Evaluating use of mass-media communication intervention 'MTV-Shuga' on increased awareness and demand for HIV and sexual health services by adolescent girls and young women in South Africa: an observational study.
Evaluating use of mass-media communication intervention 'MTV-Shuga' on increased awareness and demand for HIV and sexual health services by adolescent girls and young women in South Africa: an observational study.
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DOI：
10.1136/bmjopen-2022-062804
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发表时间：
2023-05-19
期刊：
影响因子：
2.9
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中科院分区：
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[目的]调查在扩大艾滋病毒综合预防干预措施期间，接触MTV Shuga：Down South‘(MTVShuga-DS)对青春期女孩和年轻妇女(AGYW)性生殖健康(SRH)和艾滋病毒预防服务(AGYW)的认识和接受度的影响。对AGYW有代表性的样本进行了一次纵向调查和三次横断面调查。AGYW在四个艾滋病毒高流行区(>；10%)(2017年5月和2019年9月)。6311岁，12-24岁。通过Logistic回归分析，我们测量了接触MTV Shuga-DS与暴露前预防意识(PrEP)、最后一次性行为时使用安全套、接受HIV检测或避孕以及妊娠或单纯疱疹病毒(HSV-2)感染的关系。在农村队列中，2184名(85.5%)符合条件的被调查者参加了调查，其中92.6%的人至少进行过一次随访；城市横断面调查登记了4127名(22.6%)符合条件的被调查者。自我报告至少观看一集MTV Shuga-DS的比例分别为14.1%(队列)和35.8%(横断面)，故事情节回忆为5.5%(队列)和6.7%(横断面)。在队列中，调整后(对于艾滋病毒预防干预-暴露、年龄、教育、社会经济状况)，MTVShuga-DS暴露与更高的预防前知晓率(调整后OR(AOR)2.06，95%CI 1.57至2.70)、避孕接受(AOR 2.08，95%CI 1.45至2.98)和持续使用避孕套(AOR 1.84，95% CI 1.24至2.93)相关，但与艾滋病毒检测(AOR 1.02，95%CI 0.77至1.21)或感染HSV-2(AOR 0.92，95% 可信区间为0.61~1.38)。在横断面上，MTVShuga-DS与更高的前诱发电位意识相关(AOR1.7，95% 可信区间1.20~2.43)，但没有其他结果。在南非的城市和农村AGYW中，MTVShuga-DS暴露与PrEP意识的提高和对一些艾滋病毒预防和SRH技术的需求改善有关，但与性健康结果无关。然而，接触MTVShuga-DS的风险很低。鉴于这些积极的迹象，可能需要支持性规划来提高曝光率，并允许在这种情况下对教育剧的影响进行未来评估。
To investigate the effect of exposure to MTV Shuga:Down South’ (MTVShuga-DS) during the scale-up of combination HIV-prevention interventions on awareness and uptake of sexual reproductive health (SRH) and HIV-prevention services by adolescent girls and young women (AGYW). One longitudinal and three cross-sectional surveys of representative samples of AGYW. AGYW in four South African districts with high HIV prevalence (>10%) (May 2017 and September 2019). 6311 AGYW aged 12–24. Using logistic regression, we measured the relationship between exposure to MTV Shuga-DS and awareness of pre-exposure prophylaxis (PrEP), condom use at last sex, uptake of HIV-testing or contraception, and incident pregnancy or herpes simplex virus 2 (HSV-2) infection. Within the rural cohort 2184 (85.5%) of eligible sampled individuals were enrolled, of whom 92.6% had at least one follow-up visit; the urban cross-sectional surveys enrolled 4127 (22.6%) of eligible sampled individuals. Self-report of watching at least one MTV Shuga-DS episode was 14.1% (cohort) and 35.8% (cross-section), while storyline recall was 5.5% (cohort) and 6.7% (cross-section). In the cohort, after adjustment (for HIV-prevention intervention-exposure, age, education, socioeconomic status), MTVShuga-DS exposure was associated with increased PrEP awareness (adjusted OR (aOR) 2.06, 95% CI 1.57 to 2.70), contraception uptake (aOR 2.08, 95% CI 1.45 to 2.98) and consistent condom use (aOR 1.84, 95% CI 1.24 to 2.93), but not with HIV testing (aOR 1.02, 95% CI 0.77 to 1.21) or acquiring HSV-2 (aOR 0.92, 95% CI 0.61 to 1.38). In the cross-sections, MTVShuga-DS was associated with greater PrEP awareness (aOR 1.7, 95% CI 1.20 to 2.43), but no other outcome. Among both urban and rural AGYW in South Africa, MTVShuga-DS exposure was associated with increased PrEP awareness and improved demand for some HIV prevention and SRH technologies but not sexual health outcomes. However, exposure to MTVShuga-DS was low. Given these positive indications, supportive programming may be required to raise exposure and allow future evaluation of edu-drama impact in this setting.
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绘制撒哈拉以南非洲艾滋病毒感染的空间变异性：用于局部艾滋病毒预防和控制的有效信息。
影响因子：
4.6
作者：
Cuadros DF;Li J;Branscum AJ;Akullian A;Jia P;Mziray EN;Tanser F
通讯作者：
Tanser F
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
3.7
作者：
Chimbindi N;Mthiyane N;Birdthistle I;Floyd S;McGrath N;Pillay D;Seeley J;Zuma T;Dreyer J;Gareta D;Mutevedzi T;Fenty J;Herbst K;Smit T;Baisley K;Shahmanesh M
通讯作者：
Shahmanesh M
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
影响因子：
3.7
作者：
Saul, Janet;Bachman, Gretchen;Beamon, Ta'Adhmeeka
通讯作者：
Beamon, Ta'Adhmeeka