Reducing HIV Stigma to Increase HIV Testing among Adolescents and Young Adults in Kazakhstan Using a Crowdsourcing Approach

使用众包方法减少艾滋病毒耻辱，增加哈萨克斯坦青少年和年轻人的艾滋病毒检测

• 批准号: 10302018
• 负责人: Alissa Davis
• 金额: $ 26.6万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-16 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10302018
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adolescent and Young Adult; Area; Attention; Behavior; Caring; Central Asia; China; Cities; Communities; Complement; Continuity of Patient Care; Country; Development; Diagnostic Reagent Kits; Disclosure; Eastern Europe; Fright; Geography; HIV; HIV Infections; Health; Hepatitis B; Human immunodeficiency virus test; Incidence; Individual; Intervention; Kazakhstan; Letters; Link; Location; Methods; Multimedia; NIH Office of AIDS Research; Outcome; Participant; Play; Population; Prevalence; Prevention; Prevention strategy; Preventive; Public Health; Randomized; Research; Research Priority; Resources; Risk; Risk Behaviors; Role; Sex Behavior; Social Behavior; Stigmatization; Technology; Testing; Transportation; United States National Institutes of Health; Work; Youth; acceptability and feasibility; base; comparison intervention; cost effective; crowdsourcing; design; digital; efficacy trial; experience; governmental health organization; health disparity; improved; interest; literacy; low and middle-income countries; men who have sex with men; multidisciplinary; peer; prevent; primary outcome; rapid test; rapid testing; secondary outcome; self testing; sex; sexual risk behavior; social; social media; social stigma; substance use; testing services; testing uptake; tool; treatment strategy; uptake; young adult

PROJECT SUMMARY/ABSTRACT This project will assess whether a digital crowdsourced intervention can reduce HIV stigma and promote HIV self-testing among adolescents and young adults (AYA). Globally AYA are at increased risk for HIV acquisition. In Eastern Europe and Central Asia (EECA), new HIV infections among 15-24 year old AYA are expected to increase 28% by 2030. In Kazakhstan, one in four HIV infections occur among AYA. Despite the growing HIV burden among AYA in Kazakhstan, this population has some of the lowest HIV testing rates in the country, largely due to stigma. Yet few efforts in Kazakhstan address HIV stigma and the role it plays as a barrier to HIV testing. Digital technologies and crowdsourcing campaigns (i.e., engaging groups of AYA online to address public health challenges and share solutions) are scalable, cost-effective tools that can increase HIV testing services and reduce HIV stigma in low and middle income countries (LMICs) and other resource-constrained settings. Crowdsourcing may be particularly successful among AYA, given their high levels of social media use and technological literacy. Complementing the crowdsourcing approach, mailing HIV rapid test kits can enable AYA to avoid the stigma associated with attending the AIDS Center and overcome transportation barriers. Study aims are: 1) use a community-based participatory approach that engages local AYA and youth organizations to develop a crowdsourced digital HIV stigma reduction and self-testing intervention to reduce HIV stigma and increase HIV testing among AYA in Kazakhstan; and 2) to pilot test this crowdsourced HIV stigma reduction and self-testing intervention in a preliminary efficacy trial to assess feasibility and acceptability and obtain preliminary estimates of its effects on decreasing HIV stigma (primary outcome) and increasing HIV testing (secondary outcome) among AYA (n=168) in Kazakhstan who received the intervention compared to individuals who did not. This work will result in an integrated digital crowdsourced stigma reduction and self- testing intervention to reduce HIV stigma and improve HIV testing uptake among the key population of AYA in Kazakhstan. Such an intervention addressing HIV stigma and reducing barriers to HIV testing for AYA could increase HIV testing uptake among this population in LMICs and domestically.

项目总结/文摘