HIV self-testing values and preferences among sex workers, fishermen, and mainland community members in Rakai, Uganda: A qualitative study.
HIV self-testing values and preferences among sex workers, fishermen, and mainland community members in Rakai, Uganda: A qualitative study.
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DOI：
10.1371/journal.pone.0183280
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Kennedy CE
中科院分区：
文献类型：
--
作者：
Burke VM;Nakyanjo N;Ddaaki W;Payne C;Hutchinson N;Wawer MJ;Nalugoda F;Kennedy CE
艾滋病毒自我检测可能会鼓励更多地接受检测，特别是在关键人群和其他高风险群体中，但当地社区的看法将影响检测的接受和使用。我们与乌干达农村高风险渔业社区（包括性工作者和渔民）和低风险大陆社区的医疗保健提供者和社区成员进行了33次深入访谈和6次焦点小组讨论，以评估艾滋病毒自我检测的价值观和偏好。虽然大多数参与者不熟悉艾滋病毒自我检测，但他们列举了一系列潜在的好处，包括隐私，方便和在性行为前进行检测的能力。关注的重点是缺乏卫生专业人员，不小心处置工具包的风险和与护理的联系有限。与会者还讨论了工具包分发战略和费用等问题。最终，大多数参与者得出的结论是收益大于风险。我们的研究结果表明，在这些环境中，艾滋病毒自我检测在人群中，特别是在这些关键人群中具有潜在的作用。方案执行者将需要考虑如何平衡艾滋病毒自我检测的可及性和必要的专业支持。
HIV self-testing may encourage greater uptake of testing, particularly among key populations and other high-risk groups, but local community perceptions will influence test uptake and use. We conducted 33 in-depth interviews and 6 focus group discussions with healthcare providers and community members in high-risk fishing communities (including sex workers and fishermen) and lower-risk mainland communities in rural Uganda to evaluate values and preferences around HIV self-testing. While most participants were unfamiliar with HIV self-testing, they cited a range of potential benefits, including privacy, convenience, and ability to test before sex. Concerns focused on the absence of a health professional, risks of careless kit disposal and limited linkage to care. Participants also discussed issues of kit distribution strategies and cost, among others. Ultimately, most participants concluded that benefits outweighed risks. Our findings suggest a potential role for HIV self-testing across populations in these settings, particularly among these key populations. Program implementers will need to consider how to balance HIV self-testing accessibility with necessary professional support.
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DOI：
10.2217/hiv.09.33
发表时间：
2009-09-01
期刊：
HIV Therapy
影响因子：
--
作者：
Baernighausen, Till;Tanser, Frank
通讯作者：
Tanser, Frank
影响因子：
6
作者：
MacPherson, Eleanor E.;Sadalaki, John;Theobald, Sally
通讯作者：
Theobald, Sally
影响因子：
3.7
作者：
Lubega, Muhamadi;Nakyaanjo, Neema;Reynolds, Steven James
通讯作者：
Reynolds, Steven James
影响因子：
4.5
作者：
Marley G;Kang D;Wilson EC;Huang T;Qian Y;Li X;Tao X;Wang G;Xun H;Ma W
通讯作者：
Ma W
影响因子：
3.7
作者：
Martinez O;Wu E;Levine EC;Muñoz-Laboy M;Fernandez MI;Bass SB;Moya EM;Frasca T;Chavez-Baray S;Icard LD;Ovejero H;Carballo-Diéguez A;Rhodes SD
通讯作者：
Rhodes SD