Young Africans’ Changing Understandings of HIV/AIDS Risk

非洲年轻人对艾滋病毒/艾滋病风险的认识不断变化

基本信息

批准号：
9349351
负责人：
S KATE WINSKELL
金额：
$ 49.39万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-04 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9349351
关键词：
AIDS prevention AIDS/HIV problem Address Africa South of the Sahara African Age Behavioral Burkina Faso Characteristics Communication Country Cross-Sectional Studies Data Data Analyses Development Education Ensure Environment Epidemic Epidemiology Ethnography Evolution Film Funding Gender Goals HIV Intervention Kenya Methodology Modeling National Institute of Child Health and Human Development Nigeria Outcome Pattern Play Policies Prevention Process Recommendation Recording of previous events Research Risk Role Sampling Senegal Services Sex Behavior Source Swaziland Technology Testing Time Treatment outcome Woman Writing Youth comparative contextual factors experience improved insight interest literacy longitudinal analysis member programs public health relevance response rural residence skills social social stigma statistics treatment adherence uptake

项目摘要

DESCRIPTION (provided by applicant): The past two decades have seen unprecedented scientific, technical and programmatic advances in the prevention and treatment of HIV in sub-Saharan Africa. However, HIV-related stigma continues to have negative effects across the prevention and treatment continuum. Communication efforts play a central role in HIV prevention and treatment literacy, in normalizing testing and uptake of prevention technologies, and in informing stigma and its effects. As interest in treatment-as-prevention grows, it is increasingly important to assess and address the evolving HIV communication needs of young Africans in order to ensure that they are equipped with the contextualized understanding and skills to promptly access services themselves and to contribute to an enabling environment that supports HIV prevention, testing, treatment, and adherence for others. Unique longitudinal qualitative data from 47 countries, collected during a critical 18-year period (1997- 2014) in the history of the epidemic, offer an unprecedented opportunity to examine how young Africans are making sense of evolving developments in HIV prevention and treatment and to identify cultural meanings and contextual factors that inform uptake of key biomedical interventions and behavioral practices. More than 150,000 young people from across sub-Saharan Africa took part in HIV-themed scriptwriting contests held at 8 discreet time points between 1997 and 2014, creating over 75,000 narratives. The proposed project will analyze a stratified random sample of 2,681 of these narratives written at each of the time points (1997, 2000, 2002, 2005, 2008, 2011, 2013, 2014) and by young people in five countries with diverse epidemiological and sociocultural profiles (Burkina Faso, Senegal, Nigeria, Kenya and Swaziland). It will use validated, rigorous methodologies developed in an earlier NICHD-funded study that combine in-depth narrative analysis, thematic qualitative data analysis, and descriptive statistics on quantifiable characteristics of the narratives. Patterns across the narratives will illuminate the cross-national, age, and gender distribution and longitudinal evolution of young people's social representations of biomedical interventions and behavioral practices across the prevention and treatment continuum and of people living with HIV (PLWH) and women. The overall goal of the proposed project is to contribute to efforts to improve prevention and treatment and stigma-reduction outcomes among young people in sub-Saharan Africa by identifying communication needs and best practices at country levels. The study will also generate comparative findings of importance for assessing national responses to HIV and for increasing understanding of processes of sociocultural change. Research team members from the five countries with extensive experience at program and policy levels will ensure contextual sensitivity of analysis, increase their own research capacity, and disseminate findings to key national stakeholders. The research has the advantage of being readily applicable in programmatic practice as the narratives provide a goldmine of authentic scenarios for the development of culturally adapted interventions.

描述（由适用提供）：过去二十年来，撒哈拉以南非洲的艾滋病毒预防和治疗艾滋病毒的前所未有的科学，技术和程序进步。但是，与HIV相关的污名继续在预防和治疗中继续产生负面影响。沟通工作在预防艾滋病毒预防和治疗素养，对预防技术的标准化和吸收以及告知污名及其影响方面起着核心作用。作为预防措施的有趣增长，越来越重要的是，评估和满足年轻非洲人不断发展的艾滋病毒沟通需求，以确保他们配备了情境化的理解和技能，以迅速访问服务本身并为支持艾滋病毒预防，测试，测试，测试，治疗和对其他人的坚持而做出贡献。来自47个国家的独特纵向定性数据，在这一流行病的历史上（1997- 2014年）收集，这是一个前所未有的机会，可以研究年轻非洲人如何理解艾滋病毒预防和治疗中的发展发展，并识别出对生物领域的关键介入和背景因素的发展，从而使生物领域的关键干预措施和情境因素识别为介绍。来自撒哈拉以南非洲以上的15万名年轻人参加了1997年至2014年之间在8个谨慎的时间点举行的以艾滋病毒为主题的剧本比赛，创造了75,000多个叙述。该提议的项目将分析在每个时间点（1997，2000，2002，2005，2008，2008，2011，2013，2014）中编写的这些叙述中有2,681个分层的随机样本，以及在五个具有潜水员流行病学和社会文化概况的五个国家的年轻人（Burkina Faso，Burkina Faso，Senegal，Nigeria，Nigeria，Kenya，Kenyyand）。它将使用较早的NICHD资助的研究中开发的经过验证的严格方法，该研究结合了深入的叙事分析，主题定性数据分析以及有关叙事可量化特征的描述性统计。叙事中的模式将阐明年轻人对预防和治疗连续性的生物医学干预和行为实践的社会表现的跨国，年龄和性别分布以及纵向演变，以及HIV（PLWH）和妇女的人们。拟议项目的总体目标是为改善撒哈拉以南非洲年轻人的预防和治疗以及减少污名的努力做出贡献，通过确定国家一级的沟通需求和最佳实践。这项研究还将产生比较重要的发现，以评估国家对艾滋病毒的反应以及对社会文化变革过程的了解。来自五个国家的研究小组成员在计划和政策水平方面具有丰富经验，将确保分析的上下文敏感性，提高自己的研究能力，并将调查结果传播给主要的国家利益相关者。该研究的优点是容易适用于程序化实践，因为叙述为发展文化适应的干预措施提供了真实场景的金矿。