外籍人员和旅行者网络中艾滋病毒和其他性传播感染的预防:卡塔尔世界杯8强波胆分析在线论坛中同伴互动的定性研究[A Crawford,Gemma, A Maycock,Bruce, A Tobin,Rochelle, A Brown,Graham, A Lobo,Roanna] +公共卫生证据、研究和影响合作,科廷大学公共卫生学院,400号楼,肯特街,Bentley, 6102,澳大利亚,61 892664851g.crawford@curtin.edu.au %K艾滋病毒%K性传播疾病%K男性%K公共卫生%K健康促进%K在线社交网络%K社会支持%K旅行%K人类移民%K移民和移民%K性传播疾病%K社交网络%D 2018 %7 2018年5月9日背景:在澳大利亚等高收入国家,海外感染艾滋病毒的比例越来越高,包括外籍人士和旅行者。澳大利亚的国家战略强调需要对重点人群采取公共卫生干预措施。一种方法是将努力扩大到外籍人士社区居住的地方或空间。外籍人士和旅行者使用的论坛等在线环境有可能预防那些难以通过更传统的干预措施接触到的性传播感染。目的:我们的目标是(1)确定并描述生活或工作在泰国的澳大利亚侨民和旅行者使用的一个在线论坛的社会互动和参与领域;(2)向促进健康的组织和决策者提出建议,说明这些论坛在对可能有感染艾滋病毒或其他性传播感染风险的流动人口进行公共卫生干预方面的作用。方法:分两个阶段对论坛和用户进行识别。我们确定了13个在线论坛,并分析了它们的纳入标准。 We searched 1 forum that met the required criteria for users who met inclusion criteria (n=5). Discussion threads, rather than individual posts, were units of analysis. For each user, we collected as transcripts the first 100 posts and 10 most recent posts, including the thread in which they were posted. We analyzed and thematically coded each post (n=550). Transcripts and analyses were reviewed and refined by multiple members of the research team to improve rigor. Themes were not totally emergent but explored against symbolic interactionism concepts of presentation of self, meaning, and socialization. Results: Key domains were as follows: the forum (characteristics of the space and reasons for use), gaining access (forum hierarchy and rules), identity (presentation of self and role of language), advice, support, and information (sources of information, support provided, influencers, topics of discussion, and receptiveness to advice), and risk (expectations and perceptions). The forum exhibited evidence of unique language, rules and norms, and processes for managing conflict and key influencers. The forum was a substantial source of health information and advice provided to users via confirmation, reassurance, or affirmation of beliefs and experiences. Risk perception and expectations varied. Risk taking, including around sex, appeared to be a key expectation of travel or the experience of being an expatriate or traveler. Conclusions: Australian expatriate and long-term traveler participation in the online forum formed, influenced, and reinforced knowledge, attitudes, interaction, and identity. Such forums can be used by policy makers and health-promoting organizations to provide supplementary sources of support and information to hard-to-reach mobile populations who may be at risk of acquiring HIV or other sexually transmissible infections. This will complement existing engagement with health professionals and other public health interventions. %M 30185404 %R 10.2196/10787 %U //www.mybigtv.com/2018/9/e10787/ %U https://doi.org/10.2196/10787 %U http://www.ncbi.nlm.nih.gov/pubmed/30185404
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