Mason Stacey, Ezechi Oliver C, Obiezu-Umeh Chisom, Nwaozuru Ucheoma, BeLue Rhonda, Airhihenbuwa Collins, Gbaja-Biamila Titilola, Oladele David, Musa Adesola Z, Modi Karan, Parker Jessica, Uzoaru Florida, Engelhart Alexis, Tucker Joseph, Iwelunmor Juliet
Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, United States of America.
Clinical Sciences Division, Nigerian Institute of Medical Research, Medical Compound, Lagos, Nigeria.
PLoS One. 2022 Jun 3;17(6):e0268945. doi: 10.1371/journal.pone.0268945. eCollection 2022.
It is important to understand how to frame the formats for promoting HIV self-testing to increase uptake among young people. In this study, we used a culture-centered model to understand the narratives of HIV self-testing preferences among young people in Nigeria. We conducted a crowdsourcing contest to solicit ideas surrounding HIV self-testing promotion among young people (10-24 years) in Nigeria from October to November 2018 as part of the 2018 World AIDS Day event. We received 903 submissions and employed thematic content analysis to evaluate 769 eligible youth narratives. Thematic content analysis of the statements from the youth narratives was guided by the PEN-3 cultural model to examine the positive, existential, and negative perceptions (beliefs and values), enablers (resources), and nurturers (roles of friends and family) of HIV self-testing promotion among young people in Nigeria. Several themes emerged as factors that influence the uptake of HIV self-testing among young people in Nigeria. Specifically, seven themes emerged as perceptions: HIV testing accessibility, stigma reduction, and autonomy (positive); HIV self-testing kit packaging and advertisements (existential); lack of knowledge and increased stigma (negative). Seven themes emerged as enablers: social media, school, and government promotion (positive); gamification and animation (existential); high cost and access to linkage to care services (negative); And seven themes emerged as nurturers: peer, families, and faith-based communities (positive); parents and family-centered approach (existential); and partners and family (negative). Our data suggests that increased awareness around HIV self-testing on current youth-friendly platforms, de-stigmatization of HIV and HIV self-testing, decreased prices for HIV self-testing kits, reliability of testing kits, increased linkage to care services, and promotion of self-testing among family members and the community will be beneficial for HIV self-testing scale-up measures among young people in Nigeria.
了解如何构建促进艾滋病毒自我检测的形式以提高年轻人的接受度非常重要。在本研究中，我们使用了以文化为中心的模型来理解尼日利亚年轻人中艾滋病毒自我检测偏好的叙述。作为2018年世界艾滋病日活动的一部分，我们于2018年10月至11月举办了一场众包竞赛，以征集尼日利亚10至24岁年轻人中围绕艾滋病毒自我检测推广的想法。我们收到了903份提交内容，并采用主题内容分析来评估769份符合条件的青年叙述。青年叙述中的陈述的主题内容分析以PEN-3文化模型为指导，以检查尼日利亚年轻人中艾滋病毒自我检测推广的积极、存在和消极看法（信念和价值观）、促成因素（资源）和培育因素（朋友和家人的角色）。出现了几个主题，这些主题是影响尼日利亚年轻人接受艾滋病毒自我检测的因素。具体而言，七个主题作为看法出现：艾滋病毒检测的可及性、耻辱感降低和自主性（积极）；艾滋病毒自我检测试剂盒包装和广告（存在）；知识缺乏和耻辱感增加（消极）。七个主题作为促成因素出现：社交媒体、学校和政府推广（积极）；游戏化和动画（存在）；高成本和获得护理服务的联系（消极）；并且七个主题作为培育因素出现：同龄人、家庭和基于信仰的社区（积极）；父母和以家庭为中心的方法（存在）；以及伴侣和家庭（消极）。我们的数据表明，在当前对青年友好的平台上提高对艾滋病毒自我检测的认识、消除对艾滋病毒和艾滋病毒自我检测的污名化、降低艾滋病毒自我检测试剂盒的价格、检测试剂盒的可靠性、增加与护理服务的联系以及在家庭成员和社区中推广自我检测，将有利于尼日利亚年轻人中艾滋病毒自我检测扩大规模的措施。
