“Are You Iffy?”: A Social Marketing Campaign to Address Uncertainty in HIV Status Communication Among Men Who Have Sex With Men

Hecht, Jennifer; Riggs, Jason; Hargraves, Hunter; Wei, Chongyi; Raymond, H. Fisher

doi:10.1097/olq.0b013e318214e447

Cited by 4 publications

(22 citation statements)

References 3 publications

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“…The use of an online education platform is particularly efficacious given the proportion of gay men who are already using the Internet regularly for sexual and social connections and the proven effectiveness of online prevention platforms in reaching marginalized groups, such as Indigenous men, men living with HIV, and lower income men (Brennan et al, 2015). Location-based social marketing campaigns, on billboards and in traditional gay or sex-seeking venues, have proven reasonably effective in promoting prevention awareness and acceptability on a small geographic scale (Hecht, Riggs, Hargraves, Wei, & Raymond, 2011), but their impact is limited to those who access these locations (Lombardo & Léger, 2007). On the other hand, online resources would be available to groups outside of a given metropolitan area and non-gay identifying men who have sex with men who may not be getting information on NPTs through location-specific means (Bowen et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Gay Men’s Understanding and Education of New HIV Prevention Technologies in Vancouver, Canada

et al. 2017

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Effective rollout of HIV treatment-based prevention such as pre-exposure prophylaxis and Treatment as Prevention has been hampered by poor education, limited acceptability, and stigma among gay men. We undertook a thematic analysis regarding the education sources and acceptability of these New Prevention Technologies (NPTs) using fifteen semi-structured interviews with gay men in Vancouver, Canada who were early adopters of NPTs. NPT education was derived from a variety of sources, including the Internet, healthcare providers, community organizations, sexual partners, and peers; participants also emphasized their own capacities as learners and educators. Acceptable forms of NPT education featured high-quality factual information, personal testimony, and easy access. Stigma was highlighted as a major barrier. In order for public health, policy makers, and gay communities to optimize the personal and population benefits of NPTs, there is a need for increased community support and dialogue, anti-stigma efforts, early NPT adopter testimony, and personalized implementation strategies.

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Section: Discussionmentioning

confidence: 99%

Gay Men’s Understanding and Education of New HIV Prevention Technologies in Vancouver, Canada

et al. 2017

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“…After preliminary screening of titles and abstracts, 25 reports were examined in full (Figure 1). Seven studies met the inclusion criteria [9,14-19]; 17 reports were excluded; one of these because it could not be located [20]. A further nine reports from five additional studies, were identified through website searches, reference list searches and contact with experts [21-29].…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies examined campaign awareness [14-18,21-28]. Seven assessed acceptability or influences on acceptability [15,16,18,21-28].…”

Section: Study Focusmentioning

confidence: 99%

“…Seven of the identified studies were conducted in the UK [9,17,19,21,23-27,29], four in the USA [14,16,18,22], and one in Canada [15,28]. …”

Section: Study Focusmentioning

confidence: 99%

“…The remainder targeted specific sub-groups of MSM by age [9,27] or ethnic sub-groups [9], recent unprotected sexual intercourse with men of unknown or discordant HIV status [15,22,28] and perceived HIV-negative serostatus [14]. None of the interventions reported aiming to target MSM according to sexual identity.…”

Section: Study Focusmentioning

confidence: 99%

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An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men

et al. 2014

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BackgroundMen who have sex with men (MSM) are at increased risk of HIV infection in both high- and low-income settings. Mass media campaigns have been used as a means of communicating HIV health promotion messages to large audiences of MSM. There is no consensus on which designs are most appropriate to evaluate the process and outcomes of such interventions.MethodsAn exploratory review was conducted to assess research examining awareness, acceptability, effects on HIV testing, disclosure and sexual risk, and cost-effectiveness of HIV mass media campaigns targeting MSM. We searched for quantitative and qualitative studies published between 1990 and May 2011 via the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Psych Info, ISI Web of Science, OpenGrey and COPAC, and contacting experts. No exclusions were made on the basis of study design or methods because our primary aim was to map evidence. We appraised study quality and present a narrative synthesis of findings.ResultsSixteen reports from 12 studies were included. All were from high-income countries and most examined multi-media interventions. Half of the studies were single cross-sectional surveys. Three repeat cross-sectional studies collected data pre and post the campaign launch. The remaining three studies monitored routine data. Three studies included a nested qualitative component. Campaign coverage was the most commonly reported outcome (9 studies). Imagery, tone of language, content and relevance were identified in the qualitative research as factors influencing campaign acceptability. HIV testing rates (or intention to test) were reported by five studies. Two studies reported that testing rates were higher among men who had seen the campaigns compared to men who had not, but this may reflect confounding. Findings were less consistent regarding reductions in sexual risk behaviours (4 studies). None of the studies examined cost-effectiveness.ConclusionsCampaigns aim to provide MSM with information to help prevent transmission of HIV and to address increasing motivation and changing norms towards precautionary behaviours. However, the limitations of mass media in imparting skills in effecting behaviour change should be recognised, and campaigns supplemented by additional components may be better-suited to achieving these goals.

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Mutual HIV Disclosure among HIV-Negative Men Who have Sex with Men in Beijing, China, 2010

et al. 2012

Arch Sex Behav

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HIV is rising rapidly among Chinese men who have sex with men (MSM). Discussion of HIV status between sexual partners is potentially a key prevention behavior. It is unclear if HIV-negative Chinese MSM talk about HIV and disclose their HIV status with sexual partners. Understanding the correlates of disclosure among this population could provide insight into developing disclosure-based interventions. We conducted a respondent driven sampling based study of 500 MSM in Beijing. A total of 332 men had a previous HIV-negative test result and thus considered themselves to be HIV-negative and were included in our analysis of disclosure. Equal numbers of these men reported talking about HIV and disclosing their HIV status to at least one sexual partner. MSM who disclosed were more likely to be living with a main partner. No other demographic characteristics were associated with disclosure in bivariate analysis. We also used data on up to three sexual partners per participant to examine disclosure on the partnership level. Main partnerships, meeting partners at bars/clubs, sometimes using alcohol before sex in a partnership, and usually having sex at home compared to other venues were associated with disclosure. Using generalized estimating equation analysis to characterize individuals from their partnership data, we found only having at least one main partnership and knowing people who were infected with HIV to be associated with a participant being a discloser. Interventions that wish to harness discussion of HIV and HIV status among Chinese MSM will need to focus on moving these discussions towards having them with casual partners.

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“Are You Iffy?”: A Social Marketing Campaign to Address Uncertainty in HIV Status Communication Among Men Who Have Sex With Men

Cited by 4 publications

References 3 publications

Gay Men’s Understanding and Education of New HIV Prevention Technologies in Vancouver, Canada

Gay Men’s Understanding and Education of New HIV Prevention Technologies in Vancouver, Canada

An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men

Mutual HIV Disclosure among HIV-Negative Men Who have Sex with Men in Beijing, China, 2010

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