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: 10469437
• 负责人: Alissa Davis
• 金额: $ 21.22万
• 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 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10469437
• 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; 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; Reduce health disparities; Research; Research Priority; Resource-limited setting; 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; geographic barrier; governmental health organization; improved; interest; literacy; low and middle-income countries; men who have sex with men; multidisciplinary; peer; pilot test; 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/摘要 该项目将评估数字众包干预是否可以减少艾滋病毒的耻辱感并促进艾滋病毒 青少年和年轻人的自我测试（AYA）。在全球范围内，AYA感染艾滋病毒的风险增加。 在东欧和中亚（EECA），15-24岁的AYA中的新艾滋病毒感染者预计将 到2030年增长28%。在哈萨克斯坦，四分之一的艾滋病毒感染发生在AYA中。尽管艾滋病病毒 哈萨克斯坦的AYA负担，这一人群的艾滋病毒检测率在该国最低， 主要是因为耻辱。然而，哈萨克斯坦很少有努力解决艾滋病毒污名化及其作为艾滋病毒障碍的作用 试验.数字技术和众包活动（即，让AYA的团体在线参与， 公共卫生挑战和共享解决方案）是可扩展、具有成本效益的工具，可以增加艾滋病毒检测 在低收入和中等收入国家以及其他资源有限的国家， 设置.考虑到他们对社交媒体的高使用率，众包在AYA中可能特别成功 和技术素养。作为对众包方法的补充，邮寄艾滋病毒快速检测试剂盒可以使 AYA以避免与参加艾滋病中心相关的耻辱，并克服交通障碍。 研究的目的是：1）采用以社区为基础的参与式方法，让当地的AYA和青年参与其中 组织开发一个众包的数字艾滋病毒污名减少和自我检测干预，以减少 艾滋病毒污名化，并增加哈萨克斯坦AYA中的艾滋病毒检测;以及2）对这种众包艾滋病毒进行试点检测 在初步疗效试验中减少污名和自我检测干预，以评估可行性和可接受性 并获得其对减少艾滋病毒污名（主要结局）和增加艾滋病毒感染率的影响的初步估计。 在哈萨克斯坦接受干预的AYA（n=168）中进行测试（次要结局）， 那些没有的人。这项工作将导致一个综合的数字众包污名减少和自我- 检测干预，以减少艾滋病毒的耻辱感，并提高艾滋病毒检测的AYA的关键人群中的吸收， 哈萨克斯坦.这种针对艾滋病毒污名化和减少艾滋病毒检测障碍的干预措施可以 在中低收入国家和国内增加这一人群的艾滋病毒检测。