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General and health-related Internet use among an urban, community-based sample of HIV-positive women: implications for intervention development

机译：在以社区为基础的城市社区艾滋病毒呈阳性妇女中普遍和与健康有关的互联网使用：对干预发展的影响

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Internet-based HIV interventions are increasingly common, although little focus has been on HIV-positive women. To understand the feasibility of using the Internet to deliver behavioral interventions to HIV-positive women, we sought to describe patterns of Internet use for general and health-related purposes and to explore differences between Internet-using and non-using women. From February 2014 to April 2014, 103 women were recruited at six community-based organizations in the Bronx, NY that provide services to HIV-positive persons. Women completed a 30-minute interview and answered a brief survey of socio-demographic factors, risk behavior and clinical characteristics. We performed chi(2) and Kruskal-Wallis tests to compare Internet users and non-users. Sixty-one percent of participants were current Internet users, most of whom used a personal electronic device (e.g., cellphone/smartphone) to access the Internet. While higher proportions of Internet users were passively engaged (e.g., signed up to receive email updates [42.9%] or watched an online video [58.7%] for health-related purposes), smaller proportions (12.7-15.9%) were involved in more interactive activities such as posting comments, questions, or information about health-related issues in an online discussion or a blog. A majority of Internet non-users (60.0%) expressed interest in going online. Lack of computer or Internet access (37.5%) and Internet navigation skills (37.5%) were the primary reasons for non-use. Compared with non-users, Internet users were more likely to be younger, to have higher socioeconomic status, and to report low health-related social support. Despite having a lower proportion of Internet users in our study than the general population, Internet-using women in our study had relatively high levels of online engagement and went online for both general and health-related purposes. However, Internet-based interventions targeting HIV-positive women will likely need to include providing computer and/or Internet access as well as training participants in how to navigate the Internet.
机译：尽管很少关注艾滋病毒阳性妇女，但基于互联网的艾滋病毒干预措施越来越普遍。为了了解使用互联网为艾滋病毒阳性女性提供行为干预措施的可行性，我们试图描述出于一般目的和健康相关目的使用互联网的方式，并探讨使用互联网和不使用互联网的女性之间的差异。 2014年2月至2014年4月，在纽约州布朗克斯的六个社区组织招募了103名妇女，这些组织为艾滋病毒抗体阳性者提供服务。妇女完成了30分钟的采访，并回答了有关社会人口因素，风险行为和临床特征的简短调查。我们执行了chi（2）和Kruskal-Wallis测试以比较Internet用户和非用户。 61％的参与者是当前的Internet用户，其中大多数使用个人电子设备（例如手机/智能手机）访问Internet。尽管较高比例的互联网用户是被动参与的（例如，注册以接收电子邮件更新[42.9％]或观看与健康相关的在线视频[58.7％]），但比例较低的比例（12.7-15.9％）却更多交互式活动，例如在在线讨论或博客中发布评论，问题或有关健康相关问题的信息。大多数互联网非用户（60.0％）表示有兴趣上网。缺乏计算机或Internet访问权限（37.5％）和Internet导航技能（37.5％）是不使用的主要原因。与非用户相比，互联网用户更年轻，具有较高的社会经济地位，并且报告的健康相关社会支持较低。尽管本研究中互联网用户的比例低于普通人群，但本研究中使用互联网的女性具有较高的在线参与度，并且出于一般和健康相关目的而上网。但是，针对艾滋病毒阳性女性的基于互联网的干预措施可能需要包括提供计算机和/或互联网访问权限，以及培训参与者如何浏览互联网。

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