Putting prevention in their pockets: developing mobile phone-based HIV interventions for black men who have sex with men

AIDS Patient Care STDS. 2013 Apr;27(4):211-22. doi: 10.1089/apc.2012.0404.

Abstract

Young black men who have sex with men (MSM) bear a disproportionate burden of HIV. Rapid expansion of mobile technologies, including smartphone applications (apps), provides a unique opportunity for outreach and tailored health messaging. We collected electronic daily journals and conducted surveys and focus groups with 22 black MSM (age 18-30) at three sites in North Carolina to inform the development of a mobile phone-based intervention. Qualitative data was analyzed thematically using NVivo. Half of the sample earned under $11,000 annually. All participants owned smartphones and had unlimited texting and many had unlimited data plans. Phones were integral to participants' lives and were a primary means of Internet access. Communication was primarily through text messaging and Internet (on-line chatting, social networking sites) rather than calls. Apps were used daily for entertainment, information, productivity, and social networking. Half of participants used their phones to find sex partners; over half used phones to find health information. For an HIV-related app, participants requested user-friendly content about test site locators, sexually transmitted diseases, symptom evaluation, drug and alcohol risk, safe sex, sexuality and relationships, gay-friendly health providers, and connection to other gay/HIV-positive men. For young black MSM in this qualitative study, mobile technologies were a widely used, acceptable means for HIV intervention. Future research is needed to measure patterns and preferences of mobile technology use among broader samples.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • African Continental Ancestry Group / psychology
  • Cell Phone*
  • Focus Groups
  • HIV Infections / diagnosis
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • Homosexuality, Male / ethnology
  • Homosexuality, Male / psychology*
  • Humans
  • Internet
  • Male
  • North Carolina
  • Primary Prevention / methods*
  • Qualitative Research
  • Risk-Taking
  • Safe Sex
  • Socioeconomic Factors
  • Text Messaging
  • Young Adult