Communication technology use and mHealth acceptance among HIV-infected men who have sex with men in Peru: implications for HIV prevention and treatment

Krishnan, Archana; Ferro, Enrico G.; Weikum, Damian; Vagenas, Panagiotis; Lama, Javier R.; Sanchez, Jorge; Altice, Frederick L.

doi:10.1080/09540121.2014.963014

Cited by 50Mobile Health and mHealth ApplicationsHIV/AIDS Research and InterventionsMobile Learning in Education

Communication technology use and mHealth acceptance among HIV-infected men who have sex with men in Peru: implications for HIV prevention and treatment

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Krishnan, Archana, Ferro, Enrico G., Weikum, Damian, Vagenas, Panagiotis, Lama, Javier R., Sanchez, Jorge, Altice, Frederick L.·2015·AIDS Care

DOI 10.1080/09540121.2014.963014PMC PMC4305474

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Abstract

The HIV epidemic in Peru is concentrated among men who have sex with men (MSM). Given that MSM have been documented as early adopters of emerging technology, we examined communication technology access and utilization, and mobile health (mHealth) acceptance among Peruvian MSM and transgender women (TGW) in order to gauge opportunities for mHealth-enabled HIV interventions. A convenience sample of 359 HIV-infected MSM and TGW recruited from three sites in Lima, Peru completed standardized assessments of alcohol use disorders (AUDs), risky sexual behavior, and antiretroviral therapy (ART) adherence along with self-constructed measures of communication technology access and utilization, and mHealth acceptance. Most participants (86%) had daily access to any cell phone, including smartphones (30%). The most frequent communication activities were receiving and making calls, and receiving and sending text messages using cell phones. On a 5-point Likert scale, participants expressed interest in using mHealth for medication reminders (M = 3.21, SD = 1.32) and engaging in anonymous online interactions with health professionals to discuss HIV-related issues (M = 3.56, SD = 1.33). Importantly, no significant differences were found in communication technology use and mHealth acceptance among participants with AUDs, depression, and suboptimal ART adherence, all of which are associated with poor HIV treatment outcomes. Findings show support for implementing mHealth-based intervention strategies using cell phones to assess and reduce HIV-risk behaviors among HIV-infected MSM and TGW.

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mHealth has closed the gap in the digital divide in low-resource areas.
“mHealth has closed the gap in the digital divide in low-resource areas [10].”
From Barriers to the Use of Mobile Health in Improving Health Outcomes in Developing Countries: Systematic Review (2019) · cites this paper as [10]

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Authors: Krishnan, A., Ferro, E. G., Weikum, D., Vagenas, P., Lama, J. R., Sanchez, J., & Altice, F. L.
Affiliations: Yale University (US)
Asociación Civil Impacta Salud y Educación (PE)
Corresponding author: Krishnan, Archana
ORCID: Krishnan, Archana
Ferro, Enrico G.
Weikum, Damian
Vagenas, Panagiotis
Lama, Javier R.
Altice, Frederick L.
Venue: AIDS Care
Publisher: Informa UK Limited
Published: 2014-10-06
Volume: 27
Issue: 3
Pages: 273-282
ISSN: 0954-0121 (ISSN-L)
1360-0451
DOI: 10.1080/09540121.2014.963014
PMC: PMC4305474
OpenAlex: W2046961700
Cited by: 50
References: 48
Citations by year: 2026: 4 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 10 · 2019: 2 · 2018: 6 · 2017: 5 · 2016: 1 · 2015: 4 · 2014: 2
FWCI: 7.24
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: AIDS Care (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
career development grant (K24 DA017072)
National Institute on Drug Abuse (R01 AA018944, R01DA032106)
Yale University
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
Keywords: mobile health, men who have sex with men, transgender women, people living with HIV, communication technology use, mobile devices, smartphones, text messaging, antiretroviral therapy adherence, alcoholism, sexual risk behavior, medication reminders, Peru
MeSH terms: Assessment of Medication Adherence, Adolescent, Adult, Aged, Alcohol Drinking, Education, Female, Health Surveys, Humans, Male, Middle Aged, Peru, Poverty, Surveys and Questionnaires, Risk Factors, Sexual Behavior, HIV Infections, Prevalence, Drug Monitoring, Telemedicine, Homosexuality, Male, Cell Phone, Anti-Retroviral Agents, Medication Adherence, Text Messaging, Transgender Persons

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Communication technology use and mHealth acceptance among HIV-infected men who have sex with men in Peru: implications for HIV prevention and treatment

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