West Rebecca L, Freeman Lily, Pahe Charlotte, Momanyi Harmon, Kidiga Catherine, Malaba Serah, Ciecielag Joanna, Ridge Mary-Clare, Goldwin Emma, Awsumb Heather, Sharma Sunny
Ipsos, London, United Kingdom.
Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, United States of America.
PLOS Glob Public Health. 2023 Apr 5;3(4):e0001776. doi: 10.1371/journal.pgph.0001776. eCollection 2023.
HIVST has a key role in ensuring countries meet their 95-95-95 goals. For HIVST to be sustainable, we should explore sharing costs with users as well as the overall experience. This research explores why a consumer would use HIVST and willingness to pay for HIVST through surveying 1,021 participants 18-35 living in Nairobi or Kisumu who were not diagnosed as HIV positive and who are not currently taking PrEP for HIV. A majority (89.8%) would pay 100 KSH and 64.7% would pay 300 KSH, at higher prices likelihood of paying dropped sharply. Price reduction or subsidization coupled with interventions to address the identified barriers may increase HIVST uptake. We identified 5 distinct groups based on willingness to pay and drivers/ barriers to HIVST uptake. These were created using dimension reduction, hierarchical clustering, and k-means analysis to group respondents. 79% of participants had ever heard of HIVST, and 24% had ever used HIVST. The 5 groups included active users, unlikely users, and three segments interested in HIVST with different barriers: need for HCP support, need for increased privacy/confidentiality, and fear of positive result/disclosure.
自我检测在确保各国实现其95-95-95目标方面发挥着关键作用。为了使自我检测具有可持续性，我们应该探索与用户分担成本以及整体体验。本研究通过对1021名年龄在18至35岁、居住在内罗毕或基苏木、未被诊断为艾滋病毒阳性且目前未服用艾滋病毒暴露前预防药物的参与者进行调查，探讨了消费者使用自我检测的原因以及为自我检测付费的意愿。大多数人（89.8%）愿意支付100肯尼亚先令，64.7%愿意支付300肯尼亚先令，价格越高支付的可能性急剧下降。降价或补贴以及解决已确定障碍的干预措施可能会增加自我检测的采用率。我们根据支付意愿以及自我检测采用的驱动因素/障碍确定了5个不同的群体。这些群体是通过降维、层次聚类和k均值分析对受访者进行分组而创建的。79%的参与者听说过自我检测，24%的参与者使用过自我检测。这5个群体包括活跃用户、不太可能使用的用户以及对自我检测感兴趣但存在不同障碍的三个细分群体：需要医疗保健人员的支持、需要增强隐私/保密性以及担心检测结果呈阳性/暴露。
