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