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Nittaya Phanuphak Jureeporn Jantarapakde Linrada Himmad Thanthip Sungsing Ratchadaporn Meksena Sangusa Phomthong Petchfa Phoseeta Sumitr Tongmuang Pravit Mingkwanrungruang Dusita Meekrua Supachai Sukthongsa Somporn Hongwiangchan Nutchanin Upanun Supunnee Jirajariyavej Tanate Jadwattanakul Supphadith Barisri Tippawan Pankam Praphan Phanuphak 《Journal of the International AIDS Society》2020,23(1)
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Tarandeep Anand Chattiya Nitpolprasert Stephen J. Kerr Kathryn E. Muessig Sangusa Promthong Nitiya Chomchey 《AIDS care》2017,29(7):870-875
In Thailand, young men who have sex with men (YMSM) and transgender women (TG) are disproportionately affected by HIV and have suboptimal care continuum outcomes. Although Thai YMSM and young TG are early adopters of emerging technologies and have high Internet and technology access and utilization, the potential of technology has not been harnessed to optimize the HIV treatment cascade. We interviewed 18 behaviorally HIV-infected YMSM and young TG regarding care challenges, identified how eHealth could address care needs, and elicited preferences for eHealth interventions. Participants reported struggling with individual and societal-level stigma which negatively impacted linkage to and retention in care, and antiretroviral therapy adherence. YMSM and young TG described inadequate in-person support services and heavily relied on random online resources to fill information and support gaps, but sometimes viewed them as untrustworthy or inconsistent. Participants universally endorsed the development of eHealth resources and proposed how they could ameliorate individual-level fears over stigma and improve public perceptions about HIV. Personalized and integrated eHealth interventions with interactive, user-driven structures, credible content, rewards for engagement, real-time counseling and reminder support could help overcome barriers YMSM and young TG face in traditional HIV healthcare systems and have the potential to improve care outcomes. 相似文献
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Tarandeep Anand Chattiya Nitpolprasert Jureeporn Jantarapakde Ratchadaporn Meksena Sangusa Phomthong Petchfa Phoseeta 《AIDS care》2020,32(3):394-405
ABSTRACTWe conducted a randomized control trial to evaluate the impact of a novel technology-based intervention on HIV risks and condom use behaviors among Thai men who have sex with men (MSM). Between April 2016 and August 2017, participants aged 18 years and above, and having engaged in unprotected sex in past six months were randomly assigned to control and intervention arm, and received HIV testing at baseline, month 6 and 12. Intervention arm participants engaged in 12-monthly HIV/STI prevention educational sessions delivered via Vialogues.com. Of 76 MSM enrolled, 37 were randomized to intervention and 39 to control arm. Median age was 28 (IQR 24–32) years. Thirty-three (89.2%) intervention arm participants completed all 12-monthly Vialogues sessions. At month 12, intervention arm had higher retention rate (p?=?0.029) and higher median percentage of condom use for anal intercourse (p?=?0.023) versus control arm. Over the 12-month period, intervention arm reported significant reduction in self-perceived HIV risk (p?=?0.001), popper usage (p?=?0.002), median number of sexual partners (p?=?0.003), and increased median condom use percentage (p?=?0.006). Our study highlights that “Vialogues” intervention significantly reduced number of sexual partners and condomless anal intercourse rates among Thai MSM, and has positive implications for reducing epidemic among key populations. 相似文献
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