Nwaozuru Ucheoma, Tijani Wakilat, Gbajabiamila Titi, Obiezu-Umeh Chisom, Uzoaru Florida, Ezechi Oliver, Musa Adesola Z, Curley Jami, BeLue Rhonda, Iwelunmor Juliet
Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United States.
Nigerian Institute of Medical Research, Lagos, Nigeria.
Front Reprod Health. 2021 Dec 13;3:560908. doi: 10.3389/frph.2021.560908. eCollection 2021.
Human immunodeficiency virus risk-reduction interventions that include income-generating activities are garnering attention as effective strategies to engage adolescent girls and young women (AGYW) toward HIV risk reduction. To sustain and promote the uptake of these interventions, researchers must understand factors that may encourage or present barriers to AGYW participation in such interventions. This study explores AGYW perceived barriers and facilitators to participation in a school-based combination income-generating HIV prevention intervention in Nigeria. A convenience sample of AGYW who participated in a school-based combination income-generating HIV prevention intervention were recruited for the study. Data generated from focus group discussions (FGDs) (eight discussion groups comprising 10-12 participants) were analyzed by inductive thematic analysis. A total of 93 participants with a mean age of 15.04 years (SD = 0.89) participated in the FGDs. The study participants identified several facilitators and barriers to participation in the intervention. Three main themes that emerged as facilitators were: (1) involvement of young female facilitators in the delivery of intervention components, (2) opportunity for social interaction with peers during the intervention period, and (3) support and approval from school authorities. Two main themes were also identified as barriers: (1) sexual conservatism from society and parents and (2) challenges in sustaining a microenterprise. Despite the perceived benefits and interest in participation in the intervention, the study participants outlined some challenges that may hinder participation in the intervention components. Addressing barriers, such as stigma associated with the discussion of sexual health-related topics, coupled with the promotion of facilitating factors, such as leveraging context-appropriate intervention delivery modalities, is important for enhancing the engagement of AGYW in HIV risk-reduction intervention. Our findings can guide future research and design of combination income-generating HIV prevention interventions for in-school AGYW in low-resource settings such as Nigeria.
包括创收活动在内的降低人类免疫缺陷病毒风险干预措施，正作为促使青春期女孩和年轻女性（AGYW）降低艾滋病毒风险的有效策略而受到关注。为了维持和促进这些干预措施的采用，研究人员必须了解可能鼓励AGYW参与此类干预措施或构成障碍的因素。本研究探讨了AGYW参与尼日利亚一项基于学校的创收与预防艾滋病毒相结合干预措施时所感知到的障碍和促进因素。本研究招募了参与基于学校的创收与预防艾滋病毒相结合干预措施的AGYW作为便利样本。通过归纳主题分析对焦点小组讨论（FGD）（8个讨论小组，每组10 - 12名参与者）产生的数据进行了分析。共有93名平均年龄为15.04岁（标准差 = 0.89）的参与者参加了焦点小组讨论。研究参与者确定了参与干预措施的若干促进因素和障碍。作为促进因素出现的三个主要主题是：（1）年轻女性促进者参与干预措施各组成部分的实施；（2）干预期间与同龄人进行社交互动的机会；（3）学校当局的支持和认可。还确定了两个主要障碍主题：（1）来自社会和家长的性保守观念；（2）维持微型企业的挑战。尽管认识到参与干预措施的益处和兴趣，但研究参与者概述了一些可能阻碍参与干预措施各组成部分的挑战。解决诸如与性健康相关话题讨论相关的耻辱感等障碍，同时促进诸如利用适合当地情况的干预实施方式等促进因素，对于提高AGYW参与艾滋病毒风险降低干预措施的程度很重要。我们的研究结果可为未来针对尼日利亚等资源匮乏地区在校AGYW的创收与预防艾滋病毒相结合干预措施的研究和设计提供指导。
