Acceptability of HIV Prevention Information Delivered Through Established Geosocial Networking Mobile Applications to Men Who Have Sex With Men

Czarny, Heather; Broaddus, Michelle

doi:10.1007/s10461-017-1743-4

Cited by 15 publications

(12 citation statements)

References 7 publications

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“…Global guidance has recommended the integration of digital technology as a strategy to enhance the reach and effectiveness of HIV prevention efforts among MSM and TW [ 36 , 60 ]. Numerous acceptability studies have identified that MSM would be willing to use phone- and web-based technologies for HIV prevention [ 39 , 40 , 61 , 62 ]. Recent systematic reviews have explored the potential of digital technology to advance various HIV priorities among MSM and other key populations [ 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

Using Digital Communication Technology to Increase HIV Testing Among Men Who Have Sex With Men and Transgender Women: Systematic Review and Meta-Analysis

Veronese¹,

Ryan²,

Hughes³

et al. 2020

J Med Internet Res

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Background HIV continues to disproportionately affect men who have sex with men (MSM) and transgender women (TW). Undiagnosed HIV is a major driver of HIV transmission rates, and increasing the uptake of regular HIV testing and facilitating timely initiation of HIV treatment is a global HIV prevention priority. However, MSM and TW experience a range of barriers that limit their access to testing and other prevention services. Given their growing ubiquity, digital communication technologies are increasingly being used to support HIV prevention efforts, and a growing number of studies have trialed the use of digital technology to promote HIV testing among MSM and TW. Objective We undertook a systematic review and meta-analysis to assess the impact of digital communication technology on HIV testing uptake among MSM and TW. Subanalyses aimed to identify the features and characteristics of digital interventions associated with greater impact. Methods A systematic literature review was undertaken using select databases and conference repositories. Studies describing the use of a digital technology—internet-enabled devices, including phones, tablets, and computers—to increase HIV testing uptake among MSM or TW using either randomized or observational cohort design with measurement of HIV testing rates measured pre- and postintervention, and published in English between 2010 and 2018 were included. Pooled effect estimates were calculated using a random effects meta-analysis. Subanalyses calculated effect estimates grouped by selected features of digital interventions. Results A total of 13 randomized or observational studies were included in the final review. Digital interventions most commonly used mainstream, existing social media platforms (n=7) or promotion through online peer educators (n=5). Most interventions (n=8) were categorized as interactive and allowed user engagement and most directly facilitated testing (n=7) either by providing self-testing kits or referral to testing services. A total of 1930 participants were included across the 13 studies. HIV testing uptake among MSM and TW exposed to digital interventions was 1.5 times higher than that of unexposed MSM and TW (risk ratio [RR] 1.5; 95% CI 1.3-1.7). Subanalyses suggested an increased impact on HIV testing uptake among interventions that were delivered through mainstream social media–based platforms (RR 1.7; 95% CI 1.3-2.1), included direct facilitation of HIV testing (RR 1.6; 95% CI 1.4-1.9), were interactive (RR 1.6; 95% CI 1.4-1.8), and involved end users in the design process (RR 1.6; 95% CI 1.3-2.0). Conclusions These findings provide broad support for the integration of technology with existing approaches to promote and facilitate HIV testing among MSM and TW. Our findings identified key features that may be associated with greater impact on HIV testing uptake and can be used to inform future development efforts given the growing interest and application of digital technologies in HIV prevention. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42017070055; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42017070055.

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Section: Discussionmentioning

confidence: 99%

Using Digital Communication Technology to Increase HIV Testing Among Men Who Have Sex With Men and Transgender Women: Systematic Review and Meta-Analysis

Veronese¹,

Ryan²,

Hughes³

et al. 2020

J Med Internet Res

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“…6 Recently, the use of apps for mobile devices has increased by 90%, representing 77% of the total time spent by people using digital media. 2 From 2009 to 2013, an increase in the use of these apps was observed. In 2013, 40% of men who have sex with men reported that Strengths and limitations of this study ► This systematic review and meta-analysis will combine the results of different studies that have comparable effect sizes and can be computed.…”

Section: Introductionmentioning

confidence: 99%

“…2 3 Mobile applications (apps) with global positioning system (GPS) capabilities allow users to expand their contacts on social networks; they are able to view profiles, send messages, make friends and find partners for the purpose of sexual encounters. 2 The use of apps by people aged 18 years and over increased from 8% in 2005 to 72% in 2013. 4 Recent data indicate that 23%-68% of people in developing countries use the internet, and among these, 77% use sites such as Facebook, Twitter, Instagram, Pinterest and others.…”

Section: Introductionmentioning

confidence: 99%

“…1 The increasing accessibility of the internet and mobile devices (eg, laptops, smartphones and tablets) has changed the way people communicate, allowing greater mobility and speed. 2 3 Mobile applications (apps) with global positioning system (GPS) capabilities allow users to expand their contacts on social networks; they are able to view profiles, send messages, make friends and find partners for the purpose of sexual encounters. 2 …”

Section: Introductionmentioning

confidence: 99%

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Use of dating sites and applications by women and their risk of sexually transmitted infections: a systematic review and meta-analysis protocol

et al. 2020

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IntroductionThe use of social networks has been increasing worldwide. Mobile websites and applications (apps) allow people to network more quickly and have more partners for sex. This can facilitate risky sexual behaviours, such as having multiple partners and unprotected sex, which can lead to a higher incidence of sexually transmitted infections. This systematic review/meta-analysis will assess the effects of the use of dating sites and apps by women on their level of engagement in risky sexual behaviours and their incidence of sexually transmitted infections.Methods and analysisThe Cochrane Central Controlled Trials Registry, ClinicalTrials.gov, MEDLINE, Embase, SciELO, Web of Science, Scopus and Cumulative Index to Nursing & Allied Health Literature will be searched for cross-sectional studies, clinical trials and observational studies published between January 1990 and July 2020. This systematic review and meta-analysis will include studies investigating the use of mobile apps by women, risky sexual behaviour and sexually transmitted infections. The outcome will be an increase in new cases of sexually transmitted infections and HIV among women using dating sites and apps. Three independent reviewers will select the studies and extract data from the original articles. The risk of bias will be assessed using the Cochrane risk of bias tool and Risk Of Bias in Non-randomized Studies of Interventions. Data synthesis will be performed using Review Manager software (RevMan V.5.2.3). To assess heterogeneity, we will compute the I2 statistic. In addition, a quantitative synthesis will be carried out if the included studies are sufficiently homogeneous.Ethics and disseminationThis study will be a review of the published data, and thus ethical approval is not required. The findings of this systematic review will be published in a peer-reviewed journal.PROSPERO registration numberCRD42019120494.

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“…A recent meta-analysis of app-using MSM found that 46% of MSM had CAI with all partners within the previous 3 months, yet as many as 70% of those engaging in CAI had a low self-perceived risk of HIV [ 11 ]. Despite these mixed findings, GSN apps constitute a potential platform for dissemination of HIV prevention-related information or interventions [ 26 ], such as reminders for HIV testing or delivery of home HIV test kits [ 27 , 28 ], identifying locations for HIV testing and treatment centers [ 12 , 18 , 29 ], and recruitment for inclusion in studies of novel HIV prevention and treatment methods [ 16 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

Characterizing Geosocial-Networking App Use Among Young Black Men Who Have Sex With Men: A Multi-City Cross-Sectional Survey in the Southern United States

Duncan¹,

Park²,

Hambrick³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundUnderstanding where and how young black men who have sex with men (YBMSM) in the southern United States meet their sexual partners is germane to understanding the underlying factors contributing to the ongoing HIV transmission in this community. Men who have sex with men (MSM) commonly use geosocial networking apps to meet sexual partners. However, there is a lack of literature exploring geosocial networking app use in this particular population.ObjectiveOur aim was to examine the characteristics, preferences, and behaviors of a geographically diverse sample of geosocial networking app-using YBMSM in the southern United States.MethodsData were collected from a sample of 75 YBMSM across three cities (Gulfport, Mississippi; Jackson, Mississippi; and New Orleans, Louisiana). Multiple aspects of geosocial networking app use were assessed, including overall app use, age of participant at first app use, specific apps used, reasons for app use, photos presented on apps, logon times and duration, number of messages sent and received, and characteristics of and behaviors with partners met on apps. Survey measures of app-met partner and sexual behavior characteristics assessed at midpoint (Day 7) and completion visits (Day 14) were compared using McNemar’s test or Wilcoxon signed-rank test. In addition, we assessed activity spaces derived from GPS devices that participants wore for 2 weeks.ResultsOf the 70 participants who responded to the overall app-use item, almost three-quarters (53/70, 76%) had ever used geosocial networking apps. Jack’d was the most commonly used geosocial networking app (37/53, 70%), followed by Adam4Adam (22/53, 42%), and Grindr (19/53, 36%). The mean and median number of apps used were 4.3 (SD 2.7) and 4.0 (range 0-13), respectively. Most app-using participants displayed their face on the profile picture (35/52, 67%), whereas fewer displayed their bare legs (2/52, 4%) or bare buttocks (or ass; 2/52, 4%). The mean age at the initiation of app use was 20.1 years (SD 2.78) ranging from 13-26 years. Two-thirds (35/53, 66%) of the sample reported using the apps to “kill time” when bored. A minority (9/53, 17%) reported using the apps to meet people to have sex/hook up with. The vast majority of participants reported meeting black partners for sex. Over two-thirds (36/53, 68%) reported that the HIV status of their app-met partners was negative, and 26% (14/53) reported that they did not know their partner’s HIV status. There was a significant difference in GPS activity spaces between app using YBMSM compared to nonapp using YBMSM (2719.54 km2 vs 1855.68 km2, P=.011).ConclusionsUse of geosocial networking apps to meet sexual partners among our sample of YBMSM in the southern United States was common, with a diverse range of app use behaviors being reported. Further research should characterize the association between geosocial networking app use and engagement in sexual behaviors that increase risk for HIV acquisition and transmission. In addition, geosocial networking apps present a promising ...

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Acceptability of HIV Prevention Information Delivered Through Established Geosocial Networking Mobile Applications to Men Who Have Sex With Men

Cited by 15 publications

References 7 publications

Using Digital Communication Technology to Increase HIV Testing Among Men Who Have Sex With Men and Transgender Women: Systematic Review and Meta-Analysis

Using Digital Communication Technology to Increase HIV Testing Among Men Who Have Sex With Men and Transgender Women: Systematic Review and Meta-Analysis

Use of dating sites and applications by women and their risk of sexually transmitted infections: a systematic review and meta-analysis protocol

Characterizing Geosocial-Networking App Use Among Young Black Men Who Have Sex With Men: A Multi-City Cross-Sectional Survey in the Southern United States

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