In Our Own Words: Peer-to-Peer Messaging to Increase Uptake of HIV Prevention Strategies among Adolescents in Kenya

项目摘要--原始提案 全世界青少年感染艾滋病毒的风险特别高。在肯尼亚，估计有1.8万人 2015年15-19岁青少年新感染病例。2014年肯尼亚人口健康调查 15-19岁青春期女孩艾滋病毒知识水平低，危险行为水平高 好几年了。这些最新数据突显了开发与青少年产生共鸣的干预措施的重要性。 以减少这一优先人群中新感染艾滋病毒的人数。当青少年被给予 机构创造一个反映他们突出的东西的叙事，创作过程可能会增加他们的 知识和由此产生的预防信息更有可能引起同龄人的共鸣。建议数 这项研究将利用肯尼亚角色扮演和现场戏剧的文化重要性来为发展提供信息 为基苏木县青春期女孩举办的公共服务公告(PSA)创建讲习班将增加 了解艾滋病知识，减少同龄人的危险行为。具体目标是：1)激发青少年的 关于性健康和艾滋病毒预防的叙述，向同龄人发出的声音；2)描述决定因素 塑造青少年的心理和行为艾滋病毒预防模式；以及3)评估可行性和 艾滋病毒预防PSA创建讲习班的可接受性。我们的混合方法研究很好地与现有的 在肯尼亚实施艾滋病毒预防方案，并将与计划在该地区推出的PrEP协同工作。

PROJECT SUMMARY – Original proposal Adolescents are at particularly high risk for HIV infection worldwide. In Kenya, there were an estimated 18,000 new infections among adolescents aged 15-19 years in 2015. The 2014 Kenya Demographic Health Survey revealed low levels of HIV knowledge and high levels of risk behavior among adolescent girls aged 15-19 years. These recent data highlight the importance of developing interventions that resonate with adolescents in order to reduce the number of new HIV infections in this priority population. When adolescents are given agency to create a narrative that reflects what is salient to them, the creative process may increase their knowledge and the resulting prevention messages are more likely to resonate with their peers. The proposed study will leverage the cultural importance of role play and live theater in Kenya to inform the development ofpublic service announcement (PSA) creation workshops for adolescent girls in Kisumu County to increase HIV knowledge and decrease risk behaviors among their peers. The specific aims are: 1) elicit adolescents' narratives regarding sexual health and HIV prevention, as voiced to peers; 2) characterize determinants shaping adolescents' mental and behavioral HIV prevention models; and 3) assess the feasibility and acceptability of HIV prevention PSA creation workshops. Our mixed-methods study integrates well with existing HIV prevention programs in Kenya and will synergize with the planned roll-out of PrEP in this region.