短消息服务提醒的可接受性,作为乌干达穆科诺区的年轻女性在PrEP坚持的支持工具
Muteebwa Laban1, Edith Joloba Nakku2, Joan Nangendo1
1Clinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
PLOS global public health
|January 2, 2024
概括
短信服务 (SMS) 提醒对于改善乌干达青少年女孩和年轻女性的艾滋病毒暴露前预防 (PrEP) 坚持是非常可接受的. 需要量身定制的SMS干预措施来支持坚持,特别是在农村地区.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 数字健康干预措施 数字健康干预措施
背景情况:
- 乌干达的青少年女孩和年轻女性 (AGYW) 面临着不成比例的高艾滋病毒发病率.
- 每天口服暴露前预防 (PrEP) 的低坚持是AGYW的一个重大挑战.
- 现有的关于SMS提醒在这个人口群体中适应PrEP的可接受性的文献是有限的.
研究的目的:
- 评估SMS提醒的可接受性,作为一种支持乌干达AGYW中PrEP遵守的工具.
- 确定与SMS提醒PrEP遵守的可接受性相关的因素.
主要方法:
- 在乌干达中部的穆科诺地区,对142名使用PrEP的AGYW进行了一项横截面研究.
- 数据采集使用受过训练的研究助理管理的结构化,预先测试的问卷.
- 使用可接受性的理论框架来评估可接受性,并使用修改后的波桑回归来分析数据.
主要成果:
- 短信提醒在 AGYW 中表现出高接受度 (90.9%).
- 生活在农村住宅与短信提醒的接受度有负面关联 (aPR:0.92).
- 对短信隐私保护的信念与接受度有积极的相关性 (aPR:1.40).
结论:
- 短信提醒是高度可接受的干预措施,以支持PrEP在AGYW中的坚持.
- 干预措施应优先考虑维护保密性和解决农村人口的需求.
- 利用短信技术可以提高PrEP的遵守率,并为这一关键人群的艾滋病预防工作做出贡献.
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