scholarly journals It Starts With Me: Privacy concerns and stigma in the evaluation of a Facebook health promotion intervention

Sexual Health ◽  
2016 ◽  
Vol 13 (3) ◽  
pp. 228 ◽  
Author(s):  
T. Charles Witzel ◽  
Andy Guise ◽  
Will Nutland ◽  
Adam Bourne
Keyword(s):  
Social Media ◽  
Health Promotion ◽  
Sexual Health ◽  
Large Scale ◽  
Health Interventions ◽  
Second Phase ◽  
User Engagement ◽  
Bisexual Men ◽  
Health Promotion Intervention ◽  
Privacy Concerns

Background As efforts continue to increase rates of HIV testing and condom use among at-risk communities in England, organisations have sought use social media for health promotion interventions. As part of a wider evaluation of It Starts With Me (ISWM), a sexual health promotion intervention in England targeting gay and bisexual men and African people through Facebook, this study sought to explore how the online environment shapes end user engagement with sexual health interventions. A primary objective was to explore how privacy concerns can act as a barrier to engagement for the audience of ISWM. Methods: A purposive sample of 40 individuals were recruited, who were targeted by the intervention for in-depth interviews. Data collection was in two phases. In the first phase, individuals were sampled based on engagement with online health interventions in general, while in the second phase, all individuals were sampled on the basis of engagement with the intervention. Results: Privacy concerns related to the ecology of social networking sites, issues with implied disclosure and discrimination, as well as uncertainty over control of data. These concerns limited the organic reach of the intervention by confining the intervention to those who already held the norms diffused through it, and by discouraging participants from sharing and commenting on content. Conclusions: Care should be taken to address concerns when designing interventions delivered through social media. Gated interventions may be more beneficial for marginalised communities, while large-scale interventions such as ISWM may provide a useful backdrop for face-to-face interventions.

Gay Poz Sex: A Sexual Health Promotion Intervention for HIV-Positive Gay and Bisexual Men

2016 ◽  
Vol 23 (4) ◽  
pp. 517-529 ◽  
Author(s):  
Trevor A. Hart ◽  
Amy C. Willis ◽  
Scott H. Simpson ◽  
Rick E. Julien ◽  
David Hoe ◽  
...  
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Hiv Positive ◽  
Bisexual Men ◽  
Health Promotion Intervention ◽  
And Bisexual

scholarly journals Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

10.2196/20158 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e20158
Author(s):  
Dylan Gilbey ◽  
Helen Morgan ◽  
Ashleigh Lin ◽  
Yael Perry
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Digital Health ◽  
Health Interventions ◽  
Health Concern ◽  
Sufficient Evidence ◽  
Future Research ◽  
Evidence Based ◽  
Bisexual Men ◽  
Targeted Interventions

Background Young people (aged 12-25 years) with diverse sexuality, gender, or bodily characteristics, such as those who identify as lesbian, gay, bisexual, transgender, intersex, or queer (LGBTIQ+), are at substantially greater risk of a range of mental, physical, and sexual health difficulties compared with their peers. Digital health interventions have been identified as a potential way to reduce these health disparities. Objective This review aims to summarize the characteristics of existing evidence-based digital health interventions for LGBTIQ+ young people and to describe the evidence for their effectiveness, acceptability, and feasibility. Methods A systematic literature search was conducted using internet databases and gray literature sources, and the results were screened for inclusion. The included studies were synthesized qualitatively. Results The search identified 38 studies of 24 unique interventions seeking to address mental, physical, or sexual health–related concerns in LGBTIQ+ young people. Substantially more evidence-based interventions existed for gay and bisexual men than for any other population group, and there were more interventions related to risk reduction of sexually transmitted infections than to any other health concern. There was some evidence for the effectiveness, feasibility, and acceptability of these interventions overall; however, the quality of evidence is often lacking. Conclusions There is sufficient evidence to suggest that targeted digital health interventions are an important focus for future research aimed at addressing health difficulties in LGBTIQ+ young people. Additional digital health interventions are needed for a wider range of health difficulties, particularly in terms of mental and physical health concerns, as well as more targeted interventions for same gender–attracted women, trans and gender-diverse people, and people with intersex variations. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020128164; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=128164

scholarly journals Developing a Sexual Health Promotion Intervention With Young Men in Prisons: A Rights-Based Participatory Approach (Preprint)

2018 ◽  
Author(s):  
Michelle Templeton ◽  
Carmel Kelly ◽  
Maria Lohan
Keyword(s):  
Health Promotion ◽  
Health Services ◽  
Sexual Health ◽  
Young Men ◽  
Participatory Approach ◽  
Casual Sex ◽  
Health Promotion Intervention ◽  
Web Based ◽  
Incarcerated Men ◽  
The Impact

BACKGROUND The sexual health of young men in prisons is often among the poorest in any given country. They may have developed sexual behaviors that, from a public health perspective, are considered problematic and burdensome. These include poorer use of condoms and engaging in more frequent casual sex, resulting in higher rates of sexually transmitted infections, including HIV and viral hepatitis. Thus, young incarcerated men are a highly marginalized and socially excluded high-risk group, in greater need of sexual health education and services. OBJECTIVE The aim of this study was to create an innovative sexual health promotion intervention, made for and with young men in prisons, to encourage them to avail of regular sexual health checkups. This included developing a Web-based animated-style sexual health promotion intervention (1.42 min) coupled with upskilling the prison nurses to offer a partnership approach to prison health care. This paper focuses on the development of the intervention and the importance of the underpinning rights-based (RB) participatory intervention design. METHODS We employed an RB participatory approach and recruited 14 participants who attended 3 coproduction workshops held within a prison site in Northern Ireland, United Kingdom. A bespoke 3-day training for nurses beforehand, ensured they gained a deeper understanding of the determinants of poor sexual health. The coproduction team comprised young men, prison nurses, nurse sexual health consultant, media company representatives, and facilitator. Workshops focused on content, design, tone and medium of communication for a Web-based intervention that would be appealing and engaging for young incarcerated men. RESULTS A 1.42-min animation Dick loves Doot was created to promote a positive attitude toward sexual health checkups. The RB approach enabled the young men to participate, have their voices heard and see their stories reflected through the animation. The nurses’ capacities to protect, fulfill, and respect the young men’s rights to appropriate sexual health services and education was also enhanced. Evaluations confirmed that we successfully provided accurate sexual health information in a way that was engaging and accessible and that encouraged the young men to avail of the new prison sexual health services that were set up in the prison and now provided by nurses. CONCLUSIONS The RB participatory approach to health advanced in this study provided a means to (1) gain invaluable insider knowledge to understand the impact of structural determinants on health and health inequalities and strategies by which to target young incarcerated men (2) create inclusive opportunities for developing bespoke targeted interventions, and (3) galvanize collaborative partnerships to disrupt the structures and processes that lead to and encourage health inequities. To reduce future risk, effective treatment, coupled with coproduced interventions that transmit relevant health messages in a relevant and meaningful way, is key to success.

Mediation Analysis of an Effective Sexual Health Promotion Intervention for Spanish Adolescents

2015 ◽  
Vol 19 (10) ◽  
pp. 1850-1859 ◽  
Author(s):  
S. Escribano ◽  
J. P. Espada ◽  
A. Morales ◽  
M. Orgilés
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Mediation Analysis ◽  
Health Promotion Intervention

Peer‐led sexual health promotion with young gay and bisexual men ‐ results of The HAPEER Project

1997 ◽  
Vol 97 (6) ◽  
pp. 204-212 ◽  
Author(s):  
Jonathan Shepherd ◽  
Katherine Weare ◽  
Glenn Turner
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual

Vocational school students’ self‐evaluations of a sexual health promotion intervention

2019 ◽  
Vol 33 (4) ◽  
pp. 857-867
Author(s):  
Marja Pakarinen ◽  
Jari Kylmä ◽  
Mika Helminen ◽  
Tarja Suominen
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Vocational School ◽  
Health Promotion Intervention ◽  
School Students

Planning a Sexual Health Promotion Intervention With Homeless Adolescents

2002 ◽  
Vol 51 (3) ◽  
pp. 168-174 ◽  
Author(s):  
Lynn Rew ◽  
Kathryn B. Chambers ◽  
Shanti Kulkarni
Keyword(s):  
Health Promotion ◽  
Sexual Health ◽  
Health Promotion Intervention ◽  
Homeless Adolescents

scholarly journals More than just tracking time: Complex measures of user engagement with an internet-based health promotion intervention

2016 ◽  
Vol 59 ◽  
pp. 299-307 ◽  
Author(s):  
Nina B. Baltierra ◽  
Kathryn E. Muessig ◽  
Emily C. Pike ◽  
Sara LeGrand ◽  
Sheana S. Bull ◽  
...  
Keyword(s):  
Health Promotion ◽  
User Engagement ◽  
Health Promotion Intervention ◽  
Tracking Time

scholarly journals Comparative analysis of audience engagement with public health messages across multiple social media sites: Evidence-based recommendations for health communicators (Preprint)

2020 ◽  
Author(s):  
Katja Reuter ◽  
Melissa L. Wilson ◽  
Meghan Moran ◽  
NamQuyen Le ◽  
Praveen Angyan ◽  
...  
Keyword(s):  
Public Health ◽  
Social Media ◽  
Health Promotion ◽  
Health Education ◽  
Health Messages ◽  
User Engagement ◽  
Goodness Of Fit Test ◽  
Audience Engagement ◽  
The Social ◽  
Click Through Rate

BACKGROUND Public health organizations have begun to use social media to increase awareness of health harms and positively improve health behavior. However, little is known about effective strategies for the digital dissemination of health education messages that ultimately result in optimal audience engagement with the health messages and with links to educational resource(s) specified in those messages. OBJECTIVE The objective of this study was to assess the difference in audience engagement with identical anti-smoking health messages on three social media sites: Twitter, Facebook, and Instagram, and with a referring link to a tobacco prevention website cited in these messages. We hypothesized health messages might not get the same user engagement on these media, although these messages were identical and distributed at the same time. METHODS We measured the effect of health promotion messages about the risk of smoking on users of three social media sites (Twitter, Facebook, and Instagram). We disseminated 1,275 health messages between April 19 to July 12, 2017 (85 days). The messages were distributed in identical form, at the same time, as organic (non-paid) and advertised (paid) messages, each including a link to an educational website with more information about the topic. Outcome measures included (i) message engagement, ie, the click-through rate (CTR) of the social media messages, and (ii) educational website engagement: the click-through rate on the educational website (wCTR). To analyze the data and model relationships, we used mixed effects negative binomial regression, z-statistic, and the Hosmer-Lemeshow goodness of fit test. RESULTS Comparisons between social media sites showed that CTRs for identical anti-tobacco health messages differed significantly across social media (P<.001 for all). Instagram showed the statistically significant highest overall mean message engagement, followed by Facebook, and Twitter. Facebook showed the highest CTR for any individual message as well some of the lowest. However, the message CTR is not indicative of the user engagement with the educational website content. Pairwise comparisons of the social media sites differed with respect to the wCTR (P<.001 for all). Messages on Twitter showed the lowest CTR, but they resulted in the highest level of website engagement, followed by Facebook, and Instagram. We found a statistically significant higher CTR for organic (unpaid) messages compared with paid ads (P<.001). CONCLUSIONS This work contributes to developing a scientific approach to select social media platform(s) for health promotion and increasing transparency of the processes and mechanisms that make digital health education effective. CLINICALTRIAL N/A

scholarly journals Reviewing Social Media Usage for Health Promotion: A categorization in terms of user types, content types, and levels of impact (Preprint)

2020 ◽  
Author(s):  
Junhan Chen
Keyword(s):  
Social Media ◽  
Health Promotion ◽  
Medical Education ◽  
Disease Outbreak ◽  
Health Interventions ◽  
Health Campaigns ◽  
Health Organizations ◽  
Media Usage ◽  
Current Review

UNSTRUCTURED Social media has been widely used in the health context. Previous reviews have summarized social media usage in health interventions, health campaigns, medical education, and disease outbreak surveillance. However, these reviews were mostly from the perspective of health organizations. In recent years, there has not been much effort in comprehensively reviewing how social media are used by various types of users in various ways for health promotion. The current review searched literature published after 2006 and summarized social media usages for health promotion identified in the literature. The review proposed a framework to categorize these usages identified in terms of user types, content types, and level of impact. New trends and current gaps in social media usage for health promotion were also discussed.

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