TY - JOUR AU - Brennan, David J AU - Lachowsky, Nathan J AU - Georgievski, Georgi AU - Rosser, Brian R Simon AU - MacLachlan, Duncan AU - Murray, James PY - 2015 DA - 2015/12/09 TI -加拿大安大略省使用互联网寻求与其他男性发生性关系的男性(MISM)的在线扩展服务:在线调查JO - J Med Internet Res SP - e277 VL - 17 IS - 12 KW -男同性恋者KW -艾滋病毒预防KW -互联网KW -在线推广KW -男男性行为者KW -艾滋病毒/艾滋病KW -性健康KW -移动技术与性健康AB -背景:利用互联网寻求与其他男性发生性行为的男子(MISM)越来越多地利用互联网查找性健康信息和寻找性伴侣，一些研究表明，艾滋病毒的传播与网上的性伙伴关系有关。一些艾滋病服务组织(ASOs)通过性社交网站和移动应用程序提供在线推广服务，旨在“满足男性的需求”。目的:探讨中小学生网络外展的体验和自我感知影响。方法:从2013年12月至2014年1月，从安大略省的互联网网站、移动应用程序和aso中招募16岁及以上的MISM，完成一份15分钟的匿名在线问卷，调查他们的在线外展体验。使用反向逐步多变量logistic回归(P< 0.05)评估与遇到在线外展相关的人口统计学因素。0.05为显著)。结果:在完成调查的1830名MISM中，8.25%(151/1830)报告了在线外展服务的直接经验。原住民与白人、来自多伦多的MISM与来自安大略省东部或西南部的MISM相比，以及接受任何社会援助的MISM更有可能遇到在线外联。经历过在线外展的MISM认为服务提供者友好(130/141,92.2%)、容易理解(122/140,87.1%)、乐于助人(115/139,82.7%)、及时(107/143,74.8%)、知识渊博(92/134,68.7%); half reported they received a useful referral (49/98, 50%). Few MISM felt the interaction was annoying (13/141, 9.2%) or confusing (18/142, 12.7%). As a result of their last online outreach encounter, MISM reported the following: better understanding of (88/147, 59.9%) and comfort with (75/147, 51.0%) their level of sexual risk; increased knowledge (71/147, 48.3%); and feeling less anxious (51/147, 34.7%), better connected (46/147, 31.3%), and more empowered (40/147, 27.2%). Behaviorally, they reported using condoms more frequently (48/147, 32.7%) and effectively (35/147, 23.8%); getting tested for HIV (43/125, 34.4%) or STIs (42/147, 28.6%); asking for their partners’ HIV statuses (37/147, 25.2%); and serosorting (26/147, 17.7%). Few MISM reported no changes (15/147, 10.2%) and most would use these services again (98/117, 83.8%). Most MISM who did not use online outreach said they did not need these services (1074/1559, 68.89%) or were unaware of them (496/1559, 31.82%). Conclusions: This is the first online outreach evaluation study of MISM in Canada. Online outreach services are a relatively new and underdeveloped area of intervention, but are a promising health promotion strategy to provide service referrals and engage diverse groups of MISM in sexual health education. SN - 1438-8871 UR - //www.mybigtv.com/2015/12/e277/ UR - https://doi.org/10.2196/jmir.4503 UR - http://www.ncbi.nlm.nih.gov/pubmed/26681440 DO - 10.2196/jmir.4503 ID - info:doi/10.2196/jmir.4503 ER -