Operationalizing the distribution of oral HIV self-testing kits to men who have sex with men (MSM) in a highly homophobic environment: the Nigerian experience.
Operationalizing the distribution of oral HIV self-testing kits to men who have sex with men (MSM) in a highly homophobic environment: the Nigerian experience.
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DOI：
10.1186/s12889-021-12378-0
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发表时间：
2022-01-06
影响因子：
4.5
通讯作者：
Vu L
中科院分区：
文献类型：
--
作者：
Sekoni A;Tun W;Dirisu O;Ladi-Akinyemi T;Shoyemi E;Adebajo S;Ogunsola F;Vu L
自我保健健康干预措施是改善健康和实现可持续发展目标的创新方法。男男性行为者（MSM）受到人类免疫缺陷病毒（HIV）的影响不成比例。尽管如此，据报告，来自保健工作者的污名使男男性行为者无法在保健设施进行艾滋病毒检测。本文探讨了利用关键意见领袖（KOL）向男男性行为者发放艾滋病病毒自我检测（HIVST）试剂盒的可操作性。这项定性调查结合了对HIVST使用者的深入访谈（IDI）和对KOL的焦点小组讨论（FGD），以收集KOL分发检测试剂盒三个月后的数据。对数据进行了专题分析。产生了三个主题，即：KOL作为一个值得信赖的资源，以促进和支持艾滋病毒/艾滋病的MSM社区; KOL所需的技能和资格，以有效地传播和促进艾滋病毒/艾滋病的吸收;和有效的战略，用于创造需求和促进艾滋病毒/艾滋病的吸收。这项研究表明，在操作KOL支持系统分配的HIVST积极影响的测试经验的参与者，无论艾滋病毒的状态和参与护理的实际步骤。KOL是一种可靠的资源，可以用来确保艾滋病毒自我检测试剂盒得到利用，并将艾滋病毒阳性者与同性恋恐惧症环境中的治疗和护理联系起来。在线版本包含补充材料，可通过10.1186/s12889-021-12378-0获得。
Self-care health interventions are innovative approaches for improving health and achieving the sustainable development goals (SDGs). Men who have sex with men (MSM) have been disproportionately affected by Human Immunodeficiency Virus (HIV). In spite of this, stigma from healthcare workers has reportedly prevented MSM from accessing HIV testing in health facilities. This paper explored the operationalization of using key opinion leaders (KOLs) to distribute HIVST (HIV self-test) kits to MSM. This qualitative survey used a combination of in-depth interviews (IDI) with HIVST users and focus group discussions (FGDs) with KOLs to collect data three months after the distribution of the test kits by the KOLs. Thematic analysis of the data was carried out. Three themes were generated namely: KOLs serve as a trusted resource to promote and support HIVST for the MSM community; Skills and qualifications required for KOLs to effectively distribute and promote uptake of HIVST; and Effective strategies used to create demand and promote uptake of HIVST. This study showed the practical steps involved in operationalizing KOL support system distribution of HIVST that positively influenced the testing experience for the participants irrespective of the HIV status and engagement in care. KOLs are a reliable resource to leverage for ensuring that HIV self-test kit is utilized and HIV positive individuals are linked to treatment and care in homophobic environments. The online version contains supplementary material available at 10.1186/s12889-021-12378-0.
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影响因子：
1.7
作者：
Ahaneku H;Ross MW;Nyoni JE;Selwyn B;Troisi C;Mbwambo J;Adeboye A;McCurdy S
通讯作者：
McCurdy S
影响因子：
2.4
作者：
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通讯作者：
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影响因子：
3.8
作者：
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通讯作者：
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影响因子：
4.4
作者：
Rodriguez-Hart, Cristina;Bradley, Cory;Nowak, Rebecca G.
通讯作者：
Nowak, Rebecca G.
影响因子：
2.2
作者：
Allman, Dan;Adebajo, Sylvia;Ogunsola, Sade
通讯作者：
Ogunsola, Sade