"But I Gathered My Courage": HIV Self-Testing as a Pathway of Empowerment Among Ugandan Female Sex Workers.

"But I Gathered My Courage": HIV Self-Testing as a Pathway of Empowerment Among Ugandan Female Sex Workers.
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DOI:
10.1177/1049732320978392
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发表时间:
2021-03
影响因子:
3.2
通讯作者:
McMahon SA
McMahon SA
中科院分区:
医学2区
文献类型:
--
作者:
Wachinger J;Kibuuka Musoke D;Oldenburg CE;Bärnighausen T;Ortblad KF;McMahon SA

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艾滋病毒自我检测(HIVST)增加了不同人群的艾滋病毒检测,但对自我检测的个人的经历知之甚少。我们使用了一个五步框架的方法来分析62定性访谈33名女性性工作者(FSWs)参与艾滋病毒感染试验在乌干达城市。赋权的概念出现的数据,并根据Kabeer的授权框架的资源,机构和成就的结果进行解释。我们发现,获得HIVST可以增强权能,因为它增加了参与者的时间和金钱(资源)、对测试环境和状态披露的控制(代理)以及能力感(成就)。此外,我们发现,艾滋病毒状况的知识使参与者能够更好地控制艾滋病毒相关的行为(代理),并认识到新的自我意识(成就)。这表明,提供艾滋病毒/艾滋病防治服务可以促进增强权能的感觉,值得提高对艾滋病毒治疗和预防服务以外的好处的认识。
HIV self-testing (HIVST) increases HIV testing in diverse populations, but little is known about the experiences of individuals who self-test. We used a five-step framework approach to analyze 62 qualitative interviews with 33 female sex workers (FSWs) participating in an HIVST trial in urban Uganda. Notions of empowerment emerged from the data, and findings were interpreted based on Kabeer’s empowerment framework of resources, agency, and achievements. We found that access to HIVST bolstered empowerment because it increased participant’s time and money (resources), control of testing circumstances and status disclosure (agency), and sense of competency (achievements). In addition, we found that knowledge of HIV status empowered participants to better control HIV-related behaviors (agency) and recognize a new sense of self (achievements). This suggests that the availability of HIVST can facilitate feelings of empowerment, meriting a higher awareness for benefits outside of linkage to HIV treatment and prevention services.
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