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“直言不讳……”:南非基于韧性的青年艾滋病毒预防干预措施中青年和干预实施者的看法。

"A spade was called a spade … ": Youth and intervention implementers' perceptions of a resilience-based HIV-prevention intervention for youth in South Africa.

机构信息

School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.

出版信息

Afr J AIDS Res. 2023 Nov;22(3):145-156. doi: 10.2989/16085906.2023.2233496. Epub 2023 Aug 4.

DOI:10.2989/16085906.2023.2233496
PMID:37539638
Abstract

The youth (15-24 years old) in South Africa remain at high risk of HIV infection despite varied efforts to control the disease. An understanding of the perspectives of relevant stakeholders of HIV-prevention interventions targeting the youth is important to guide research, policy and practice aimed at improving these interventions. This study explores youth and intervention implementers' perceptions of a resilience-based HIV-prevention intervention () aimed at reducing risky sexual behaviours among the youth in South Africa. Semi-structured interviews were conducted with 10 young people who participated in the intervention, and four intervention implementers at a not-for-profit organisation in Maluti-a-Phofung Local Municipality, South Africa. Data were analysed using thematic analysis. Three main themes emerged from the data: (1) Acceptability and impact of the intervention; (2) Factors influencing intervention implementation; and (3) Recommendations to improve intervention implementation. These findings provide insights into the acceptability, impact, barriers and facilitators of resilience-based HIV-prevention interventions for the youth in South Africa and similar contexts, and how implementation of these interventions could be enhanced. The findings can help researchers, policy makers and health care practitioners in the field of HIV prevention to improve interventions targeting young people.

摘要

尽管南非在控制艾滋病方面做出了各种努力,但该年龄段的年轻人仍然面临着较高的 HIV 感染风险。了解针对青年的艾滋病预防干预措施的相关利益攸关方的观点,对于指导旨在改善这些干预措施的研究、政策和实践非常重要。本研究探讨了青年人和干预实施者对一项基于韧性的艾滋病预防干预措施()的看法,该干预措施旨在减少南非青年的危险性行为。在南非马卢蒂-阿波丰古地方市政当局的一个非营利组织中,对 10 名参加该干预措施的年轻人和 4 名干预实施者进行了半结构化访谈。使用主题分析对数据进行了分析。数据中出现了三个主要主题:(1)干预措施的可接受性和影响;(2)影响干预实施的因素;(3)改善干预实施的建议。这些发现深入了解了基于韧性的针对南非和类似背景下的青年的艾滋病预防干预措施的可接受性、影响、障碍和促进因素,以及如何加强这些干预措施的实施。研究结果可以帮助艾滋病预防领域的研究人员、政策制定者和医疗保健从业者改善针对年轻人的干预措施。

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