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A Crowdsourced Physician Finder Prototype Platform for Men Who Have Sex with Men in China: Qualitative Study of Acceptability and Feasibility.

Authors
  • Wu, Dan1, 2
  • Huang, Wenting3
  • Zhao, Peipei2, 4
  • Li, Chunyan5
  • Cao, Bolin6
  • Wang, Yifan6
  • Stoneking, Shelby7
  • Tang, Weiming2, 8, 9
  • Luo, Zhenzhou4
  • Wei, Chongyi10
  • Tucker, Joseph1, 2, 8
  • 1 Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom. , (United Kingdom)
  • 2 Social Entrepreneurship to Spur Health Global, Guangzhou, China. , (China)
  • 3 School of Public Health, Emory University, Atlanta, GA, United States. , (United States)
  • 4 Shenzhen Nanshan Canter for Chronic Disease Control, Shenzhen, China. , (China)
  • 5 Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. , (United States)
  • 6 School of Media and Communication, Shenzhen University, Shenzhen, China. , (China)
  • 7 School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. , (United States)
  • 8 Project-China, University North Carolina at Chapel Hill, Guangzhou, China. , (China)
  • 9 Dermatology Hospital, Southern Medical University, Guangzhou, China. , (China)
  • 10 Department of Social and Behavior Health Sciences, Rutgers School of Public Health, Piscataway, NJ, United States. , (United States)
Type
Published Article
Journal
JMIR public health and surveillance
Publication Date
Oct 08, 2019
Volume
5
Issue
4
Identifiers
DOI: 10.2196/13027
PMID: 31596245
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Men who have sex with men (MSM), including both gay and bisexual men, have a high prevalence of HIV and sexually transmitted infections (STIs) in China. However, healthcare seeking behaviors and engagement in clinical services among MSM are often suboptimal. Global evidence shows that embedding online HIV or sexual health services into gay social networking applications holds promise for facilitating higher rates of healthcare utilization among MSM. We developed a prototype of a gay-friendly health services platform, designed for integration within a popular gay social networking app (Blued) in China. The purpose of this study was to evaluate the acceptability of the platform and ask for user feedback through focus group interviews with young MSM in Guangzhou and Shenzhen, cities in Southern China. The prototype was developed through an open, national crowdsourcing contest. Open crowdsourcing contests solicit community input on a topic in order to identify potential improvements and implement creative solutions. The prototype included a local, gay-friendly, STI physician finder tool and online psychological consulting services. Semistructured focus group discussions were conducted with MSM to ask for their feedback on the platform, and a short survey was administered following discussions. Thematic analysis was used to analyze the data in NVivo, and we developed a codebook based on the first interview. Double coding was conducted, and discrepancies were discussed with a third individual until consensus was reached. We then carried out descriptive analysis of the survey data. A total of 34 participants attended four focus group discussions. The mean age was 27.3 years old (SD 4.6). A total of 32 (94%) participants obtained at least university education, and 29 (85%) men had seen a doctor at least once before. Our survey results showed that 24 (71%) participants had interest in using the online health services platform and 25 (74%) thought that the system was easy to use. Qualitative data also revealed that there was a high demand for gay-friendly healthcare services which could help with care seeking. Men felt that the platform could bridge gaps in the existing HIV or STI service delivery system, specifically by identifying local gay-friendly physicians and counselors, providing access to online physician consultation and psychological counseling services, creating space for peer support, and distributing pre-exposure prophylaxis and sexual health education. Crowdsourcing can help develop a community-centered online platform linking MSM to local gay-friendly HIV or STI services. Further research on developing social media-based platforms for MSM and evaluating the effectiveness of such platforms may be useful for improving sexual health outcomes. ©Dan Wu, Wenting Huang, Peipei Zhao, Chunyan Li, Bolin Cao, Yifan Wang, Shelby Stoneking, Weiming Tang, Zhenzhou Luo, Chongyi Wei, Joseph Tucker. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 08.10.2019.

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