The Future of Internet-Based HIV Prevention: A Report on Key Findings from the Men’s INTernet (MINTS-I, II) Sex Studies

Rosser, B. R. Simon; Wilkerson, J. Michael; Smolenski, Derek J.; Oakes, J. Michael; Konstan, Joseph A.; Horvath, Keith J.; Kilian, Gunna; Novak, David S.; Danilenko, Gene P.; Morgan, Richard

doi:10.1007/s10461-011-9910-5

Cited by 84 publications

(74 citation statements)

References 37 publications

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“…50 Critical analysis of sexual media may be promoted through sex education programs, humorous videos, or instructional games. 50 In addition, certain pornography users (e.g., paraphilic users, MSM) may be potential targets for sexual health interventions such as Internet interventions, 9,51,52 and this area certainly warrants further investigation. Notes a.…”

Section: Discussionmentioning

confidence: 99%

Association Between Pornography Use and Sexual Risk Behaviors in Adult Consumers: A Systematic Review

Harkness

Mullan

Blaszczynski

2015

Cyberpsychology, Behavior, and Social Networking

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The purpose of this review was to determine whether an association exists between sexual risk behaviors and pornography consumption. Consumption of pornography is common, yet research examining its link with sexual risk behaviors is in its infancy. Indicators of sexual risk behavior, including unsafe sex practices and a higher number of sexual partners, have been linked to poor health outcomes. A systematic literature search was performed using Medline, PsycINFO, Web of Knowledge, Pubmed, and CINAHL. Studies were included if they assessed the association between pornography use and indicators of sexual risk behaviors in an adult population. A total of 17 were included in the review, and all were assessed for research standards using the Quality Index Scale. For both Internet pornography and general pornography, links with greater unsafe sex practices and number of sexual partners were identified. Limitations of the literature, including low external validity and poor study design, restrict the generalizability of the findings. Accordingly, replication and more rigorous methods are recommended for future research.

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Section: Discussionmentioning

confidence: 99%

Association Between Pornography Use and Sexual Risk Behaviors in Adult Consumers: A Systematic Review

Harkness

Mullan

Blaszczynski

2015

Cyberpsychology, Behavior, and Social Networking

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“…119,139,225 In social networking interventions, interest tends to decline over time or messages may be downloaded once without further engagement. Different delivery mechanisms may sustain interest, such as videos, quizzes, etc., but this runs the risk of fragmenting the message.…”

Section: Box 6 Self-access or Kiosk-based Intervention Deliverymentioning

confidence: 99%

Sexual health promotion for young people delivered via digital media: a scoping review

et al. 2015

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BackgroundYoung people are at risk of poor sexual health and are, therefore, in need of comprehensive, effective sexual health education. Young people are confident and constant users of digital technology, such as the internet and mobile phones, and there are many innovative possibilities for sexual health education involving these technologies.ObjectivesTo summarise evidence on effectiveness, cost-effectiveness and mechanism of action of interactive digital interventions (IDIs) for sexual health; optimal practice for intervention development; contexts for successful implementation; research methods for digital intervention evaluation; and the future potential of sexual health promotion via digital media.DesignLiterature review of evidence on digital interventions for sexual health for young people, integrating the findings with the views of young people, parents and experts in digital media/sexual health. IDIs are defined as digital media programmes that provide health information and tailored decision support, behaviour-change support and/or emotional support. We focus on sexual well-being for young people aged 13–24 years in the UK.ResultsThere are many imaginative IDIs for sexual health promotion, but few interventions address issues that are important to young people, such as sexual pleasure and relationships. It is vital to collaborate with young people and to use Behaviour-Change Theory in designing interventions. We located 19 randomised controlled trials of IDIs for sexual health promotion for young people, finding a moderate effect on sexual health knowledge [standardised mean difference (SMD) 0.54, 95% confidence interval (CI) 0.17 to 0.92], a small effect on confidence (self-efficacy) (SMD 0.11, 95% CI 0.02 to 0.20) and a positive effect on sexual behaviour (odds ratio 1.28, 95% CI 1.01 to 1.61), but no significant effects on safer sex intention or biological outcomes. One study suggests that IDIs may be as good as face-to-face interventions for sexual health knowledge and safer sex intention. There are no existing data on the cost-effectiveness of IDIs for sexual health promotion. The impact of an IDI will be determined by the proportion of the target population reached, intervention efficacy, adoption in a setting, how well it is delivered and maintenance/sustainability. All of these elements must be addressed for IDIs to be successful. More collaboration is needed to capitalise on the knowledge of users and stakeholders, the design and software skills of the commercial sector and the theoretical expertise and evaluation skills of academia.ConclusionsIDIs are effective for knowledge acquisition and sexual behaviour, and could usefully contribute to sexual health education in schools, in clinic settings and online; however, there are obstacles to overcome, such as access to information technology and ensuring the quality and safety of interventions.Future workMore evidence is needed on the best designs for interventions (e.g. choice of behaviour-change mechanisms and interactive features) and the best models of delivery (e.g. setting, modes of delivery, methods of facilitation and support for engagement) to improve sexual behaviour, biological outcomes and sexual well-being in a cost-effective way.FundingThe National Institute for Health Research Public Health Research programme.

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“…A rede mundial de computadores contribui significativamente, por proporcionar não somente a divulgação de conteúdos em escala mundial, mas também por permitir a reunião de diversos sujeitos com características comuns de forma on-line e prática, em um ambiente que propicia relações mais horizontais e permite diálogos democráticos 19 .…”

Section: Discussionunclassified

Fórum PrEP: um debate on-line sobre uso da profilaxia pré-exposição no Brasil

Queiroz

Sousa

2017

Cad. Saúde Pública

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The Future of Internet-Based HIV Prevention: A Report on Key Findings from the Men’s INTernet (MINTS-I, II) Sex Studies

Cited by 84 publications

References 37 publications

Association Between Pornography Use and Sexual Risk Behaviors in Adult Consumers: A Systematic Review

Association Between Pornography Use and Sexual Risk Behaviors in Adult Consumers: A Systematic Review

Sexual health promotion for young people delivered via digital media: a scoping review

Fórum PrEP: um debate on-line sobre uso da profilaxia pré-exposição no Brasil

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