Designing HIV Testing and Self-Testing Services for Young People in Nigeria: A Discrete Choice Experiment.
Designing HIV Testing and Self-Testing Services for Young People in Nigeria: A Discrete Choice Experiment.
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DOI：
10.1007/s40271-021-00522-2
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Ezechi O
中科院分区：
文献类型：
--
作者：
Ong JJ;Nwaozuru U;Obiezu-Umeh C;Airhihenbuwa C;Xian H;Terris-Prestholt F;Gbajabiamila T;Musa AZ;Oladele D;Idigbe I;David A;Okwuzu J;Bamidele T;Iwelunmor J;Tucker JD;Ezechi O
三分之一的新艾滋病毒感染发生在年轻人中，大多数感染艾滋病毒的年轻人在撒哈拉以南非洲。我们研究了尼日利亚青年对艾滋病毒检测和艾滋病毒自我检测的偏好。在尼日利亚青年（14-24岁）中进行了离散选择实验（DCE）。参与者完成了两个DCE之一：1）首选的艾滋病毒检测质量（成本，测试地点，测试类型，进行测试的人和测试地点的艾滋病毒药物的可用性）; 2）首选的HIVST试剂盒质量（成本，测试质量，测试类型，额外项目和支持，如果测试呈阳性）。随机参数logit（RPL）模型测量偏好的强度。共有504名青年参与：平均年龄21岁（SD 2），38%的男性，35%的高中以上学历。尽管男性不太可能进行艾滋病毒检测或使用艾滋病毒/艾滋病预防和治疗工具包，但总体而言，鉴于所提出的设想，人们强烈倾向于进行检测。青少年更喜欢在私立/公立医院或家中提供的免费、基于血液的艾滋病毒检测服务（按重要性排列属性），因为艾滋病毒药物可以在检测的同一地点获得，并且由医生进行检测。参与者更喜欢HIVST试剂盒（按重要性排序），这些试剂盒可从社区卫生中心获得，免费，经世卫组织批准，包括其他性传播感染（STI）检测，可以选择在线聊天和口服HIVST。艾滋病毒家庭检测与在医院检测一样受欢迎，这表明，如果试剂盒能满足青年人的偏好，艾滋病毒/艾滋病预防和治疗技术就有一个可行的市场。男青年不太可能选择检测艾滋病毒或使用艾滋病毒/艾滋病预防和治疗工具包，这突出表明需要进一步努力鼓励在男青年中进行艾滋病毒检测。
A third of new HIV infections occur among young people and the majority of young people living with HIV are in sub-Saharan Africa. We examined the strength of Nigerian youth preferences related to HIV testing and HIV self-testing. Discrete choice experiments (DCEs) were conducted among Nigerian youth (age 14-24 years). Participants completed one of two DCEs: 1) preferred qualities of HIV testing (cost, location of test, type of test, person who conducts the test and availability of HIV medicine at the testing site); 2) preferred qualities of HIVST kits (cost, test quality, type of test, extra items and support if tested positive). A random parameters logit (RPL) model measured the strength of preferences. A total of 504 youth participated: mean age 21 (SD 2) years, 38% men, and 35% had higher than secondary school education. There was a strong preference overall to test given the scenarios presented, although males were less likely to test for HIV or use HIVST kits. Youth preferred HIV testing services (with attributes in order of importance) that are free, blood-based testing, available in private/public hospitals or home, for HIV medications to be available in the same location as testing, and a doctor conducts the test. Participants preferred HIVST kits (with attributes in order of importance) that are available from community health centers, free, approved by the WHO, include other sexually transmitted infection (STI) testing, have the option of an online chat and oral-based HIVST. HIV home testing was equally preferred to testing in a hospital, suggesting a viable market for HIVST if kits account for youth preferences. Male youth were less likely to choose to test for HIV or use HIVST kits, underscoring the need for further efforts to encourage HIV testing among young males.
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影响因子：
3.6
作者：
Allen E;Gordon A;Krakower D;Hsu K
通讯作者：
Hsu K
影响因子：
6
作者：
Oladele EA;Badejo OA;Obanubi C;Okechukwu EF;James E;Owhonda G;Omeh OI;Abass M;Negedu-Momoh OR;Ojehomon N;Oqua D;Raj-Pandey S;Khamofu H;Torpey K
通讯作者：
Torpey K
影响因子：
3.7
作者：
Ajayi, Anthony Idowu;Awopegba, Oluwafemi Emmanuel;Ushie, Boniface Ayanbekongshie
通讯作者：
Ushie, Boniface Ayanbekongshie
影响因子：
4.5
作者：
Strauss M;George G;Mantell JE;Romo ML;Mwai E;Nyaga EN;Odhiambo JO;Govender K;Kelvin EA
通讯作者：
Kelvin EA
影响因子：
2.1
作者：
Bech, M;Gyrd-Hansen, D
通讯作者：
Gyrd-Hansen, D