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Developing Effective HIV Prevention and PrEP Promotion Messages for Self-Identified Bisexual Men
Developing Effective HIV Prevention and PrEP Promotion Messages for Self-Identified Bisexual Men
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103105
- ISBN
- 9798315711919
- DDC
- 614
- 저자명
- Lake, Shelby J.
- 서명/저자
- Developing Effective HIV Prevention and PrEP Promotion Messages for Self-Identified Bisexual Men
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 191 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
- 주기사항
- Advisor: Lazard, Allison J.
- 학위논문주기
- Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약In the United States, HIV prevention efforts have historically grouped bisexual men with gay men. However, there are important differences between these groups in HIV risk and prevention behaviors, including the use of pre-exposure prophylaxis (PrEP). Health campaigns are a promising tool to reduce disparities, but there is limited research exploring the unique barriers faced by bisexual men. This dissertation begins to address this through three studies that 1) systematically review existing HIV prevention communication research among sexual minority men; 2) examine determinants of PrEP use that might inform the content of messages; and 3) examines the effects of targeting PrEP messages by sexual identity.The systematic review included ten years of HIV prevention communication research among sexual minority men and revealed a distressing lack of representation for bisexual men. Study samples were dominated by gay men and included few bisexual men, no studies reported outcomes separately for bisexual men, and no studies considered factors unique to bisexual men. Findings highlight the lack of empirical evidence to inform effective PrEP promotion campaigns for bisexual men.A survey of N=276 self-identified bisexual men explored socio-cognitive and identity-related factors influencing PrEP use. Despite research showing that cognitive attitudes, self-efficacy, and norms are associated with PrEP uptake among mixed samples of gay and bisexual men, only affective attitudes (e.g., worry over HIV) and frequency of concealing identity from family were significantly associated with intentions. This suggests that there are differences between gay and bisexual men in effective message content and underscores the need for further work to inform content for bisexual men.Finally, an experiment among N=537 self-identified bisexual men tested how grouping gay and bisexual men in messages affects perceived identity threat and perceived message effectiveness (PME). Messages that grouped gay and bisexual men together were more threatening to bisexual men's sexual identity, and greater threat was associated with reduced PME. However, there was no effect on gender identity.Together, these studies inform the development of PrEP promotion messages for bisexual men and highlight areas where more research is needed to understand how bisexual identity among men influences message effectiveness.
- 일반주제명
- Public health
- 일반주제명
- Communication
- 일반주제명
- LGBTQ studies
- 일반주제명
- Public health education
- 키워드
- Bisexual men
- 키워드
- HIV prevention
- 기타저자
- The University of North Carolina at Chapel Hill Journalism (Mass Communication)
- 기본자료저록
- Dissertations Abstracts International. 86-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520260202103105
■006m o d
■007cr#unu||||||||
■020 ▼a9798315711919
■035 ▼a(MiAaPQ)AAI31935417
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aLake, Shelby J.
■24510▼aDeveloping Effective HIV Prevention and PrEP Promotion Messages for Self-Identified Bisexual Men
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a191 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: B.
■500 ▼aAdvisor: Lazard, Allison J.
■5021 ▼aThesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aIn the United States, HIV prevention efforts have historically grouped bisexual men with gay men. However, there are important differences between these groups in HIV risk and prevention behaviors, including the use of pre-exposure prophylaxis (PrEP). Health campaigns are a promising tool to reduce disparities, but there is limited research exploring the unique barriers faced by bisexual men. This dissertation begins to address this through three studies that 1) systematically review existing HIV prevention communication research among sexual minority men; 2) examine determinants of PrEP use that might inform the content of messages; and 3) examines the effects of targeting PrEP messages by sexual identity.The systematic review included ten years of HIV prevention communication research among sexual minority men and revealed a distressing lack of representation for bisexual men. Study samples were dominated by gay men and included few bisexual men, no studies reported outcomes separately for bisexual men, and no studies considered factors unique to bisexual men. Findings highlight the lack of empirical evidence to inform effective PrEP promotion campaigns for bisexual men.A survey of N=276 self-identified bisexual men explored socio-cognitive and identity-related factors influencing PrEP use. Despite research showing that cognitive attitudes, self-efficacy, and norms are associated with PrEP uptake among mixed samples of gay and bisexual men, only affective attitudes (e.g., worry over HIV) and frequency of concealing identity from family were significantly associated with intentions. This suggests that there are differences between gay and bisexual men in effective message content and underscores the need for further work to inform content for bisexual men.Finally, an experiment among N=537 self-identified bisexual men tested how grouping gay and bisexual men in messages affects perceived identity threat and perceived message effectiveness (PME). Messages that grouped gay and bisexual men together were more threatening to bisexual men's sexual identity, and greater threat was associated with reduced PME. However, there was no effect on gender identity.Together, these studies inform the development of PrEP promotion messages for bisexual men and highlight areas where more research is needed to understand how bisexual identity among men influences message effectiveness.
■590 ▼aSchool code: 0153.
■650 4▼aPublic health
■650 4▼aCommunication
■650 4▼aLGBTQ studies
■650 4▼aPublic health education
■653 ▼aBisexual men
■653 ▼aHealth communication
■653 ▼aHIV prevention
■653 ▼aPre-exposure prophylaxis
■653 ▼aPerceived message effectiveness
■690 ▼a0573
■690 ▼a0459
■690 ▼a0492
■690 ▼a0500
■71020▼aThe University of North Carolina at Chapel Hill▼bJournalism (Mass Communication).
■7730 ▼tDissertations Abstracts International▼g86-11B.
■790 ▼a0153
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356945▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
