男男性行为者对利用手机社交软件推送HIV防控信息的接受意愿调查
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摘要
目的探讨使用手机社交软件(APP)寻找性伴的男男性行为者(MSM)对利用手机社交软件推送艾滋病病毒(HIV)防控信息的接受意愿及其相关因素。方法采用滚雪球及同伴推动抽样(RDS)方法在沈阳招募MSM研究对象,通过面对面访谈式问卷调查获取研究对象的人口学、行为学信息、手机社交软件使用情况及对HIV防控信息推送的接受意愿,采用多因素Logistic回归分析MSM对利用手机APP推送HIV防控信息接受意愿及影响因素。结果自报曾使用手机APP寻找性伴的MSM占61.5%(464/755),32.5%(151/464)的MSM同时使用2种及以上APP寻找性伴,49.6%(230/464)的MSM至少每天使用一次手机APP。使用手机APP寻找性伴的MSM相对未使用者更年轻、使用过新型毒品的比例更高、同性性行为中做被插入方的比例更高且近3个月有更多的偶然性伴(P均<0.05)。使用手机APP的MSM对利用手机APP推送HIV防控信息的接受率为58.0%。多因素Logistic回归分析显示,自报性取向为同性、使用手机APP时间>1年、同时使用2种及以上手机APP以及至少每天使用1次手机APP是MSM接受HIV防控信息推送意愿的独立影响因素(P均<0.05)。结论沈阳市使用手机APP的MSM高危行为更突出,且使用手机APP累计时间长、频率高、种类多的MSM更愿接受HIV防控信息推送,提示卫生部门应与手机APP软件供应商协作,利用手机APP平台推送针对MSM的HIV防控信息,以控制MSM的HIV疫情增长。
Objective To investigate the willingness of MSM to accept HIV prevention information pushed by social networking mobile APP and related factors.Methods MSM were recruited by snowball sampling and respondent-driven sampling methods,and a face-to-face questionnaire survey was conducted to collect information on social and behavior characteristics,the use of mobile APP and the willingness and its correlates to accept HIV prevention informations through mobile APP.Multivariate logistic regression was employed for statistics analysis.Results 61.5%(464/755)MSM reported having used social networking mobile APP to seek male sex partners.Among them,32.5%(151/464)reported simultaneous use of more than two mobile APPs and 49.6%(230/464)used mobile APP at least once per day.Compared with nonusers,social networking mobile APP users were younger,more likely to have used club drugs and been receptive in homosexual sex,and more likely to have had casual partners in the last three months(P<0.05).58.0% of MSM using mobile APP reported that they would like to accept HIV prevention information through APP.Multivariate logistic regression analysis showed that self-reported homosexual orientation,use of mobile APP for more than one year(vs.≤one year),simultaneous use of more than two mobile APPs and use of mobile APP at least once per day were independent factors influencing the willingness of acceptance of HIV prevention information pushed through APP(P<0.05).Conclusion MSM using social networking APP in Shenyang have more prominent high risk behaviors than non-APP-users.And MSM using mobile APP for longer times,more frequently and more APPs,are more willing to accept HIV prevention information through APP.Public health departments should collaborate with mobile APP suppliers and utilize mobile APP platforms to provide targeted HIV intervention and information to MSM,so as to control HIV spreading.
Objective To investigate the willingness of MSM to accept HIV prevention information pushed by social networking mobile APP and related factors.Methods MSM were recruited by snowball sampling and respondent-driven sampling methods,and a face-to-face questionnaire survey was conducted to collect information on social and behavior characteristics,the use of mobile APP and the willingness and its correlates to accept HIV prevention informations through mobile APP.Multivariate logistic regression was employed for statistics analysis.Results 61.5%(464/755)MSM reported having used social networking mobile APP to seek male sex partners.Among them,32.5%(151/464)reported simultaneous use of more than two mobile APPs and 49.6%(230/464)used mobile APP at least once per day.Compared with nonusers,social networking mobile APP users were younger,more likely to have used club drugs and been receptive in homosexual sex,and more likely to have had casual partners in the last three months(P<0.05).58.0% of MSM using mobile APP reported that they would like to accept HIV prevention information through APP.Multivariate logistic regression analysis showed that self-reported homosexual orientation,use of mobile APP for more than one year(vs.≤one year),simultaneous use of more than two mobile APPs and use of mobile APP at least once per day were independent factors influencing the willingness of acceptance of HIV prevention information pushed through APP(P<0.05).Conclusion MSM using social networking APP in Shenyang have more prominent high risk behaviors than non-APP-users.And MSM using mobile APP for longer times,more frequently and more APPs,are more willing to accept HIV prevention information through APP.Public health departments should collaborate with mobile APP suppliers and utilize mobile APP platforms to provide targeted HIV intervention and information to MSM,so as to control HIV spreading.
引文
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[12]周超,丁贤彬,刘芳,等.大学生男男性接触人群艾滋病相关知识行为状况调查[J].现代预防医学,2010,37(4):763-765.
[13]张莉,周枫,杨雪盈,等.男男性行为大学生HIV感染风险自我认识及影响因素[J].中国学校卫生,2016,37(8):1140-1142.
[14]董秀平,李秀芳.新型毒品与HIV/AIDS相关性研究进展[J].中国艾滋病性病,2010,12(6):629-631.
[15]Melendeztorres GJ,ickson F,Reid D,et al.Drug use moderates associations between location of sex and unprotected anal intercourse in men who have sex with men:nested cross-sectional study of dyadic encounters with new partners[J].Sexually Transmitted Infections,2016,92(1):39.
[16]Xu JJ,Tang WM,Zou HC,et al.High HIV incidence epidemic among men who have sex with men in china:results from a multisite cross-sectional study[J].Infectious Diseases of Poverty,2016,5(1):82.
[17]Winetrobe H,Rice E,Bauermeister J,et al.Associations of unprotected anal intercourse with Grindr-met partners among Grindr-using young men who have sex with men in Los Angeles[J].Aids Care,2014,26(10):1303-1308.
[18]Czarny HN,Broaddus MR.Acceptability of HIV Prevention Information Delivered Through Established Geosocial Networking Mobile Applications to Men Who Have Sex With Men[J].AIDSBehav,2017,21(11):3122-3128.
[2]许娟,张洪波,郑迎军,等.男男性接触者活动场所及人群特征[J].中国公共卫生管理,2007,23(4):389-391.
[3]Blued.Blued about us[EB/OL].[2018-01-10]Available online:https://www.blued.com/cn/aboutus.html#progress.
[4]Beymer MR,Weiss RE,Bolan RK,et al.Sex on demand:geosocial networking phone apps and risk of sexually transmitted infections among a cross-sectional sample of men who have sex with men in Los Angeles county[J].Sexually Transmitted Infections,2014,90(7):567-572.
[5]Holloway IW,Pulsipher CA,Gibbs J,et al.Network Influences on the Sexual Risk Behaviors of Gay,Bisexual and Other Men Who Have Sex with Men Using Geosocial Networking Applications[J].AIDS Behav,2015,19Suppl 2(2):112-122.
[6]Tang W,Tang S,Qin Y,et al.Will Gay Sex-Seeking Mobile Phone Applications Facilitate Group Sex?A Cross-Sectional Online Survey among Men Who Have Sex with Men in China[J].PLoS One,2016,11(11):e167238.
[7]Tang W,Best J,Ye Z,et al.Gay mobile apps and the evolving virtual risk environment:a cross-sectional online survey among men who have sex with men in China[J].Sexually Transmitted Infections,2016(92):508-514.
[8]Sun CJ,Stowers J,Miller C,et al.Acceptability and Feasibility of Using Established Geosocial and Sexual Networking Mobile Applications to Promote HIV and STD Testing Among Men Who Have Sex with Men[J].AIDS Behav,2015,19(3):543-552.
[9]Zou H,Song F.Characteristics of Men Who Have Sex With Men Who Use Smartphone Geosocial Networking Applications and Implications for HIV Interventions:A Systematic Review and MetaAnalysis[J].Archives of Sexual Behavior,2017,46(4):885-894.
[10]王全意,Michael,Ross.男男性接触者的危险性行为:一项通过互联网的调查[J].中国艾滋病性病,2004,10(5):35-337.
[11]Bien CH,est JM,essig KE,et al.Gay Apps for Seeking Sex Partners in China:Implications for MSM Sexual Health[J].AIDSBehav,2015,19(6):941-946.
[12]周超,丁贤彬,刘芳,等.大学生男男性接触人群艾滋病相关知识行为状况调查[J].现代预防医学,2010,37(4):763-765.
[13]张莉,周枫,杨雪盈,等.男男性行为大学生HIV感染风险自我认识及影响因素[J].中国学校卫生,2016,37(8):1140-1142.
[14]董秀平,李秀芳.新型毒品与HIV/AIDS相关性研究进展[J].中国艾滋病性病,2010,12(6):629-631.
[15]Melendeztorres GJ,ickson F,Reid D,et al.Drug use moderates associations between location of sex and unprotected anal intercourse in men who have sex with men:nested cross-sectional study of dyadic encounters with new partners[J].Sexually Transmitted Infections,2016,92(1):39.
[16]Xu JJ,Tang WM,Zou HC,et al.High HIV incidence epidemic among men who have sex with men in china:results from a multisite cross-sectional study[J].Infectious Diseases of Poverty,2016,5(1):82.
[17]Winetrobe H,Rice E,Bauermeister J,et al.Associations of unprotected anal intercourse with Grindr-met partners among Grindr-using young men who have sex with men in Los Angeles[J].Aids Care,2014,26(10):1303-1308.
[18]Czarny HN,Broaddus MR.Acceptability of HIV Prevention Information Delivered Through Established Geosocial Networking Mobile Applications to Men Who Have Sex With Men[J].AIDSBehav,2017,21(11):3122-3128.