Preliminary Impact of the weCare Social Media Intervention to Support Health for Young Men Who Have Sex with Men and Transgender Women with HIV
| Autor: | J. Manuel Garcia, Jorge Alonzo, Scott D. Rhodes, Amanda E. Tanner, Eun-Young Song, Cornelius N Van Dam, Katherine R Schafer, Jonathan Bell, Elias Arellano Hall, Samuella Ware, Lilli Mann-Jackson |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Gerontology Adolescent Anti-HIV Agents Sexual Behavior Ethnic group HIV Infections Transgender Persons Health Services Accessibility Medication Adherence Men who have sex with men Sexual and Gender Minorities Young Adult 03 medical and health sciences 0302 clinical medicine McNemar's test Intervention (counseling) Transgender Ethnicity Humans Medicine Social media 030212 general & internal medicine Healthcare Disparities Homosexuality Male Minority Groups Text Messaging 030505 public health business.industry Clinical and Epidemiologic Research Public Health Environmental and Occupational Health Attendance Hispanic or Latino Continuity of Patient Care Black or African American Treatment Outcome Infectious Diseases Female 0305 other medical science business Social Media Viral load |
| Zdroj: | AIDS Patient Care and STDs. 32:450-458 |
| ISSN: | 1557-7449 1087-2914 |
| DOI: | 10.1089/apc.2018.0060 |
| Popis: | Young racial/ethnic minority men who have sex with men (MSM) and transgender women with HIV often have poor health outcomes. They also utilize a wide array of social media. Accordingly, we developed and implemented weCare, a social media intervention utilizing Facebook, texting, and GPS-based mobile social and sexual networking applications to improve HIV-related care engagement and health outcomes. We compared viral load suppression and clinic appointment attendance among 91 participants during the 12-month period before and after weCare implementation. McNemar's chi-square test analyses were conducted comparing the pre- and postintervention difference using paired data. Since February 2016, intervention staff and 91 intervention participants (79.1% African American and 13.2% Latino, mean age = 25) exchanged 13,830 messages during 3,758 conversations (average: 41.3 conversations per participant) across a variety of topics, including appointment reminders, medication adherence, problem solving, and reducing barriers. There were significant reductions in missed HIV care appointments (68.0% vs. 53.3%, p = 0.04) and increases in viral load suppression (61.3% vs. 88.8%, p |
| Databáze: | OpenAIRE |
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