Sunday, January 17, 2016

Social Media and HIV: A Systematic Review of Uses of Social Media in HIV Communication

Background
Social media, including mobile technologies and social networking sites, are being used increasingly as part of human immunodeficiency virus (HIV) prevention and treatment efforts. As an important avenue for communication about HIV, social media use may continue to increase and become more widespread.

Objective
The objective of this paper is to present a comprehensive systematic review of the current published literature on the design, users, benefits, and limitations of using social media to communicate about HIV prevention and treatment.

Methods
This review paper used a systematic approach to survey all literature published before February 2014 using 7 electronic databases and a manual search. The inclusion criteria were (1) primary focus on communication/interaction about HIV/acquired immunodeficiency syndrome (AIDS), (2) discusses the use of social media to facilitate communication, (3) communication on the social media platform is between individuals or a group of individuals rather than the use of preset, automated responses from a platform, (4) published before February 19, 2014, and (5) all study designs.

Results
The search identified 35 original research studies. Thirty studies had low or unclear risk of at least one of the bias items in the methodological quality assessment. Among the 8 social media platform types described, short message service text messaging was most commonly used. Platforms served multiple purposes including disseminating health information, conducting health promotion, sharing experiences, providing social support, and promoting medication adherence. Social media users were diverse in geographic location and race/ethnicity; studies commonly reported users aged 18-40 years and users with lower income. Although most studies did not specify whether use was anonymous, studies reported the importance of anonymity in social media use to communicate about HIV largely due to the stigma associated with HIV. The ability to share and receive information about HIV was the most commonly reported benefit of social media use and the most common challenges were related to technology. Measures of frequency of use, satisfaction, and effects of use varied across studies.

Conclusions
Using social media to bridge communication among a diverse range of users, in various geographic and social contexts, may be leveraged through pre-existing platforms and with attention to the roles of anonymity and confidentiality in communication about HIV prevention and treatment. More robust research is needed to determine the effects of social media use on various health and social outcomes related to HIV.

Full article at:   http://goo.gl/7OaH7N

By:  Tamara Taggart, MPH, 1 Mary Elisabeth Grewe, MPH,2,3 Donaldson F Conserve, PhD, MPH,1 Catherine Gliwa, BA,2,3and Malika Roman Isler, PhD, MPH3,4
1Department of Health Behavior, University of North Carolina at Chapel Hill (http://sph.unc.edu/hb/health-behavior-home/), Chapel Hill, NC, United States
2Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
3Department of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
4North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
Tamara Taggart, Department of Health Behavior, University of North Carolina at Chapel Hill, 135 Dauer Drive 302 Rosenau Hall, CB Number 7440, Chapel Hill, NC, 27599-7440, United States, Phone: 1 919 966 5771, Fax: 1 919 966 2921,  ude.cnu.liame@traggatt.





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