WhatsApp群组聊天中揭示的肯尼亚感染艾滋病毒青少年的艾滋病毒相关知识、态度、行为和经历
HIV-Related Knowledge, Attitudes, Behaviors and Experiences of Kenyan Adolescents Living with HIV Revealed in WhatsApp Group Chats.
作者信息
Chory Ashley, Nyandiko Winstone, Martin Roxanne, Aluoch Josephine, Scanlon Michael, Ashimosi Celestine, Njoroge Tabitha, McAteer Carole, Apondi Edith, Vreeman Rachel
机构信息
Department of Global Health and Health System Design, Arnhold Institute for Global Health, 5925Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Academic Model Providing Access to Healthcare (430902AMPATH), Eldoret, Kenya.
出版信息
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:2325958221999579. doi: 10.1177/2325958221999579.
INTRODUCTION
Mobile technologies represent a scalable platform for delivering knowledge and interventions targeting adolescents living with HIV (ALWH) in low and middle income countries. Data from mobile interventions can be used to assess the contextual understanding and experiences of ALWH.
METHODS
We examined HIV-related knowledge, attitudes, beliefs, behaviors, and experiences of Kenyan ALWH revealed in the contextual data from enrollment in a WhatsApp® group chat intervention.
RESULTS
Thirty ALWH (17 female, mean age 15.4) on ART, engaged in HIV care and aware of their status, were enrolled. Qualitative analysis of WhatsApp® chat discussions identified a gap in HIV knowledge, high medication-taking literacy, need for mental health support and significant barriers to adherence. Participants discussed challenges with HIV stigma and medication-taking in the school setting.
CONCLUSION
These discussions demonstrate a need for education on HIV topics, mental health support for ALWH, and interventions for stigma mitigation in the school setting.
引言
移动技术是一个可扩展的平台，可用于向低收入和中等收入国家的感染艾滋病毒青少年（ALWH）提供知识和干预措施。移动干预产生的数据可用于评估ALWH的情境理解和经历。
方法
我们研究了在WhatsApp®群聊干预注册的情境数据中所揭示的肯尼亚ALWH的艾滋病毒相关知识、态度、信念、行为和经历。
结果
30名接受抗逆转录病毒治疗、参与艾滋病毒护理并知晓自身状况的ALWH（17名女性，平均年龄15.4岁）被纳入研究。对WhatsApp®聊天讨论的定性分析发现，艾滋病毒知识存在差距、服药素养较高、需要心理健康支持以及坚持治疗存在重大障碍。参与者讨论了在学校环境中面临的艾滋病毒污名化和服药挑战。
结论
这些讨论表明，需要开展艾滋病毒主题教育、为ALWH提供心理健康支持以及在学校环境中采取减少污名化的干预措施。
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