TY - JOUR AU - Gaither, Thomas W AU - Sigalos, John T AU - Landovitz, Raphael J AU - Mills, Jesse N AU - Litwin, Mark S AU - Eleswarapu, Sriram V PY - 2022 DA - 2022/9/22 TI -参与艾滋病毒和COVID-19预防:全国性的横断面分析用户的地理定位网络应用乔- J地中海互联网Res SP - e38244六世- 24 - 9千瓦,地理定位网络应用程序暴露前预防KW - KW -疫苗接种KW -农村KW -与男性发生性关系的男性KW -监视KW -数字监控KW - COVID-19 KW -数字应用千瓦地理定位网络KW -公共卫生千瓦监测平台KW -健康平台KW -移动健康AB -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。结果:我们评估了1889个城市和384个农村档案。 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. SN - 1438-8871 UR - //www.mybigtv.com/2022/9/e38244 UR - https://doi.org/10.2196/38244 UR - http://www.ncbi.nlm.nih.gov/pubmed/36026586 DO - 10.2196/38244 ID - info:doi/10.2196/38244 ER -