"It gives you a road map of what to do to solve your problems": acceptability of a combination HIV prevention intervention among adolescent girls in Uganda.
"It gives you a road map of what to do to solve your problems": acceptability of a combination HIV prevention intervention among adolescent girls in Uganda.
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DOI：
10.1186/s12889-023-15083-2
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发表时间：
2023-02-06
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
艾滋病毒负担仍然是一个严重的公共卫生问题，与一般成年人口相比，青春期女孩面临的风险要高得多。与其他撒哈拉以南非洲国家一样，乌干达报告说，少女和年轻妇女中艾滋病毒感染率很高。然而，基于证据的艾滋病毒预防干预措施及其在青春期女孩中的可接受性尚未得到广泛研究。在这项研究中，我们检查了Suubi4Her干预措施的可接受性，这是一种旨在降低乌干达青春期女孩艾滋病毒风险的循证联合干预措施。我们在干预完成后对25名青春期女孩进行了半结构化的深度访谈，以探索她们使用Suubi4Her干预的经验，该干预在乌干达的一项临床试验中进行了测试(2017-2023年)。具体地说，我们探讨了他们参与干预的决策过程、参加计划的经验以及他们对具体干预特征的反馈。在可接受性理论框架的指导下，采用主题分析的方法对数据进行分析。参与的主要动机是获得与健康有关的信息，包括关于性传播感染、艾滋病毒和怀孕的信息，以及关于银行、储蓄和创收活动的信息。尽管许多参与者最初没有任何担忧，但一些参与者提出了对计划的不信任、最初的文书工作、照顾者承诺时间的能力、对储蓄能力的担忧以及艾滋病毒/性传播感染和怀孕测试。参加会议的促进者包括学习信息的动机、照顾者的承诺、提醒电话和参与的奖励。主要挑战包括家庭责任和义务、难以筹集交通资金以及天气挑战。少女对小组形式表示赞赏，并认为会议的地点和时间很方便。他们还发现了与他们的需求相关的内容，并注意到他们家庭的积极变化。结果表明，青春期女孩的干预接受度较高。这些调查结果对乌干达具有重要的方案和政策影响，特别是考虑到该国青春期女孩艾滋病毒感染率较高。NCT03307226(注册：10/11/17)。
The HIV burden remains a critical public health concern and adolescent girls are at significantly higher risk compared to the general adult population. Similar to other sub-Saharan African countries, Uganda reports high HIV prevalence among adolescent girls and young women. Yet, both evidence-based HIV prevention interventions and their acceptability among adolescent girls have not been widely studied. In this study, we examined the acceptability of the Suubi4Her intervention, an evidence-based combination intervention aimed at reducing HIV risk among adolescent girls in Uganda. We conducted semi-structured in-depth interviews with 25 adolescent girls upon intervention completion to explore their experiences with the Suubi4Her intervention that was tested in a clinical trial in Uganda (2017–2023). Specifically, we explored their decision-making process for participating in the intervention, experiences with program attendance, and their feedback on specific intervention characteristics. Informed by the Theoretical Framework of Acceptability, the data were analyzed using thematic analysis. The main motivation for participation was access to health-related information, including information on STIs, HIV, and pregnancy as well as information on banking, saving, and income-generating activities. Though many participants did not have any initial concerns, mistrust of programs, initial paperwork, caregiver’s ability to commit time, concerns about ability to save, and HIV/STI and pregnancy testing were raised by some participants. Facilitators to session attendance included motivation to learn information, caregiver commitment, reminder calls, and incentives received for participation. The main challenges included household responsibilities and obligations, difficulty raising transport money, and weather challenges. Adolescent girls appreciated the group format and found the location and times of the sessions convenient. They also found the content relevant to their needs and noted positive changes in their families. The results showed high intervention acceptability among adolescent girls. These findings have important programmatic and policy implications in Uganda, especially given the higher HIV prevalence among adolescent girls in the country. NCT03307226 (Registered: 10/11/17).
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影响因子：
4.5
作者：
Jackson-Gibson M;Ezema AU;Orero W;Were I;Ohiomoba RO;Mbullo PO;Hirschhorn LR
通讯作者：
Hirschhorn LR
影响因子：
2.3
作者：
AMERIKANER, M;MONKS, G;THOMAS, S
通讯作者：
THOMAS, S
影响因子：
7.6
作者：
Cho, Hyunsan;Hallfors, Denise D.;Iritani, Bonita J.
通讯作者：
Iritani, Bonita J.
影响因子：
1.1
作者：
Barhafumwa, Bernard;Dietrich, Janan;Miller, Cari L.
通讯作者：
Miller, Cari L.
影响因子：
12.7
作者：
Hallfors, Denise;Cho, Hyunsan;Halpern, Carolyn
通讯作者：
Halpern, Carolyn