Understanding factors that promote uptake of HIV self-testing among young people in Nigeria: Framing youth narratives using the PEN-3 cultural model.
Understanding factors that promote uptake of HIV self-testing among young people in Nigeria: Framing youth narratives using the PEN-3 cultural model.
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DOI：
10.1371/journal.pone.0268945
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
重要的是要了解如何制定促进艾滋病毒自我检测的形式，以增加年轻人的吸收。在这项研究中，我们使用了一个以文化为中心的模型来理解尼日利亚年轻人对艾滋病毒自我检测偏好的叙述。作为2018年世界艾滋病日活动的一部分，我们于2018年10月至11月在尼日利亚举办了一场众包竞赛，征求有关在10-24岁年轻人中推广艾滋病毒自我检测的想法。我们收到了903份作品，并采用主题内容分析对769个符合条件的青年叙事进行了评估。在PEN-3文化模型的指导下，对来自青年叙述的陈述进行主题内容分析，以检查尼日利亚年轻人中促进艾滋病毒自我检测的积极、存在和消极观念（信仰和价值观）、推动因素（资源）和养育因素（朋友和家人的角色）。有几个主题成为影响尼日利亚年轻人接受艾滋病毒自我检测的因素。具体而言，七个主题作为观念出现：艾滋病毒检测的可及性，减少耻辱和自主性（阳性）；艾滋病毒自检试剂盒包装和广告（存在）；缺乏知识和耻辱感增加（负面）。促成因素中出现了七个主题：社交媒体、学校和政府推广（积极）；游戏化和动画（存在主义）；高昂的费用和难以获得与护理服务的联系（不利）；七个主题作为养育者出现：同伴，家庭和基于信仰的社区（积极的）；父母和以家庭为中心的方法（存在主义）；伴侣和家庭（负）。我们的数据表明，在当前的青年友好平台上提高对艾滋病毒自我检测的认识，消除艾滋病毒和艾滋病毒自我检测的污名化，降低艾滋病毒自我检测试剂盒的价格，提高检测试剂盒的可靠性，加强与护理服务的联系，以及在家庭成员和社区中促进自我检测，将有利于尼日利亚年轻人的艾滋病毒自我检测扩大措施。
It is important to understand how to frame the formats for promoting HIV self-testing to increase uptake among young people. In this study, we used a culture-centered model to understand the narratives of HIV self-testing preferences among young people in Nigeria. We conducted a crowdsourcing contest to solicit ideas surrounding HIV self-testing promotion among young people (10–24 years) in Nigeria from October to November 2018 as part of the 2018 World AIDS Day event. We received 903 submissions and employed thematic content analysis to evaluate 769 eligible youth narratives. Thematic content analysis of the statements from the youth narratives was guided by the PEN-3 cultural model to examine the positive, existential, and negative perceptions (beliefs and values), enablers (resources), and nurturers (roles of friends and family) of HIV self-testing promotion among young people in Nigeria. Several themes emerged as factors that influence the uptake of HIV self-testing among young people in Nigeria. Specifically, seven themes emerged as perceptions: HIV testing accessibility, stigma reduction, and autonomy (positive); HIV self-testing kit packaging and advertisements (existential); lack of knowledge and increased stigma (negative). Seven themes emerged as enablers: social media, school, and government promotion (positive); gamification and animation (existential); high cost and access to linkage to care services (negative); And seven themes emerged as nurturers: peer, families, and faith-based communities (positive); parents and family-centered approach (existential); and partners and family (negative). Our data suggests that increased awareness around HIV self-testing on current youth-friendly platforms, de-stigmatization of HIV and HIV self-testing, decreased prices for HIV self-testing kits, reliability of testing kits, increased linkage to care services, and promotion of self-testing among family members and the community will be beneficial for HIV self-testing scale-up measures among young people in Nigeria.
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影响因子：
2.2
作者：
Iwelunmor, Juliet;Tucker, Joseph D.;Obiezu-Umeh, Chisom;Gbaja-Biamila, Titilola;Oladele, David;Nwaozuru, Ucheoma;Musa, Adesola Z.;Airhihenbuwa, Collins O.;Muessig, Kathryn;Rosenberg, Nora;BeLue, Rhonda;Xian, Hong;Conserve, Donaldson F.;Ong, Jason J.;Zhang, Lei;Curley, Jamie;Nkengasong, Susan;Mason, Stacey;Tang, Weiming;Bayus, Barry;Ogedegbe, Gbenga;Ezechi, Oliver
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Ezechi, Oliver
影响因子：
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作者：
Jatho, Alfred;Bikaitwoha, Maniple Everd;Mugisha, Noleb Mugume
通讯作者：
Mugisha, Noleb Mugume
影响因子：
3.7
作者：
Ajayi, Anthony Idowu;Awopegba, Oluwafemi Emmanuel;Ushie, Boniface Ayanbekongshie
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Ushie, Boniface Ayanbekongshie
影响因子：
5.2
作者：
Airhihenbuwa, Collins;Okoror, Titilayo;Shisana, Olive
通讯作者：
Shisana, Olive
影响因子：
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