Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa.

Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa.
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DOI:
10.1080/09540121.2014.936814
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发表时间:
2014
期刊:
影响因子:
1.7
通讯作者:
Bull S
Bull S
中科院分区:
医学4区
文献类型:
--
作者:
Ybarra ML;Mwaba K;Prescott TL;Roman NV;Rooi B;Bull S

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在南非,每三个新的艾滋病毒病例中就有一个是青少年。鉴于青少年尤其受到影响,迫切需要可扩展和具有成本效益的预防方案。这项研究旨在确定将技术纳入青年艾滋病毒预防工作的机会。2012年,1,107名8 - 11年级学生完成了纸笔调查。受访者就读于朗加的三所公立高中之一。因为它是离开普敦最近的黑人乡镇,朗加的人口密度是该地区最高的。89%的受访者使用短信(SMS),86%的人上网。如果在线提供艾滋病毒预防计划,66%的年轻人会有一定或极有可能访问它;略少(55%)对基于SMS的编程有同样的感觉。相比之下,85%的人表示他们有可能或极有可能获得以学校为基础的艾滋病毒预防计划。对互联网(60%)和基于短信(54%)的艾滋病毒预防方案的兴趣是类似的年轻人谁有自我评估的艾滋病毒风险相比,年轻人谁评估自己的风险较低,因为它是年轻人谁厌倦了听到有关艾滋病毒预防的信息。技术的使用是很普遍的,即使是生活在低收入社区的高中生也是如此。与此同时,这些数据表明,青年人厌倦听到有关预防艾滋病毒的信息并不罕见,许多对预防艾滋病毒至关重要的典型主题在青年人中的兴趣很低。艾滋病毒预防研究人员需要注意青年接触的现有方案的程度。以技术为基础的节目可能特别适合于满足这些要求,因为它特别是在发展中国家是新奇的,因为交互功能可以很容易地融入程序设计。鉴于人们倾向于学校和互联网方案,看来混合办法可能是可行和可以接受的。
One in three new cases of HIV in South Africa is among adolescents. Given that adolescents are particularly affected, scalable and cost-effective prevention programs are urgently needed. This study aims to identify opportunities to integrate technology into youth HIV prevention efforts. In 2012, 1,107 8th – 11th graders completed a paper-and-pencil survey. Respondents were enrolled in one of three public high schools in Langa. Because it is the closest black township to Cape Town, Langa has the highest density of people in the region. Eighty-nine percent of respondents have used text messaging (SMS) and 86% have gone online. If an HIV prevention program was offered online, 66% of youth would be somewhat or extremely likely to access it; slightly fewer (55%) felt the same about SMS-based programming. In comparison, 85% said they would be somewhat or extremely likely to access a school-based HIV prevention program. Interest in Internet-(60%) and SMS-based (54%) HIV prevention programming was similar for youth who had a self-appraised risk for HIV compared to youth who appraised their risk to be lower, as it was for youth who were tired of hearing messages about HIV prevention. Technology use is common – even among high school students who live in lower income communities. At the same time, these data reveal that it is not uncommon for youth to be tired of hearing messages about HIV prevention, and many of the typical topics key to HIV prevention have low interest levels among youth. HIV prevention researchers need to be mindful of the extent of existing programming that youth are exposed to. Technology-based programming may be especially amenable to meeting these requirements because of its novelty especially in developing countries, and because interactive functionality can be easily integrated into the program design. Given the preference for school- and Internet-based programming, it seems that a hybrid approach is likely feasible and acceptable.
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