%0期刊文章%@ 1438-8871 %I JMIR出版物%V 24%卡塔尔世界杯8强波胆分析 N 9% P e38244% T参与艾滋病毒和COVID-19预防:地理社交网络应用程序用户的全国横断面分析Gaither,Thomas W % a Sigalos,John T % a Landovitz,Raphael J % a Mills,Jesse N % a Litwin,Mark S % a Eleswarapu，加州大学洛杉矶分校泌尿系，David Geffen加州大学洛杉矶分校医学院，10833 Le Conte大道，CHS 27-139，洛杉矶，美国，1310794 7700，tgaither@mednet.ucla.edu %K地理社交网络应用%K暴露前预防%K疫苗接种%K农村%K男性发生性行为的男性%K监测%K数字监测%K COVID-19 %K数字应用%K地理社交网络%K公共卫生%K监测平台%K健康平台%K移动卫生%D 2022 %7 22.9.2022 %9原始论文%J J医学互联网Res %G英文%X背景:地理社交网络(GSN)应用程序在促进性伙伴关系方面发挥着关键作用，特别是在与男性发生性关系的男性中。目的:量化美国GSN应用程序用户(主要是男男性行为者)暴露前预防(PrEP)使用和COVID-19疫苗接种情况的患病率和差异。方法:基于网络的Grindr资料随机抽取了美国人口最多的50个大都市区和50个最农村的县。Grindr提供了一个公开当前PrEP使用情况的选项(HIV阳性、HIV阴性或HIV阴性且使用PrEP)。分析了所有简介中的自由文本，并记录了任何提及COVID-19疫苗接种的内容。采用多变量logistic回归评估与PrEP披露和COVID-19疫苗接种之间的独立相关性。用Imputation分析来检验结果的稳健性。 Results: We evaluated 1889 urban and 384 rural profiles. Mean age among urban profiles was 32.9 (SD 9.6) years; mean age among rural profiles was 33.5 (SD 12.1) years (P=.41). Among the urban profiles, 16% reported being vaccinated against COVID-19 and 23% reported PrEP use compared to 10% and 8% in rural profiles, respectively (P=.002 and P<.001, respectively). Reporting COVID-19 vaccination (adjusted odds ratio [aOR] 1.7, 95% CI 1.2-2.4), living in an urban center (aOR 3.2, 95% CI 1.8-5.7), and showing a face picture as part of the Grindr profile (aOR 4.0, 95% CI 2.3-7.0) were positively associated with PrEP disclosure. Self-identified Black and Latino users were less likely to report PrEP use (aOR 0.6, 95% CI 0.4-0.9 and aOR 0.5, 95% CI 0.4-0.9, respectively). Reporting PrEP use (aOR 1.7, 95% CI 1.2-2.4), living in an urban center (aOR 2.5, 95% CI 1.4-4.5), having a “discreet” status (aOR 1.6, 95% CI 1.0-2.5), and showing a face picture (aOR 2.7, 95% CI 1.5-4.8) were positively associated with reporting COVID-19 vaccination on their profile. Users in the southern United States were less likely to report COVID-19 vaccination status than those in the northeast United States (aOR 0.6, 95% CI 0.3-0.9). Conclusions: Variations in PrEP disclosure are associated with race, whereas COVID-19 vaccination disclosure is associated with geographic area. However, rural GSN users were less likely to report both PrEP use and COVID-19 vaccination. The data demonstrate a need to expand health preventative services in the rural United States for sexual minorities. GSN platforms may be ideal for deployment of preventative interventions to improve access for this difficult-to-reach population. %M 36026586 %R 10.2196/38244 %U //www.mybigtv.com/2022/9/e38244 %U https://doi.org/10.2196/38244 %U http://www.ncbi.nlm.nih.gov/pubmed/36026586