'I will welcome this one 101%, I will so embrace it': a qualitative exploration of the feasibility and acceptability of HIV self-testing among men who have sex with men (MSM) in Lagos, Nigeria
'I will welcome this one 101%, I will so embrace it': a qualitative exploration of the feasibility and acceptability of HIV self-testing among men who have sex with men (MSM) in Lagos, Nigeria
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DOI：
10.1093/her/cyaa028
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发表时间：
2020-12-01
影响因子：
2.4
通讯作者：
Tun, Waimar
中科院分区：
文献类型：
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作者：
Dirisu, Osasuyi;Sekoni, Adekemi;Tun, Waimar
在尼日利亚，男男性行为者（MSM）感染艾滋病毒的比例过高。减少传播的一项关键战略是增加艾滋病毒检测的接受程度，并将检测呈阳性者与治疗联系起来。艾滋病毒自我检测是一项创新战略，有可能在艾滋病毒感染风险较高的关键人群中增加艾滋病毒检测。我们对尼日利亚拉各斯的男男性行为者进行了23次深入访谈，并与主要意见领袖进行了两次焦点小组讨论，以探讨对口服艾滋病毒感染在男男性行为者中可行性和可接受性的看法。艾滋病毒传播被高度接受，因为它被认为使用方便、无痛、私密，并解决了对耻辱的担忧。参与者提到的问题包括正确执行和解释结果的说明的可理解性，以及缺乏支持机制来促进测试后随访和与护理的联系。提供充分的检测前信息被认为是分发试剂盒过程的重要组成部分，以确保无缝使用艾滋病毒传播试剂盒。一对一的点对点分销策略和零售网点，方便匿名取货是潜在的分销渠道，在本研究中确定。总的来说，我们的研究结果表明，一个纳入这些考虑因素的艾滋病防治项目将改善尼日利亚男同性恋者获得艾滋病毒检测的机会。
Men who have sex with men (MSM) are disproportionately affected by HIV in Nigeria. A key strategy in reducing transmission is to increase HIV testing uptake and linkage to treatment for those who test positive. HIV self-testing (HIVST) is an innovative strategy with the potential to increase uptake of HIV testing among key populations at higher risk for HIV. We conducted 23 in-depth-interviews with MSM and two focus group discussions with key opinion leaders to explore perceptions about the feasibility and acceptability of oral HIVST among MSM in Lagos, Nigeria. HIVST was highly acceptable because it was considered convenient to use, painless, private and addressed concerns about stigma. Concerns cited by participants included comprehensibility of instructions to perform and interpret results correctly, as well as lack of support mechanisms to facilitate post-test follow-up and linkage to care. Provision of adequate pre-test information was considered vital as part of the kit distribution process to ensure seamless use of HIVST kits. One-on-one peer-to-peer distribution strategies and retail outlets that facilitate anonymous pick-up are potential distribution channels identified in this study. Overall, our findings suggest that an HIVST program that incorporates these considerations would improve access to HIV testing among MSM in Nigeria.