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"There is no need to leave the beach to test": a qualitative study of HIV self-testing knowledge and acceptability of HIV self-test kit distribution among social networks of fishermen in Western Kenya.

作者信息

Lewis-Kulzer Jayne, Olugo Phoebe, Gutin Sarah A, Kwena Zachary A, Nishimura Holly, Thorp Marguerite, Agot Kawango, Ayieko Benard, Bukusi Elizabeth A, Oluoch Lennah, Angawa David, Thirumurthy Harsha, Camlin Carol S

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.

Impact Research and Development Organization, Kisumu, Kenya.

出版信息

BMC Public Health. 2025 Mar 14;25(1):1005. doi: 10.1186/s12889-025-22136-1.


DOI:10.1186/s12889-025-22136-1
PMID:40087617
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11908045/
Abstract

BACKGROUND: HIV self-testing (HIVST) can improve HIV testing uptake by offering convenience and privacy. Yet HIVST accessibility and uptake remain limited in Lake Victoria beach communities where HIVST holds promise to address many barriers highly mobile populations of men in fishing communities face. We assessed HIVST knowledge and acceptability among highly mobile fishermen, a high priority population for HIV prevention and treatment, participating in a social network-based study ("Owete"; NCT04772469) to promote HIV testing, prevention, and treatment in Kenya. METHODS: Sixty-five in-depth baseline interviews (IDIs) and two focus group discussions (FGDs) were conducted at study baseline from December 2021 to June 2022 with fishermen, including 30 who were social network-central men recruited as HIVST "promoters" from three fishing communities along Lake Victoria, Kenya. Fishermen were purposively-sampled based on study arm, community, and age (18-34 and 35+) for interviews exploring HIVST knowledge, perceived benefits, and concerns. IDIs and FGDs were audio-recorded, translated/transcribed into English and inductively-coded and analyzed by six researchers using a framework approach. RESULTS: Nearly all participants had heard about HIVST and expressed willingness to self-test. Almost half reported learning about HIVST for the first time through the Owete study. Perceived benefits of self-testing included privacy, convenience, and being able to learn one's status with the freedom to choose when and where to test, which minimized stigma and work interruptions. Few participants had used HIVST prior to joining Owete, all of whom reported ease of use. Potential barriers to HIVST included fear of HIV-seropositive results, feeling unsure about how to use HIVSTs, and fear of stigma if a HIVST was discovered. Nearly all Owete promoters indicated willingness to distribute HIVST to help their peers know their status. Promoters stressed the importance of approaching HIVST discussions strategically and thoughtfully to garner trust and engagement, and felt they needed training to answer HIVST questions. CONCLUSION: While few fishermen had ever used HIVST, this study found high awareness, positive perceptions, and substantial willingness to use and distribute HIVST to other men. The "promoter" model, with known peers engaged in disseminating HIVST information and test kits, shows promise for engaging men in testing.

摘要

相似文献

[1]
"There is no need to leave the beach to test": a qualitative study of HIV self-testing knowledge and acceptability of HIV self-test kit distribution among social networks of fishermen in Western Kenya.

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[2]
"There is no need to leave the beach to test": A qualitative study of HIV self-testing knowledge and acceptability of HIV self-test kit distribution among social networks of fishermen in western Kenya.

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[3]
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[4]
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[5]
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[6]
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引用本文的文献

[1]
Barriers, Facilitators and Preferences for HIV Testing Services among Adolescent Girls (15-19) and Young Women (20-24) in Rakai District, Central Uganda.

Res Sq. 2025-7-14

本文引用的文献

[1]
Training Social Network-Central Fishermen in Western Kenya to Distribute HIV Self-Test Kits and Health Facility Referral Vouchers.

Afr J AIDS Res. 2024-12

[2]
A sub-national HIV epidemic appraisal in Kenya: a new approach for identifying priority geographies, populations and programmes for optimizing coverage for HIV prevention.

J Int AIDS Soc. 2024-7

[3]
Results of the Sukuma Ndoda ("Stand up, Man") HIV Self-Screening and Assisted Linkage to Care Project in Johannesburg: A Quasi-Experimental Pre-Post Evaluation.

J Acquir Immune Defic Syndr. 2024-8-1

[4]
Acceptability and uptake of oral HIV self-testing among rural community members in Tanzania: a pilot study.

AIDS Care. 2023-9

[5]
Testing a social network approach to promote HIV self-testing and linkage to care among fishermen at Lake Victoria: study protocol for the Owete cluster randomized controlled trial.

Trials. 2022-6-6

[6]
Men's comfort in distributing or receiving HIV self-test kits from close male social network members in Dar Es Salaam, Tanzania: baseline results from the STEP project.

BMC Public Health. 2021-9-24

[7]
Unawareness of HIV Infection Among Men Aged 15-59 Years in 13 Sub-Saharan African Countries: Findings From the Population-Based HIV Impact Assessments, 2015-2019.

J Acquir Immune Defic Syndr. 2021-8-1

[8]
Effect of community-led delivery of HIV self-testing on HIV testing and antiretroviral therapy initiation in Malawi: A cluster-randomised trial.

PLoS Med. 2021-5

[9]
HIV testing approaches to reach the first UNAIDS 95% target in sub-Saharan Africa.

Lancet HIV. 2021-4

[10]
HIV Self-Testing Uptake and Intervention Strategies Among Men in Sub-Saharan Africa: A Systematic Review.

Front Public Health. 2021

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