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首页> 外文期刊>AIDS care. >Understanding women and men's acceptability of current and new HIV prevention technologies in KwaZulu-Natal, South Africa
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Understanding women and men's acceptability of current and new HIV prevention technologies in KwaZulu-Natal, South Africa

机译：了解妇女和男子对南非夸祖鲁 - 纳塔尔的当前和新艾滋病毒预防技术的可接受性

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Despite significant advances to the HIV epidemic, prevention remains a challenge globally. Adolescent girls and young women in southern and Eastern Africa are still at high risk of acquiring HIV infection with limited prevention options. The expanding product pipeline of novel drugs and delivery approaches has highlighted the importance of acceptability and uptake of these anti-retroviral based products to realize their full prevention potential. Community engagement is now imperative to inform both product development and uptake; with research directed to understand what potential users are willing to use given the broader cultural-gender context in which HIV prevention product choices are made/negotiated.We conducted ten gender specific discussion groups with 112 participants in three of the eight highest HIV prevalence districts in urban, peri-urban, and rural KwaZulu-Natal. The participants where purposively selected according to age, location and sex. The data was analysed thematically in terms of the key enablers and barriers of accepting three key HIV dosing strategies; the oral pill, the vaginal ring and the injectable among men and women.The study found that women are willing to consider HIV prevention options that align with their current sexual and reproductive health routines, offers the longest duration of protection, and requires minimal/no partner involvement, in contrast most men were not supportive of their partners using of any form of PrEP, irrespective of dosing strategies and formulations as it raised questions of infidelity and side effects on men. The findings is indicative of the complexities of women's product choices, which are often embedded in a system of personal preference on an intrapersonal level, but also of male dominance, gender norms and cultural contexts at an interpersonal level.Understanding this intrapersonal-interpersonal interplay can enhance PrEP messaging and promotion; further highlighting the need to expand biomedical innovations for women initiated technologies.
机译：尽管对艾滋病毒流行病有重大进展，但预防仍然是全球挑战。南部和东非的青春期女童和少妇仍然具有利用有限的预防方案获得HIV感染的高风险。新型药物和递送方法的扩大产品管道强调了可接受性和吸收这些抗逆转录病毒基础产品的重要性，以实现其全部预防潜力。社区参与现在必须推送产品开发和吸收;通过研究旨在了解艾滋病预防产品选择的更广泛的文化性别背景愿意使用潜在的用户。我们在八个最高艾滋病毒患病地区的三个最高艾滋病毒患病率中进行了十大性别特异性讨论群体城市，围城和农村Kwazulu-Natal。根据年龄，地点和性别选择的参与者。在接受三个关键艾滋病毒给药策略的关键推动者和障碍方面进行主题分析数据;男性和女性中的口腔丸，阴道环和可注射的。研究发现，妇女愿意考虑与目前的性和生殖健康惯例保持一致的艾滋病毒预防选择，提供了最长的保护持续时间，并且需要最小/不合作伙伴参与，相比之下，大多数男性都不支持他们的伴侣使用任何形式的准备，而不管将策略和制剂加上给予男性的不忠和副作用的问题。该研究结果表明妇女产品选择的复杂性，通常嵌入在人际关系的男性优势，也是人际关系水平的男性优势，性别规范和文化背景中。这种内部人际关系的相互作用加强预备消息和促销;进一步突出了扩大妇女发起技术的生物医学创新的必要性。

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