The role of context in shaping HIV testing and prevention engagement among urban refugee and displaced adolescents and youth in Kampala, Uganda: findings from a qualitative study.
Adolescent
Adult
Female
Focus Groups
HIV Infections
/ diagnosis
HIV Testing
/ methods
Humans
Interviews as Topic
Male
Patient Acceptance of Health Care
/ statistics & numerical data
Qualitative Research
Refugees
/ statistics & numerical data
Sex Workers
/ statistics & numerical data
Uganda
Urban Population
/ statistics & numerical data
Young Adult
HIV self-testing
HIV testing
Uganda
adolescent and youth
refugee and internally displaced
stigma
Journal
Tropical medicine & international health : TM & IH
ISSN: 1365-3156
Titre abrégé: Trop Med Int Health
Pays: England
ID NLM: 9610576
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
pubmed:
10
2
2021
medline:
3
8
2021
entrez:
9
2
2021
Statut:
ppublish
Résumé
To explore experiences, preferences and engagement with HIV testing and prevention among urban refugee and displaced adolescents and youth in Kampala, Uganda, with a focus on the role of contextual factors in shaping access and uptake. This qualitative community-based study with urban refugee and displaced youth aged 16-24 living in Kampala's informal settlements involved five focus groups (FG), including two with young women, two with young men, and one with sex workers from March to May 2019. We also conducted five in-depth key informant interviews. We conducted thematic analysis informed by Campbell and Cornish's conceptualisation of material and symbolic contexts. Refugee/displaced youth participants (n = 44; mean age: 20.25, SD: 2.19; men: n = 17; women: n = 27) were from the Democratic Republic of Congo (n = 29), Rwanda (n = 11), Burundi (n = 3) and Sudan (n = 1). Participant narratives reflected material and symbolic contexts that shaped HIV testing awareness, preferences and uptake. Material contextual factors that presented barriers to HIV testing and prevention engagement included transportation costs to clinics, overcrowded living conditions that limited access to private spaces, low literacy and language barriers. Symbolic contexts that constrained HIV testing engagement included medical mistrust of HIV testing and inequitable gender norms. Religion emerged as an opportunity to connect with refugee communities and to address conservative religious positions on HIV and sexual health. Efforts to increase access and uptake along the HIV testing and prevention cascade can meaningfully engage urban refugee and displaced youth to develop culturally and contextually relevant services to optimise HIV and sexual health outcomes.
Identifiants
pubmed: 33560587
doi: 10.1111/tmi.13560
pmc: PMC8248412
doi:
Types de publication
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
572-581Subventions
Organisme : Canada Foundation for Innovation
Organisme : Canada Research Chairs Program
Organisme : NIMH NIH HHS
ID : R25 MH118935
Pays : United States
Organisme : Canadian Institutes of Health Research Project
Organisme : Ontario Ministry of Research & Innovation
Investigateurs
Grace Bandow
(G)
Aileen Chang
(A)
Ser-Ling Chua
(SL)
Ncoza Dlova
(N)
Wendemagegn Enbiale
(W)
Amy Forrestel
(A)
Claire Fuller
(C)
Christopher Griffiths
(C)
Rod Hay
(R)
Jenny Hughes
(J)
Sidra Khan
(S)
Alexia Knapp
(A)
Eleni Linos
(E)
Carmen Logie
(C)
Su Lwin
(S)
Ismael Maatouk
(I)
Toby Maurer
(T)
Aldo Morrone
(A)
Kayria Muttardi
(K)
Bayanne Olabi
(B)
Valeska Padovese
(V)
Aisha Sethi
(A)
Kari Wanat
(K)
Tori Williams
(T)
Informations de copyright
© 2021 The Authors Tropical Medicine & International Health Published by John Wiley & Sons Ltd.
Références
J Glob Health. 2017 Jun;7(1):010416
pubmed: 28607672
Sex Reprod Health Matters. 2019 Dec;27(3):86-106
pubmed: 31880507
Confl Health. 2013 Feb 14;7(1):2
pubmed: 23409807
AIDS Behav. 2012 May;16(4):847-57
pubmed: 21604108
PLoS One. 2014 Feb 28;9(2):e89786
pubmed: 24587034
BMC Med Res Methodol. 2016 Oct 27;16(1):145
pubmed: 27788671
Confl Health. 2019 Nov 27;13:57
pubmed: 31788022
BMJ Sex Reprod Health. 2020 Jul;46(3):192-199
pubmed: 31871133
BMC Med. 2019 Feb 15;17(1):31
pubmed: 30764826
PLoS One. 2017 Jan 20;12(1):e0169721
pubmed: 28107371
Health Place. 2013 Nov;24:216-24
pubmed: 24177416
Lancet HIV. 2016 Jul;3(7):e318-22
pubmed: 27365206
PLoS One. 2020 Jul 20;15(7):e0236316
pubmed: 32687519
BMJ Glob Health. 2018 May 3;3(2):e000682
pubmed: 29736272
PLoS Med. 2011 Nov;8(11):e1001124
pubmed: 22131907
Lancet HIV. 2016 Jul;3(7):e297-306
pubmed: 27365204
Int J STD AIDS. 2020 Oct;31(12):1186-1194
pubmed: 32928052
AIDS Res Ther. 2020 Jun 11;17(1):32
pubmed: 32527261
PLoS One. 2018 Jul 6;13(7):e0199300
pubmed: 29980147
Reprod Health. 2019 Mar 19;16(1):35
pubmed: 30890170
PLoS Curr. 2014 Mar 18;6:
pubmed: 24818066
Confl Health. 2018 Mar 12;12:7
pubmed: 29545828
BMC Res Notes. 2018 Jul 31;11(1):535
pubmed: 30064508
Int J Behav Med. 2020 Aug;27(4):378-388
pubmed: 32077049
Reprod Health. 2020 Sep 30;17(1):149
pubmed: 32998741
Confl Health. 2019 Dec 17;13:60
pubmed: 31867053
Crit Public Health. 2018 Apr 27;28(3):294-305
pubmed: 29770367