@Article{信息:doi 10.2196 / / jmir。4373，作者=“Aicken, Catherine RH和Estcourt, Claudia S和Johnson, Anne M和Sonnenberg, Pam和Wellings, Kaye和Mercer, Catherine H”，标题=“在16至44岁的性经验丰富的人中使用互联网促进性健康:来自英国人口全国代表性调查的证据”，期刊=“J Med Internet Res”，年=“2016”，月=“Jan”，日=“20”，卷=“18”，数=“1”，页=“e14”，关键词=“性健康;性传播疾病;避孕;求医行为;互联网;电子健康;调查;背景:那些上网咨询性健康问题的人是新的基于互联网的性健康干预措施的潜在用户。了解这一人群的规模和特征对于指导干预设计和实施很重要。 Objective: We aimed to estimate the prevalence in Britain of recent use of the Internet for key sexual health reasons (for chlamydia testing, human immunodeficiency virus [HIV] testing, sexually transmitted infection [STI] treatment, condoms/contraceptives, and help/advice with one's sex life) and to identify associated sociodemographic and behavioral factors. Methods: Complex survey analysis of data from 8926 sexually experienced persons aged 16-44 years in a 2010-2012 probability survey of Britain's resident population. Prevalence of recent (past year) use of Internet sources for key sexual health reasons was estimated. Factors associated with use of information/support websites were identified using logistic regression to calculate age-adjusted odds ratios (AORs). Results: Recent Internet use for chlamydia/HIV testing or STI treatment (combined) was very low (men: 0.31{\%}; women: 0.16{\%}), whereas 2.35{\%} of men and 0.51{\%} of women reported obtaining condoms/contraceptives online. Additionally, 4.49{\%} of men and 4.57{\%} of women reported recent use of information/support websites for advice/help with their sex lives. Prevalence declined with age (men 16-24 years: 7.7{\%}; 35-44 years: 1.84{\%}, P<.001; women 16-24 years: 7.8{\%}; 35-44 years: 1.84{\%}, P<.001). Use of information/support websites was strongly associated with men's higher socioeconomic status (managerial/professional vs semiroutine/routine: AOR 1.93, 95{\%} CI 1.27-2.93, P<.001). Despite no overall association with area-level deprivation, those in densely populated urban areas were more likely to report use of information/support websites than those living in rural areas (men: AOR 3.38, 95{\%} CI 1.68-6.77, P<.001; women: AOR 2.51, 95{\%} CI 1.34-4.70, P<.001). No statistically significant association was observed with number of sex partners reported after age adjustment, but use was more common among men reporting same-sex partners (last 5 years: AOR 2.44, 95{\%} CI 1.27-4.70), women reporting sex with multiple partners without condoms (last year: AOR 1.90, 95{\%} CI 1.11-3.26), and, among both sexes, reporting seeking sex online (last year, men: AOR 1.80, 95{\%} CI 1.16-2.79; women: AOR 3.00, 95{\%} CI 1.76-5.13). No association was observed with reporting STI diagnosis/es (last 5 years) or (after age adjustment) recent use of any STI service or non-Internet sexual health seeking. Conclusions: A minority in Britain used the Internet for the sexual health reasons examined. Use of information/support websites was reported by those at greater STI risk, including younger people, indicating that demand for online STI services, and Internet-based sexual health interventions in general, may increase over time in this and subsequent cohorts. However, the impact on health inequalities needs addressing during design and evaluation of online sexual health interventions so that they maximize public health benefit. ", issn="1438-8871", doi="10.2196/jmir.4373", url="//www.mybigtv.com/2016/1/e14/", url="https://doi.org/10.2196/jmir.4373", url="http://www.ncbi.nlm.nih.gov/pubmed/26792090" }