Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
FIND, the global alliance for diagnostics, Geneva, Switzerland
BMJ Open. 2023 Jan 30;13(1):e063323. doi: 10.1136/bmjopen-2022-063323.
Nigeria has been badly affected by the COVID-19 pandemic, and the poor testing coverage in the country may make controlling the spread of COVID-19 challenging. The aim of this study was to assess the general public's acceptability of SARS-CoV-2 self-testing as an approach which could help to address this gap.
A household-based survey was conducted in five urban and five rural local government areas in the states of Akwa Ibom, Anambra, Benue, Kaduna and Lagos, in mid-2021.
2126 respondents (969 were female) participated. A five-pronged, probabilistic sampling approach was used to recruit individuals older than 17 years and available to participate when randomly approached in their households by the surveyors. A 35-item questionnaire was used to collect data on their values towards SARS-CoV-2 self-testing. Primary outcomes were: likelihood to use a self-test; willingness to pay for a self-test; and likely actions following a reactive self-test result.
Of the total 2126 respondents, 14 (0.66%) were aware of COVID-19 self-testing, 1738 (81.80%) agreed with the idea of people being able to self-test for COVID-19, 1786 (84.05%) were likely/very likely to use self-tests if available, 1931 (90.87%) would report a positive result and 1875 (88.28%) would isolate if they self-tested positive. Factors significantly associated with the use of a self-test were having a college education or higher (adjusted Odds Ratio (AOR): 1.55; 95% CI: 1.03 to 2.33), full-time employment (AOR: 1.67; 95% CI: 1.06 to 2.63), feeling at moderate/high risk of COVID-19 (AOR: 2.43; 95% CI: 1.70 to 3.47) and presence of individuals at risk of COVID-19 within the household (AOR: 1.38; 95% CI: 1.06 to 1.78).
A majority of Nigerians agree with the concept of COVID-19 self-testing and would act to protect public health on self-testing positive. Self-test implementation research is necessary to frame how acceptability impacts uptake of preventive behaviours following a positive and a negative self-test result.
尼日利亚深受 COVID-19 疫情的影响，该国检测覆盖率低可能使 COVID-19 的传播难以控制。本研究旨在评估公众对 SARS-CoV-2 自我检测的接受程度，因为这种方法有助于解决这一差距。
2021 年中期，在阿克瓦伊博姆州、安楠布拉州、贝努埃州、卡杜纳州和拉各斯州的五个城市和五个农村地方政府地区进行了一项基于家庭的调查。
共有 2126 名受访者（969 名为女性）参与了调查。采用五叉、概率抽样方法招募 17 岁以上的个人，当调查员在其家中随机接近他们时，他们愿意参与调查。使用了 35 项问题的问卷来收集他们对 SARS-CoV-2 自我检测的价值观数据。主要结果是：使用自我检测的可能性；愿意为自我检测付费；以及在出现反应性自我检测结果后的可能行动。
在 2126 名受访者中，有 14 人（0.66%）知道 COVID-19 自我检测，1738 人（81.80%）同意人们能够自我检测 COVID-19 的想法，1786 人（84.05%）表示如果有自我检测，他们很可能/非常可能使用自我检测，1931 人（90.87%）会报告阳性结果，1875 人（88.28%）如果自我检测阳性，他们会隔离。与使用自我检测显著相关的因素包括具有大学学历或更高学历（调整后的优势比（OR）：1.55；95%置信区间（CI）：1.03 至 2.33）、全职工作（OR：1.67；95%CI：1.06 至 2.63）、感觉处于 COVID-19 的中度/高风险（OR：2.43；95%CI：1.70 至 3.47）以及家中有处于 COVID-19 风险中的人（OR：1.38；95%CI：1.06 至 1.78）。
大多数尼日利亚人同意 COVID-19 自我检测的概念，并将采取行动保护公众健康，自我检测呈阳性。需要进行自我检测实施研究，以确定可接受性如何影响对阳性和阴性自我检测结果后采取预防行为的影响。
