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首页> 外文期刊>AIDS care. >If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men
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If you build it will they come? Addressing social isolation within a technology-based HIV intervention for young black men who have sex with men

机译：如果建造它，它们会来吗？在基于技术的HIV干预中解决与男性发生性关系的年轻黑人的社会隔离

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The rate of HIV infections among young black men who have sex with men (YBMSM) continues to rise at an alarming pace. YBMSM are particularly vulnerable to social isolation and a lack of social support due to experiences with racism and homophobia, which may have implications for sexual risk behaviors. The purpose of this study was to explore perceptions of social isolation and sense of community among YBMSM, the need for and receptivity to social networking features designed to reduce social isolation and build community within an Internet-and mobile phone-based primary and secondary HIV prevention intervention for YBMSM and to identify strategies to develop these features. Focus groups were conducted with 22 YBMSM aged 20-30 years at three sites in North Carolina. Data from the focus groups were thematically analyzed using NVivo. Feelings of social isolation and lack of a sense of community were strongly endorsed by participants with homophobia, lack of opportunities for social engagement, and a focus on sex rather than friendship in interpersonal relationships with other YBMSM cited as contributing factors. Participants were receptive to a social networking intervention designed to reduce social isolation and build community. Recommendations offered by participants to increase acceptability and usability of such features included: availability of information about healthy relationships, the ability to connect with other YBMSM and health care providers, and ensuring the site had ongoing facilitation by the study team as well as monitoring for inappropriate content. The development of a social networking feature of an HIV prevention intervention may present an opportunity to reduce social isolation, build community, and reduce risky sexual behaviors among YBMSM. The findings from this study are being used to inform the development of a social networking feature for an existing Internet-and mobile phone-based primary and secondary HIV prevention intervention for YBMSM.
机译：与男性发生性关系的年轻黑人（YBMSM）中的艾滋病毒感染率继续以惊人的速度增长。由于种族主义和同性恋恐惧症的经历，YBMSM特别容易受到社会孤立和缺乏社会支持的影响，这可能会对性风险行为产生影响。这项研究的目的是探讨YBMSM中的社会隔离感和社区感，对社交网络功能的需求和接受度，这些功能旨在减少社交隔离并在基于互联网和手机的一级和二级HIV预防中建立社区干预YBMSM并确定开发这些功能的策略。在北卡罗来纳州的三个地点对22名20至30岁的YBMSM进行了焦点小组讨论。使用NVivo对主题小组的数据进行了主题分析。同性恋恐惧症，缺乏社交活动的机会，与其他青年，青年，青年和青少年管理人员的人际关系中注重性而不是友谊的参与者强烈认可社交孤独感和缺乏社区意识。参与者接受旨在减少社会隔离和建立社区的社交网络干预。参与者为提高此类功能的可接受性和可用性而提出的建议包括：提供有关健康关系的信息，与其他YBMSM和医疗服务提供者建立联系的能力，并确保研究团队对网站进行持续的便利以及监视不当行为内容。 HIV预防干预措施的社交网络功能的发展可能会提供一个减少社会隔离，建立社区并减少YBMSM中危险的性行为的机会。这项研究的结果被用于为社交网络功能的开发提供信息，该功能适用​​于针对YBMSM的现有基于互联网和手机的主要和次要HIV预防干预措施。

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