International Centre for Reproductive Health Kenya, Mombasa, Kenya.
Foundation for Innovative New Diagnostics, Geneva, Switzerland.
Int J Public Health. 2022 Aug 26;67:1604918. doi: 10.3389/ijph.2022.1604918. eCollection 2022.
To understand the public's perceptions around rapid SARS-CoV-2 antigen self-testing in Kenya, including the drivers of acceptability, willingness to pay, and adherence to hygiene and prevention recommendations following a positive self-test. A household-based, cross-sectional survey, using a 35-item questionnaire, was conducted in Mombasa and Taita-Taveta counties, Kenya, during August 2021. Individuals aged ≥18 years were enrolled using a stratified sampling approach. There were 419 participants (mean age 35.7 years). A minority (10.5%) had ever tested for SARS-CoV-2. If SARS-CoV-2 self-testing were available, 39.9% and 41.5% would be likely and very likely, respectively, to use it. If unavailable free-of-charge, 63.01% would pay for it. Multivariate analyses suggested that people in rural areas (Coefficient 0.30, 95%CI: 0.11-0.48, = 0.002), aged 36-55 (Coefficient 0.21, 95%CI: 0.03-0.40, = 0.023), and employed full time (Coefficient 0.32, 95%CI: 0.06-0.58, = 0.016) would have more odds to adhere to recommended hygiene and prevention actions. SARS-CoV-2 self-testing was considered acceptable. Availability of self-testing could expand access to COVID-19 testing in Kenya, particularly among rural communities who have limited access to testing, and among mildly symptomatic individuals.
为了了解肯尼亚公众对快速 SARS-CoV-2 抗原自我检测的看法，包括可接受性、支付意愿以及在自我检测呈阳性后对卫生和预防建议的遵守情况。在肯尼亚的蒙巴萨和泰塔塔维塔县，2021 年 8 月开展了一项基于家庭的横断面调查，使用了 35 项问卷。采用分层抽样方法招募了年龄≥18 岁的个体。共有 419 名参与者（平均年龄 35.7 岁）。少数人（10.5%）曾接受过 SARS-CoV-2 检测。如果 SARS-CoV-2 自我检测可用，分别有 39.9%和 41.5%的人可能和很可能使用它。如果无法免费获得，有 63.01%的人会付费。多变量分析表明，居住在农村地区的人（系数 0.30，95%CI：0.11-0.48， = 0.002）、年龄在 36-55 岁之间的人（系数 0.21，95%CI：0.03-0.40， = 0.023）和全职工作的人（系数 0.32，95%CI：0.06-0.58， = 0.016）更有可能遵守推荐的卫生和预防措施。SARS-CoV-2 自我检测是可以接受的。自我检测的可用性可以扩大肯尼亚 COVID-19 检测的可及性，特别是在那些检测机会有限的农村社区，以及在症状轻微的个体中。
