Social Media Messaging for HIV Testing in Zimbabwe

津巴布韦艾滋病毒检测的社交媒体消息

• 批准号: 9279207
• 负责人: Megan Suzanne Dunbar
• 金额: $ 35.42万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-10 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9279207
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adolescent; Adult; Africa South of the Sahara; Anti-Retroviral Agents; Area; Attention; Awareness; Behavior; Caring; Client; Clinic; Clinic Visits; Coitus; Communities; Counseling; Country; Data; Decision Making; Detection; Diffuse; Diffusion; Early Diagnosis; Female Adolescents; Friends; Geographic Locations; HIV; Health; Health Resources; Health Services; Healthcare Systems; Human immunodeficiency virus test; Intervention; Interview; Link; Marketing; Medical; Neighborhoods; Newly Diagnosed; Parental Notification; Patients; Pharmaceutical Preparations; Population; Prevalence; Prevention; Preventive; Process; Public Health; Quality of life; Recruitment Activity; Reporting; Risk; Risk Behaviors; Services; Sexual Health; Social Change; Social Network; Symptoms; System; Technology; Testing; Text; Treatment Efficacy; Viral Load result; Virus; Woman; Youth; Zimbabwe; adolescent health outcomes; aged; antenatal; community intervention; cost; design; high risk; high-risk adolescents; improved; innovation; low and middle-income countries; medically underserved; men; novel strategies; peer; public health relevance; research study; screening; sex risk; sexually active; social; social media; social networking website; social norm; social stigma; theories; transmission process; young man; young woman

 DESCRIPTION (provided by applicant): Zimbabwe is one of the countries hardest hit by HIV/AIDS, with more than 1.18 million people living with HIV and AIDS and an HIV prevalence of 14.3% in the adult population aged 15 - 49 years. However, only 57% of women and 36% of men had been tested for HIV and received their results. Although these numbers are low, they are lower among adolescents, with 45% of young women and 24% of young men who had sexual intercourse in the preceding 12 months having been tested for HIV and received their result. Thus, the identification of novel strategies for HIV testing among adolescents in sub-Saharan Africa is paramount. The proposed study makes a significant public health impact by examining an innovative strategy to increase the number of high-risk adolescents receiving HIV screening and then subsequently be linked to prevention, care and treatment services. We propose a research study to examine the efficacy of a peer-driven, social media HIV-testing campaign through the use of social networks. A total of 12 communities will be randomly allocated in matched pairs to receive a community-level, peer-driven HIV testing campaign compared to standard voluntary counseling and testing for HIV. Data will be collected at the only youth-centered and oriented health clinic in the geographic area. Youth, aged 16 - 24 years, from intervention communities will be recruited while at the clinic to disseminate at least 5 text messages to friends living in their neighborhood that they believe to be sexually active. The aims of the study are to examine the efficacy of the intervention to increase the number of youth testing for HIV, increase the efficacy of the intervention to increase the proportion of high-risk youth identified and examine the feasibility and acceptability of a peer-driven linkage-to-care and retention support strategy.

 描述（申请人提供）：津巴布韦是艾滋病毒/艾滋病最严重的国家之一，有超过118万艾滋病毒/艾滋病患者，15-49岁成年人口的艾滋病毒感染率为14.3%。然而，只有 57% 的女性和 36% 的男性接受过艾滋病毒检测并收到结果。尽管这一数字较低，但青少年中的比例较低，在过去 12 个月内发生过性行为的年轻女性和年轻男性中，有 45% 的年轻女性和 24% 的年轻男性接受过艾滋病毒检测并收到了结果。因此，确定撒哈拉以南非洲青少年艾滋病毒检测的新策略至关重要。拟议的研究通过审查一项创新战略，增加接受艾滋病毒筛查的高危青少年数量，然后将其与预防、护理和治疗服务联系起来，从而对公共卫生产生重大影响。我们提出了一项研究，旨在检验通过使用社交网络进行同伴驱动的社交媒体艾滋病毒检测活动的效果。与标准的艾滋病毒自愿咨询和检测相比，总共 12 个社区将被随机分配成配对，接受社区级、同伴驱动的艾滋病毒检测活动。数据将在该地理区域唯一以青少年为中心、面向青少年的健康诊所收集。来自干预社区的 16 至 24 岁青少年在诊所期间将被招募，向居住在其社区的朋友传播至少 5 条短信，这些短信是他们认为性活跃的。该研究的目的是检验干预措施的有效性，以增加青少年艾滋病毒检测的数量，提高干预措施的有效性，以增加已识别的高危青少年的比例，并检验同伴驱动的护理联系和保留支持策略的可行性和可接受性。