Youth-friendly HIV self-testing: Acceptability of campus-based oral HIV self-testing among young adult students in Zimbabwe.
Youth-friendly HIV self-testing: Acceptability of campus-based oral HIV self-testing among young adult students in Zimbabwe.
复制标题
DOI：
10.1371/journal.pone.0253745
复制
发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
McHugh G
中科院分区：
文献类型：
--
作者：
Koris AL;Stewart KA;Ritchwood TD;Mususa D;Ncube G;Ferrand RA;McHugh G
需要有针对性的艾滋病毒检测战略，以接触到剩余的未确诊的艾滋病毒携带者，并实现联合国艾滋病规划署2030年的95-95-95目标。艾滋病毒自我检测(HIVST)可以增加年轻人对艾滋病毒检测的接受，但用户对新的分发方法的看法尚不确定。我们评估津巴布韦18-24岁高中生接受非专业辅导员指导的校园HIVST教学的可接受性、感知到的挑战和建议。我们有目的地从一项涉及校园HIVST的干预中抽样调查参与者，使用非专业人员进行分发。我们对津巴布韦10所大学和学院的年轻人进行了深入访谈(IDI)和焦点小组讨论(FGD)，他们：(1)在校园内进行自我测试；(2)在校园外进行自我测试；(3)选择不进行自我测试。我们对所有采访都进行了录音和转录。利用应用主题分析，两名研究人员确定了紧急主题和独立编码的抄本，实现了编码者间的高度一致。在通过26个IDI和4个FGD访问的52名年轻人(53.8%男性，46.1%女性)中，大多数IDI参与者(19/26，73%)支持校园HIVST，认为它是一种比其他机构或社区为基础的艾滋病毒检测服务更自主、更方便、更被社会接受的体验。尽管被普遍接受，但参与者确定了这种交付模式的挑战，包括：感知到的社会胁迫、隐私不足和获得测试后咨询的机会。这些挑战影响了一些参与者选择不进行自我测试(6/52，11.5%)。改进实施的建议包括将二次分发检测试剂盒和增加艾滋病毒咨询选择纳入校园项目。在年轻人中进行艾滋病毒检测的障碍既多又复杂。随着全世界青年中新感染艾滋病毒的人数继续增加，需要有针对性的战略和对青年友好的方法，增加获得检测的机会，以缩小诊断覆盖面的差距。这是第一项描述津巴布韦非专业辅导员在校园内接受HIVST的年轻人的研究。
Targeted HIV testing strategies are needed to reach remaining undiagnosed people living with HIV and achieve the UNAIDS’ 95-95-95 goals for 2030. HIV self-testing (HIVST) can increase uptake of HIV testing among young people, but user perspectives on novel distribution methods are uncertain. We assess the acceptability, perceived challenges, and recommendations of young adult lay counselor-led campus-based HIVST delivery among tertiary school students aged 18–24 years in Zimbabwe. We purposively sampled participants from an intervention involving campus-based HIVST using lay workers for distribution. We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) among young adults from 10 universities and colleges in Zimbabwe who: (1) self-tested on campus; (2) self-tested off campus; and (3) opted not to self-test. We audio recorded and transcribed all interviews. Using applied thematic analysis, two investigators identified emergent themes and independently coded transcripts, achieving high inter-coder agreement. Of the 52 young adults (53.8% male, 46.1% female) interviewed through 26 IDIs and four FGDs, most IDI participants (19/26, 73%) favored campus-based HIVST, describing it as a more autonomous, convenient, and socially acceptable experience than other facility or community-based HIV testing services. Despite general acceptability, participants identified challenges with this delivery model, including: perceived social coercion, insufficient privacy and access to post-test counseling. These challenges influenced some participants to opt against self-testing (6/52, 11.5%). Recommendations for improved implementation included integrating secondary distribution of test kits and increased HIV counseling options into campus-based programs. Barriers to HIV testing among young people are numerous and complex. As the number of new HIV infections among youth continue to grow worldwide, targeted strategies and youth friendly approaches that increase access to testing are needed to close the diagnostic coverage gap. This is the first study to describe young adult acceptance of campus-based delivery of HIVST by lay counselors in Zimbabwe.
登录
查看更多内容
影响因子：
3.2
作者：
Hennink, Monique M.;Kaiser, Bonnie N.;Weber, Mary Beth
通讯作者：
Weber, Mary Beth
影响因子：
15.1
作者：
Pettifor, Audrey;Lippman, Sheri A.;Kahn, Kathleen
通讯作者：
Kahn, Kathleen
影响因子：
4.5
作者：
Matovu JKB;Nambuusi A;Nakabirye S;Wanyenze RK;Serwadda D
通讯作者：
Serwadda D
影响因子：
3.7
作者：
Hector J;Davies MA;Dekker-Boersema J;Aly MM;Abdalad CCA;Langa EBR;Ehmer J;Hobbins MA;Jefferys LF
通讯作者：
Jefferys LF
影响因子：
2
作者：
SANDELOWSKI, M
通讯作者：
SANDELOWSKI, M