scholarly journals Adaptation of evidence-based approaches to promote HIV testing and treatment engagement among high-risk Nigerian youth

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258190
Author(s):  
Lisa M. Kuhns ◽  
Amy K. Johnson ◽  
Adedotun Adetunji ◽  
Kehinde M. Kuti ◽  
Robert Garofalo ◽  
...  

Background Nigeria has the second highest number of people living with HIV (PLWH) globally, and evidence-based approaches are needed to achieve national goals to identify, treat, and reduce new infections. Youth between the ages of 15–24, including young men who have sex with men (YMSM), are disproportionately impacted by the Nigerian HIV epidemic. The purpose of this study was to inform adaptation of evidence-based peer navigation and mHealth approaches (social media outreach to promote HIV testing; short messaging service text message reminders to promote HIV treatment engagement) to the local context within iCARE Nigeria, a multi-phase study designed to investigate combination interventions to promote HIV testing and care engagement among youth in Nigeria. Methods To elicit expert and community perspectives, a local group of advisors from academia, community, and governmental sectors provided feedback on intervention adaptation, which then informed a series of focus groups with stakeholders in Ibadan, Nigeria. Focus group data were collected over a period of three days in December of 2018. Participants in focus groups included YMSM and HIV-positive youth in care ages 16–24, and HIV service providers from local AIDS service organizations (ASO). Groups were stratified by HIV serostatus, gender, and stakeholder type. Focus group sessions were conducted using a semi-structured interview guide, audio-recorded, transcribed verbatim, and analyzed using a content analysis approach. Results Local experts recommended intervention adaptations specific to the status of peer navigators as volunteers, peer characteristics (slightly older age, high maturity level, HIV/YMSM status), and intervention characteristics and resources (low navigator to peer ratio; flexible matching by demographic and social characteristics; social media platforms and content). Five focus group discussions with stakeholders, including 27 participants were conducted to elicit feedback on these and other potential adaptations. Youth participants (n = 21) were mean age 20 years (range = 16–24); 76% HIV-positive, 76% men and 48% MSM. Service providers (n = 6) represented both HIV prevention and care services. Participants across stratified subgroups reported largely positive perceptions and high perceived acceptability of both mHealth and peer navigation strategies, and echoed the recommendations of the advisory group for volunteer-based navigators to promote altruism, with a low navigator-peer ratio (1:5). Participants emphasized the need to incorporate minimal mobile data use strategies and popular social media platforms among YMSM (e.g., Facebook, Grindr) for widespread access and reach of the interventions. Conclusions In Ibadan, Nigeria, stakeholders support the adaptation of combined mHealth and peer navigation strategies to promote HIV testing and care engagement among high-risk youth. Recommended adaptations for the local context reflect concerns about the feasibility and sustainability of the intervention and are expected to improve accessibility and acceptability.

2021 ◽  
Vol 7 (2) ◽  
pp. 205630512110088
Author(s):  
Benjamin N. Jacobsen ◽  
David Beer

As social media platforms have developed over the past decade, they are no longer simply sites for interactions and networked sociality; they also now facilitate backwards glances to previous times, moments, and events. Users’ past content is turned into definable objects that can be scored, rated, and resurfaced as “memories.” There is, then, a need to understand how metrics have come to shape digital and social media memory practices, and how the relationship between memory, data, and metrics can be further understood. This article seeks to outline some of the relations between social media, metrics, and memory. It examines how metrics shape remembrance of the past within social media. Drawing on qualitative interviews as well as focus group data, the article examines the ways in which metrics are implicated in memory making and memory practices. This article explores the effect of social media “likes” on people’s memory attachments and emotional associations with the past. The article then examines how memory features incentivize users to keep remembering through accumulation. It also examines how numerating engagements leads to a sense of competition in how the digital past is approached and experienced. Finally, the article explores the tensions that arise in quantifying people’s engagements with their memories. This article proposes the notion of quantified nostalgia in order to examine how metrics are variously performative in memory making, and how regimes of ordinary measures can figure in the engagement and reconstruction of the digital past in multiple ways.


Author(s):  
Linh Nguyen ◽  
Kim Barbour

This paper explores whether or not our online social media persona is viewed as authentic. The selfie is a fundamental part of the structure of the online identity for young people in today’s digital world. The relationship between an individual’s self-identity in the physical face-to-face environment was analysed and compared to a carefully constructed, modified virtual representation in a selfie posted on social media platforms. Data was obtained through four focus groups at the University of Adelaide. Two key theoretical frameworks provide a basis for this study: Erving Goffman’s concept of the self as a performance, and Charles Horton Cooley’s concept of the looking glass self. In examining the focus group discussions in light of these two frameworks as well as associated literature, we conclude that the authenticity of the selfie as a way of visualising a social media persona is subjective and dependent on the individual posting a selfie. Ultimately, authenticity involves a degree of subjectivity. It was on this basis that focus group participants argued that selfies could be considered authentic expressions of identity.


2021 ◽  
Vol 14 (1) ◽  
pp. 410-419
Author(s):  
Mohammed Jabardi ◽  
◽  
Asaad Hadi ◽  

One of the most popular social media platforms, Twitter is used by millions of people to share information, broadcast tweets, and follow other users. Twitter is an open application programming interface and thus vulnerable to attack from fake accounts, which are primarily created for advertisement and marketing, defamation of an individual, consumer data acquisition, increase fake blog or website traffic, share disinformation, online fraud, and control. Fake accounts are harmful to both users and service providers, and thus recognizing and filtering out such content on social media is essential. This study presents a new approach to detect fake Twitter accounts using ontology and Semantic Web Rule Language (SWRL) rules. SWRL rules-based reasoner is utilized under predefined rules to infer whether the profile is trust or fake. This approach achieves a high detection accuracy of 97%. Furthermore, ontology classifier is an interpretable model that offers straightforward and human-interpretable decision rules.


2019 ◽  
Vol 10 (2) ◽  
pp. 223-241
Author(s):  
Michelle Martin

This article explores how Rwandan diaspora living in North America and Europe use social media platforms to establish networked connections and express a range of identity narratives related to their forced displacement and resettlement experiences. Facebook posts (and cross-posted tweets), including status updates and linked artefacts, posted by members of the Rwandan diaspora were analysed using thematic analysis, borrowing concepts from virtual ethnography. Results reveal that Rwandan diaspora active on social media used Facebook and Twitter extensively to connect with homeland compatriots and to express a range of identity narratives with strong historic and cultural connections. Trauma related to their displacement and resettlement experiences was prevalent throughout the data and was strongly integrated into diaspora members’ collective identity. Contributions to migration policy and service providers working with trauma-exposed migrants are explored.


2021 ◽  
Vol 9 ◽  
Author(s):  
Javier Alvarez-Galvez ◽  
Victor Suarez-Lledo ◽  
Antonio Rojas-Garcia

Background: The widespread use of social media represents an unprecedented opportunity for health promotion. We have more information and evidence-based health related knowledge, for instance about healthy habits or possible risk behaviors. However, these tools also carry some disadvantages since they also open the door to new social and health risks, in particular during health emergencies. This systematic review aims to study the determinants of infodemics during disease outbreaks, drawing on both quantitative and qualitative methods.Methods: We searched research articles in PubMed, Scopus, Medline, Embase, CINAHL, Sociological abstracts, Cochrane Library, and Web of Science. Additional research works were included by searching bibliographies of electronically retrieved review articles.Results: Finally, 42 studies were included in the review. Five determinants of infodemics were identified: (1) information sources; (2) online communities' structure and consensus; (3) communication channels (i.e., mass media, social media, forums, and websites); (4) messages content (i.e., quality of information, sensationalism, etc.,); and (5) context (e.g., social consensus, health emergencies, public opinion, etc.). Studied selected in this systematic review identified different measures to combat misinformation during outbreaks.Conclusion: The clarity of the health promotion messages has been proven essential to prevent the spread of a particular disease and to avoid potential risks, but it is also fundamental to understand the network structure of social media platforms and the emergency context where misinformation might dynamically evolve. Therefore, in order to prevent future infodemics, special attention will need to be paid both to increase the visibility of evidence-based knowledge generated by health organizations and academia, and to detect the possible sources of mis/disinformation.


2020 ◽  
Vol 2 (1) ◽  
pp. 104-115
Author(s):  
Christine W Njuguna ◽  
Joyce Gikandi ◽  
Lucy Kathuri-Ogola ◽  
Joan Kabaria-Muriithi

There is a rise in unprecedented political infractions, disturbances and electoral violence in Africa with the youth playing a significant role. Thus, the study broadly investigated social media use and electoral violence among the youth in Kenya using two objectives that were to assess the use of social media platforms among the youth and to investigate the relationship between social media use and electoral violence among the youth. Guided by the Dependency Theory and the Social Responsibility Theory, the study was carried out in Mathare Constituency, Nairobi County, Kenya. Data collection involved questionnaires, key informant interviews and focus group discussions. Analysis of quantitative data was by descriptive statistics and regression while qualitative data was analyzed through transcription. The study findings showed that the use of social media platforms in communication has been growing with WhatsApp becoming the most ‘preferred’ platform in Kenya. The study outcome exposed the fact that social media had an important and positive effect on electoral violence among the Kenyan youth in Mathare (R = .812). On the other hand, social media (Facebook, WhatsApp, Twitter, YouTube and Instagram) had a strong explanatory strength on electoral violence among the Kenyan youth in Mathare (R2 = .659). This means that social media accounts for 65.9 percent of electoral violence among the Kenyan youth in Mathare Constituency, Nairobi County. The study, therefore, concluded that there is a relationship between social media and electoral violence among the Kenyan youth in Mathare. The study finally recommends that the government should embrace and enforce self-regulation mechanisms by Internet service providers to deter incitement. In addition, there should be increased efforts to educate and inform Internet users on the importance of assessing the credibility of information. Promotion of productive engagement as an effective instrument of dealing with online hatred is key.


Author(s):  
Louisa Walsh ◽  
Nerida Hyett ◽  
Jayne Howley ◽  
Nicole Juniper ◽  
Chi Li ◽  
...  

Background: Social media can be used to engage consumers in hospital service design and quality improvement (QI) activities, however its uptake may be limited by a lack of guidance to support implementation. This article presents the perceived barriers and enablers in using social media for consumer engagement derived from an interview study with public hospital stakeholders. Method: Semi-structured interviews with 26 Australian hospital service providers and consumer representatives. Data were analysed using a deductive content analysis method. Results: Data were collected between October 2019 and April 2020. Facebook was the platform most commonly used for consumer engagement activities. Barriers and enablers to social media-based consumer engagement were identified. The barrier themes were 1) fears and concerns; 2) lack of skills and resources for social media engagement; 3) lack of organisational processes and support; and 4) problems with social media platforms and the changing social media landscape. The enabler themes were: 1) hospitals facilitating access and use; 2) making discussions safe; 3) cultivating a social media community; and 4) building on success. Conclusion: Using social media to facilitate consumer engagement in hospital service design and QI activities is feasible and acceptable to service providers and consumers. Hospitals and their executives can create a supportive environment for social media-based engagement activities through developing clear governance systems and providing training and support to all users. Consumers need to be involved in co-designing social media-based activities and determining which forms of engagement are accessible and acceptable. For some consumers and service providers, barriers such as a lack of resources and distrust of social media companies might mean that social media-based engagement will be less acceptable for them. Because of this it is important that hospitals provide complementary methods of engagement (e.g., face-to-face) alongside social media-based methods.


2020 ◽  
Vol 54 (8) ◽  
pp. 820-826 ◽  
Author(s):  
Kathleen K. Adams ◽  
William L. Baker ◽  
Diana M. Sobieraj

News and social media platforms have implicated dietary supplements in the treatment and prevention of coronavirus disease 2019 (COVID-19). During this pandemic when information quickly evolves in the presence of contradicting messages and misinformation, the role of the pharmacist is essential. Here, we review theoretical mechanisms and evidence related to efficacy and safety of select supplements in the setting of COVID-19, including vitamin C, vitamin D, zinc, elderberry, and silver. Evidence evaluating these supplements in COVID-19 patients is lacking, and providers and patients should not rely on dietary supplements to prevent or treat COVID-19. Rather, reference to evidence-based guidelines should guide treatment decisions.


2021 ◽  
Vol 2021 (2) ◽  
pp. 369-390
Author(s):  
Varun Chandrasekaran ◽  
Chuhan Gao ◽  
Brian Tang ◽  
Kassem Fawaz ◽  
Somesh Jha ◽  
...  

Abstract Advances in deep learning have made face recognition technologies pervasive. While useful to social media platforms and users, this technology carries significant privacy threats. Coupled with the abundant information they have about users, service providers can associate users with social interactions, visited places, activities, and preferences–some of which the user may not want to share. Additionally, facial recognition models used by various agencies are trained by data scraped from social media platforms. Existing approaches to mitigate associated privacy risks result in an imbalanced trade-off between privacy and utility. In this paper, we address this trade-off by proposing Face-Off, a privacy-preserving framework that introduces strategic perturbations to images of the user’s face to prevent it from being correctly recognized. To realize Face-Off, we overcome a set of challenges related to the black-box nature of commercial face recognition services, and the scarcity of literature for adversarial attacks on metric networks. We implement and evaluate Face-Off to find that it deceives three commercial face recognition services from Microsoft, Amazon, and Face++. Our user study with 423 participants further shows that the perturbations come at an acceptable cost for the users.


2019 ◽  
Vol 14 (1) ◽  
pp. 17-30
Author(s):  
B George ◽  
Sneha N

Social media is a powerful marketing tool for the business of tourism. It provides a forum for tourists to make meaningful connections with service providers through social media platforms, and a greater understanding of products and services thereby encouraging active participation and engagement between tourists and service providers. The main objective of this paper is to study the level of exposure received from social media for tourism and the extent of the influence of social media on tourism to understand the implications of social media in the tourism industry, specifically, Bengaluru.


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