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Health-related quality of life among adult patients with cancer in Uganda – a cross-sectional study 乌干达成年癌症患者的健康相关生活质量--一项横断面研究
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-10 DOI: 10.1080/16549716.2024.2325728
Allen Naamala, Lars E. Eriksson, Jackson Orem, Gorrette K. Nalwadda, Zarina Nahar Kabir, Lena Wettergren
The study aimed to investigate the prevalence and factors associated with poor health-related quality of life in adults with cancer in Uganda.This cross-sectional study surveyed 385 adult patients ...
这项研究旨在调查乌干达成年癌症患者健康相关生活质量低下的发生率和相关因素。
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引用次数: 0
Ghanaian women’s experience of intimate partner violence (IPV) during group antenatal care: a brief report from a cluster randomised controlled trial 加纳妇女在集体产前护理期间遭受亲密伴侣暴力 (IPV) 的经历:群组随机对照试验的简要报告
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2325250
Samia J. Abdelnabi, Michelle L. Munro-Kramer, Cheryl A. Moyer, John E.O. Williams, Jody R. Lori
Intimate partner violence (IPV) impacts women of reproductive age globally and can lead to significant negative consequences during pregnancy. This study describes an exploratory aim of a cluster r...
亲密伴侣暴力(IPV)对全球育龄妇女都有影响,并可能在怀孕期间导致严重的负面后果。本研究介绍了一项探索性群组研究的目的,该研究的目的是在全球范围内了解女性在怀孕期间遭受亲密伴侣暴力的情况。
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引用次数: 0
Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal 尼泊尔公立医院在分娩期间使用 Moyo 胎儿心率监测仪的障碍和促进因素
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2328894
Ashish KC, Mikaela Rönnbäck, Urja Humgain, Omkar Basnet, Pratiksha Bhattarai, Anna Axelin
Globally, every year, approximately 1 million foetal deaths take place during the intrapartum period, fetal heart monitoring (FHRM) and timely intervention can reduce these deaths.This study evalua...
全球每年约有 100 万名胎儿在产前死亡,胎心监护(FHRM)和及时干预可减少这些死亡。
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引用次数: 0
Life Science 2.0: reframing the life science sector for ‘the benefit on mankind’ 生命科学 2.0:为 "造福人类 "重塑生命科学领域
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2330758
Michaela Vallin, Göran Tomson, Beate Kampmann, Eivind Engebretsen, Stefan Swartling Peterson, Rhoda K. Wanyenze, Ole Petter Ottersen
The COVID-19 pandemic put the life science sector to the test. Vaccines were developed at unprecedented speed, benefiting from decades of fundamental research and now honoured by a Nobel Prize. How...
COVID-19 大流行给生命科学领域带来了考验。受益于数十年的基础研究,疫苗以前所未有的速度被开发出来,如今还获得了诺贝尔奖。如何...
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引用次数: 0
Multisectoral interventions for urban health in Africa: a mixed-methods systematic review 促进非洲城市健康的多部门干预措施:混合方法系统审查
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2024-04-05 DOI: 10.1080/16549716.2024.2325726
Meelan Thondoo, Ebele R. I. Mogo, Lambed Tatah, Monica Muti, Kim R. van Daalen, Trish Muzenda, Rachel Boscott, Omar Uwais, George Farmer, Adelaide Yue, Sarah Dalzell, Gudani Mukoma, Divya Bhagtani, Sostina Matina, Philip M. Dambisya, Kufre Okop, Charles Ebikeme, Lisa Micklesfield, Tolu Oni
Increasing evidence suggests that urban health objectives are best achieved through a multisectoral approach. This approach requires multiple sectors to consider health and well-being as a central ...
越来越多的证据表明,实现城市健康目标的最佳途径是采用多部门方法。这种方法要求多个部门将健康和福祉作为中心问题来考虑...
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引用次数: 0
Quality of active case-finding for tuberculosis in India: a national level secondary data analysis. 印度结核病活跃病例发现质量:国家级二级数据分析。
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2023-12-31 Epub Date: 2023-09-21 DOI: 10.1080/16549716.2023.2256129
Hemant Deepak Shewade, G Kiruthika, Prabhadevi Ravichandran, Swati Iyer, Aniket Chowdhury, S Kiran Pradeep, Kathiresan Jeyashree, S Devika, Joshua Chadwick, Jeromie Wesley Vivian, Dheeraj Tumu, Amar N Shah, Bhavin Vadera, Venkatesh Roddawar, Sanjay K Mattoo, Kiran Rade, Raghuram Rao, Manoj V Murhekar

Background: India has been implementing active case-finding (ACF) for TB among marginalised and vulnerable (high-risk) populations since 2017. The effectiveness of ACF cycle(s) is dependent on the use of appropriate screening and diagnostic tools and meeting quality indicators.

Objectives: To determine the number of ACF cycles implemented in 2021 at national, state (n = 36) and district (n = 768) level and quality indicators for the first ACF cycle.

Methods: In this descriptive study, aggregate TB program data for each ACF activity that was extracted was further aggregated against each ACF cycle at the district level in 2021. One ACF cycle was the period identified to cover all the high-risk populations in the district. Three TB ACF quality indicators were calculated: percentage population screened (≥10%), percentage tested among screened (≥4.8%) and percentage diagnosed among tested (≥5%). We also calculated the number needed to screen (NNS) for diagnosing one person with TB (≤1538).

Results: Of 768 TB districts, ACF data for 111 were not available. Of the remaining 657 districts, 642 (98%) implemented one, and 15 implemented two to three ACF cycles. None of the districts or states met all three TB ACF quality indicators' cut-offs. At the national level, for the first ACF cycle, 9.3% of the population were screened, 1% of the screened were tested and 3.7% of the tested were diagnosed. The NNS was 2824: acceptable (≤1538) in institutional facilities and poor for population-based groups. Data were not consistently available to calculate the percentage of i) high-risk population covered, ii) presumptive TB among screened and iii) tested among presumptive.

Conclusion: In 2021, India implemented one ACF cycle with sub-optimal ACF quality indicators. Reducing the losses between screening and testing, improving data quality and sensitising stakeholders regarding the importance of meeting all ACF quality indicators are recommended.

背景:自2017年以来,印度一直在边缘化和弱势(高危)人群中实施结核病主动病例发现(ACF)。ACF周期的有效性取决于使用适当的筛查和诊断工具以及满足质量指标。目标:确定2021年在国家、州(n = 36)和地区(n = 768)水平和质量指示符。方法:在这项描述性研究中,针对2021年地区层面的每一个ACF周期,进一步汇总提取的每一项ACF活动的结核病项目汇总数据。ACF的一个周期是确定覆盖该地区所有高危人群的时期。计算了三个TB ACF质量指标:筛查人群百分比(≥10%)、筛查人群中检测百分比(≥4.8%)和检测人群中诊断百分比(≥5%)。我们还计算了诊断一名结核病患者所需的筛查人数(≤1538)。结果:在768个结核病地区中,111个地区的ACF数据不可用。在剩下的657个区中,642个(98%)实施了一个,15个实施了两到三个ACF周期。没有一个地区或州达到所有三个结核病ACF质量指标的截止值。在国家一级,在第一个ACF周期,9.3%的人口接受了筛查,1%的筛查者接受了检测,3.7%的检测者被确诊。NNS为2824:在机构设施中可接受(≤1538),在人群群体中较差。数据不一致,无法计算i)覆盖的高危人群、ii)筛查中的推定结核病和iii)推定结核病中的检测百分比。结论:2021年,印度实施了一个ACF周期,ACF质量指标次优。建议减少筛选和测试之间的损失,提高数据质量,并让利益相关者意识到满足所有ACF质量指标的重要性。
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引用次数: 0
Does training on the WHO package of essential noncommunicable (PEN) disease interventions enhance consultation quality? A real-world assessment of adherence to PEN protocol in primary health centres in the Republic of Moldova. 关于世卫组织一揽子基本非传染性疾病干预措施的培训是否能提高咨询质量?对摩尔多瓦共和国初级保健中心遵守PEN议定书情况的实际评估。
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2023-12-31 Epub Date: 2023-11-30 DOI: 10.1080/16549716.2023.2285619
Jari Kempers, Cristina Rotaru, Alexandra Topa, Natalia Zarbailov, Ala Curteanu, Helen Prytherch

Background: Noncommunicable diseases (NCDs) pose a significant global health challenge. Primary health centres are pivotal in addressing this challenge by providing essential care to NCD patients. The WHO Package of Essential Noncommunicable (PEN) disease interventions has been designed to enhance the quality of NCD consultations and ensure adherence to the protocol. This study investigates the effects of PEN training in Moldova.

Objectives: The primary objective of this study is to assess the effects of training on WHO PEN on the quality of NCD consultations and adherence to the PEN protocol in a real -world setting in primary health centres in Moldova.

Methods: An observational, cross-sectional study was conducted, comparing primary health centres where health personnel received PEN training, provided by the Healthy Life project, to those where such training was not provided. In total, 24 family doctors and 24 medical assistants were observed for 233 workdays and covering 2,166 NCD consultations.

Results: Intervention primary health centres (PHCs) showed longer NCD consultation durations, with family doctors and medical assistants spending an added 1 minute 43 seconds and 3 minutes 10 seconds, respectively. These PHCs also reported a higher proportion of primary NCD consultations, indicating better screening for new NCD patients. Medical assistants in the intervention group took on a more pronounced role in NCD care. However, the findings also highlight the necessity to refine aspects of the PEN training, especially concerning follow-up consultations, risk assessments, and task delegation.

Conclusions: The findings suggest that the PEN training contributed to improvement of both the quality of NCD consultations and adherence to the PEN protocol. Yet, there is a need for enhancing the identified aspects of the PEN training. The findings highlight the potential of PEN training in primary healthcare settings for improved NCD management.

背景:非传染性疾病(NCDs)构成了重大的全球卫生挑战。初级保健中心通过向非传染性疾病患者提供基本护理,在应对这一挑战方面发挥着关键作用。世卫组织一揽子基本非传染性疾病干预措施旨在提高非传染性疾病咨询的质量,并确保议定书得到遵守。本研究调查了摩尔多瓦笔会培训的效果。目标:本研究的主要目标是评估世卫组织PEN培训对摩尔多瓦初级保健中心非传染性疾病咨询质量和遵守PEN协议的影响。方法:进行了一项观察性横断面研究,将卫生人员接受健康生活项目提供的PEN培训的初级卫生中心与未提供此类培训的初级卫生中心进行比较。总共对24名家庭医生和24名医疗助理进行了233个工作日的观察,诊治了2 166例非传染性疾病患者。结果:干预初级卫生中心(PHCs)的非传染性疾病咨询时间更长,家庭医生和医疗助理的咨询时间分别增加了1分43秒和3分10秒。这些初级保健中心还报告了更高比例的原发性非传染性疾病咨询,表明对新非传染性疾病患者的筛查更好。干预组的医疗助理在非传染性疾病护理中发挥了更显著的作用。然而,调查结果也强调了改进PEN培训方面的必要性,特别是在后续咨询、风险评估和任务授权方面。结论:研究结果表明,PEN培训有助于提高非传染性疾病咨询的质量和对PEN协议的遵守。然而,有必要加强笔会培训的已确定方面。研究结果强调了PEN培训在初级卫生保健机构中改善非传染性疾病管理的潜力。
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引用次数: 0
Sexual and reproductive health literacy among young people in Sub-Saharan Africa: evidence synthesis and implications. 撒哈拉以南非洲年轻人的性健康和生殖健康扫盲:证据综合及其影响。
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2023-12-31 Epub Date: 2023-11-27 DOI: 10.1080/16549716.2023.2279841
Adamu Amanu, Zewdie Birhanu, Ameyu Godesso

Background: Sexual and reproductive health literacy is a key to attaining and maintaining sexual and reproductive health, especially among young people in low-income countries, such as sub-Saharan Africa. While the importance of sexual and reproductive health literacy is gaining wider recognition, studies on the topic have been mainly concentrated in high-income (developed) countries.

Objective: The aim of this study was to provide a coherent summary and synthesis of the available evidence on sexual and reproductive health literacy among young people in sub-Saharan Africa, with implications for policy, interventions, and research.

Methods: The review was conducted using the Joanna Briggs Institute's methodology for reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline to enhance the clarity and transparency of the reporting process. PubMed, CINAHL, AJOL, AIM, and Google Scholar were searched for evidence from 18 March to 20 May 2022.

Results: The search provided 2,682 articles in total, of which only 24 met the eligibility criteria and were included in this review. The findings revealed persistent sexual and reproductive health information/knowledge gaps, poor sexual and reproductive health-related knowledge and practices, lack of exercising sexual and reproductive health knowledge, and multiple determinants of sexual and reproductive health literacy among young people, ranging from personal to larger structural conditions.

Conclusion: The review found that sexual and reproductive health literacy among young people in sub-Saharan Africa is concerning and has not been fully researched. A deeper understanding of the issue is essential for designing and implementing effective interventions to improve sexual and reproductive health literacy and health outcomes among young people.

背景:性健康和生殖健康知识普及是实现和维持性健康和生殖健康的关键,特别是在撒哈拉以南非洲等低收入国家的年轻人中。虽然性健康和生殖健康知识普及的重要性正在获得更广泛的认识,但关于这一专题的研究主要集中在高收入(发达)国家。目的:本研究的目的是对撒哈拉以南非洲年轻人性健康和生殖健康素养的现有证据进行连贯的总结和综合,并对政策、干预措施和研究产生影响。方法:采用乔安娜布里格斯研究所的评估方法和系统评估和荟萃分析报告指南的首选报告项目进行评估,以提高报告过程的清晰度和透明度。从2022年3月18日至5月20日对PubMed、CINAHL、AJOL、AIM和Google Scholar进行了检索。结果:共检索到2682篇文献,其中只有24篇符合入选标准,被纳入本综述。调查结果显示,性健康和生殖健康信息/知识差距持续存在,性健康和生殖健康相关知识和做法不足,缺乏性健康和生殖健康知识的实践,以及年轻人性健康和生殖健康素养的多重决定因素,从个人到更大的结构条件。结论:审查发现,撒哈拉以南非洲年轻人的性健康和生殖健康素养令人担忧,但尚未得到充分研究。更深入地了解这个问题对于设计和实施有效的干预措施以提高年轻人的性健康和生殖健康知识和健康成果至关重要。
{"title":"Sexual and reproductive health literacy among young people in Sub-Saharan Africa: evidence synthesis and implications.","authors":"Adamu Amanu, Zewdie Birhanu, Ameyu Godesso","doi":"10.1080/16549716.2023.2279841","DOIUrl":"10.1080/16549716.2023.2279841","url":null,"abstract":"<p><strong>Background: </strong>Sexual and reproductive health literacy is a key to attaining and maintaining sexual and reproductive health, especially among young people in low-income countries, such as sub-Saharan Africa. While the importance of sexual and reproductive health literacy is gaining wider recognition, studies on the topic have been mainly concentrated in high-income (developed) countries.</p><p><strong>Objective: </strong>The aim of this study was to provide a coherent summary and synthesis of the available evidence on sexual and reproductive health literacy among young people in sub-Saharan Africa, with implications for policy, interventions, and research.</p><p><strong>Methods: </strong>The review was conducted using the Joanna Briggs Institute's methodology for reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline to enhance the clarity and transparency of the reporting process. PubMed, CINAHL, AJOL, AIM, and Google Scholar were searched for evidence from 18 March to 20 May 2022.</p><p><strong>Results: </strong>The search provided 2,682 articles in total, of which only 24 met the eligibility criteria and were included in this review. The findings revealed persistent sexual and reproductive health information/knowledge gaps, poor sexual and reproductive health-related knowledge and practices, lack of exercising sexual and reproductive health knowledge, and multiple determinants of sexual and reproductive health literacy among young people, ranging from personal to larger structural conditions.</p><p><strong>Conclusion: </strong>The review found that sexual and reproductive health literacy among young people in sub-Saharan Africa is concerning and has not been fully researched. A deeper understanding of the issue is essential for designing and implementing effective interventions to improve sexual and reproductive health literacy and health outcomes among young people.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10795590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research priorities for improving menstrual health across the life-course in low- and middle-income countries. 在低收入和中等收入国家改善整个生命周期月经健康的研究重点。
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2023-12-31 Epub Date: 2023-11-27 DOI: 10.1080/16549716.2023.2279396
Marina Plesons, Belen Torondel, Bethany A Caruso, Julie Hennegan, Marni Sommer, Jacquelyn Haver, Danielle Keiser, Anna M van Eijk, Garazi Zulaika, Linda Mason, Penelope A Phillips-Howard

Background: Research on menstrual health is required to understand menstrual needs and generate solutions to improve health, wellbeing, and productivity. The identification of research priorities will help inform where to invest efforts and resources.

Objectives: To identify research priorities for menstrual health across the life-course, in consultation with a range of stakeholder groups from a variety of geographic regions, and to identify if menstrual health research priorities varied by expertise.

Methods: A modified version of the Child Health and Nutrition Research Initiative approach was utilized to reach consensus on a set of research priorities. Multisector stakeholders with menstrual health expertise, identified through networks and the literature, were invited to submit research questions through an online survey. Responses were consolidated, and individuals were invited to rank these questions based on novelty, potential for intervention, and importance/impact. Research priority scores were calculated and evaluated by participants' characteristics.

Results: Eighty-two participants proposed 1135 research questions, which were consolidated into 94 unique research questions. The mean number of questions did not differ between low- and middle-income country (LMIC) and high-income country (HIC) participants, but significantly more questions were raised by participants with expertise in mental health and WASH. Sixty-six participants then ranked these questions. The top ten-ranked research questions included four on 'understanding the problem', four on 'designing and implementing interventions', one on 'integrating and scaling up', and one on 'measurement'. Indicators for the measurement of adequate menstrual health over time was ranked the highest priority by all stakeholders. Top ten-ranked research questions differed between academics and non-academics, and between participants from HICs and LMICs, reflecting differences in needs and knowledge gaps.

Conclusions: A list of ranked research priorities was generated through a consultative process with stakeholders across LMICs and HICs which can inform where to invest efforts and resources.

背景:需要对月经健康进行研究,以了解月经需求并产生改善健康,福祉和生产力的解决方案。确定研究重点将有助于了解在何处投入努力和资源。目标:与来自不同地理区域的一系列利益攸关方团体协商,确定整个生命过程中月经健康的研究重点,并确定月经健康研究重点是否因专业知识而异。方法:采用儿童健康和营养研究倡议方法的修改版本,就一系列研究重点达成共识。通过网络和文献确定了具有经期健康专门知识的多部门利益攸关方,邀请他们通过在线调查提交研究问题。对回答进行整合,并邀请个人根据新颖性、干预潜力和重要性/影响对这些问题进行排名。研究优先级得分是根据参与者的特征来计算和评估的。结果:82位参与者提出1135个研究问题,整合成94个独特的研究问题。低收入和中等收入国家(LMIC)和高收入国家(HIC)参与者的平均问题数量没有差异,但具有精神卫生和讲卫生专业知识的参与者提出的问题明显更多。然后66名参与者对这些问题进行排序。排名前十的研究问题包括四个关于“理解问题”,四个关于“设计和实施干预措施”,一个关于“整合和扩大规模”,一个关于“测量”。所有利益攸关方都将衡量经期健康状况的指标列为最优先事项。排名前十的研究问题在学者和非学者之间、在高收入国家和中低收入国家的参与者之间存在差异,反映了需求和知识差距的差异。结论:通过与中低收入国家和高收入国家的利益攸关方进行协商,产生了一份研究重点排序清单,可以为在何处投入努力和资源提供信息。
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引用次数: 0
HIV self-testing acceptability among injured persons seeking emergency care in Nairobi, Kenya. 在肯尼亚内罗毕寻求紧急护理的伤者中接受艾滋病毒自我检测。
IF 2.6 3区 医学 Q1 Medicine Pub Date : 2023-12-31 DOI: 10.1080/16549716.2022.2157540
Adam R Aluisio, Scarlett J Bergam, Janet Sugut, John Kinuthia, Rose Bosire, Eric Ochola, Beatrice Ngila, Kate M Guthrie, Tao Liu, Mary Mugambi, David A Katz, Carey Farquhar, Michael J Mello

Background: Emergency department-based HIV self-testing (ED-HIVST) could increase HIV-testing services to high-risk, under-reached populations.

Objectives: This study sought to understand the injury patient acceptability of ED-HIVST.

Methods: Injury patients presenting to the Kenyatta National Hospital Accident and Emergency Department were enrolled from March to May 2021. Likert item data on HIVST assessing domains of general acceptability, personal acceptability, and acceptability to distribute to social and/or sexual networks were collected. Ordinal regression was performed yielding adjusted odds ratios (aOR) to identify characteristics associated with high HIVST acceptability across domains.

Results: Of 600 participants, 88.7% were male, and the median age was 29. Half reported having primary care providers (PCPs) and 86.2% reported prior HIV testing. For each Likert item, an average of 63.5% of the participants reported they 'Agree Completely' with positive statements about ED-HIVST in general, for themselves, and for others. In adjusted analysis for general acceptability, those <25 (aOR = 1.67, 95%CI:1.36-2.08) and with prior HIV testing (aOR = 1.68, 95%CI:1.27-2.21) had greater odds of agreeing completely. For personal acceptability, those with a PCP (aOR = 3.31, 95%CI:2.72-4.03) and prior HIV testing (aOR = 1.83, 95%CI:1.41-2.38) had greater odds of agreeing completely. For distribution acceptability, participants with a PCP (aOR = 2.42, 95%CI:2.01-2.92) and prior HIV testing (aOR = 1.79, 95%CI: 1.38-2.33) had greater odds of agreeing completely.

Conclusions: ED-HIVST is perceived as highly acceptable, and young people with prior testing and PCPs had significantly greater favourability. These data provide a foundation for ED-HIVST programme development in Kenya.

背景:基于急诊科的HIV自我检测(ED-HIVST)可以增加对高危人群、接触不足人群的HIV检测服务。目的:本研究旨在了解受伤患者对ED-HIVST的可接受性。方法:2021年3月至5月,肯雅塔国立医院急诊科的受伤患者被纳入研究。收集关于HIVST的Likert项目数据,评估一般可接受性、个人可接受性和可接受性领域,以分发到社会和/或性网络。进行顺序回归,产生调整后的优势比(aOR),以确定与跨领域的高HIVST可接受性相关的特征。结果:在600名参与者中,88.7%为男性,中位年龄为29岁。一半的人报告有初级保健提供者(PCP),86.2%的人报告以前进行过艾滋病毒检测。对于每个Likert项目,平均63.5%的参与者表示,他们“完全同意”关于ED-HIVST的积极陈述,无论是对自己还是对他人。在对一般可接受性的调整分析中,这些结论:ED-HIVST被认为是高度可接受的,有既往测试和PCP的年轻人的好感度明显更高。这些数据为肯尼亚发展ED-HIVST方案奠定了基础。
{"title":"HIV self-testing acceptability among injured persons seeking emergency care in Nairobi, Kenya.","authors":"Adam R Aluisio, Scarlett J Bergam, Janet Sugut, John Kinuthia, Rose Bosire, Eric Ochola, Beatrice Ngila, Kate M Guthrie, Tao Liu, Mary Mugambi, David A Katz, Carey Farquhar, Michael J Mello","doi":"10.1080/16549716.2022.2157540","DOIUrl":"10.1080/16549716.2022.2157540","url":null,"abstract":"<p><strong>Background: </strong>Emergency department-based HIV self-testing (ED-HIVST) could increase HIV-testing services to high-risk, under-reached populations.</p><p><strong>Objectives: </strong>This study sought to understand the injury patient acceptability of ED-HIVST.</p><p><strong>Methods: </strong>Injury patients presenting to the Kenyatta National Hospital Accident and Emergency Department were enrolled from March to May 2021. Likert item data on HIVST assessing domains of general acceptability, personal acceptability, and acceptability to distribute to social and/or sexual networks were collected. Ordinal regression was performed yielding adjusted odds ratios (aOR) to identify characteristics associated with high HIVST acceptability across domains.</p><p><strong>Results: </strong>Of 600 participants, 88.7% were male, and the median age was 29. Half reported having primary care providers (PCPs) and 86.2% reported prior HIV testing. For each Likert item, an average of 63.5% of the participants reported they 'Agree Completely' with positive statements about ED-HIVST in general, for themselves, and for others. In adjusted analysis for general acceptability, those <25 (aOR = 1.67, 95%CI:1.36-2.08) and with prior HIV testing (aOR = 1.68, 95%CI:1.27-2.21) had greater odds of agreeing completely. For personal acceptability, those with a PCP (aOR = 3.31, 95%CI:2.72-4.03) and prior HIV testing (aOR = 1.83, 95%CI:1.41-2.38) had greater odds of agreeing completely. For distribution acceptability, participants with a PCP (aOR = 2.42, 95%CI:2.01-2.92) and prior HIV testing (aOR = 1.79, 95%CI: 1.38-2.33) had greater odds of agreeing completely.</p><p><strong>Conclusions: </strong>ED-HIVST is perceived as highly acceptable, and young people with prior testing and PCPs had significantly greater favourability. These data provide a foundation for ED-HIVST programme development in Kenya.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9848354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9220506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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