Journal Article

The study of acceptability HIV self-testing among Iranian injecting drug users: a qualitative study

Nili, Sairan, Dolan, Kate, Pashaei, Tahereh, Khazaee-Pool, Maryam, Bolbanabad, Amjad Mohammadi, Ponnet, Koen

2024

Overview

Background In 2016, The World Health Organization introduced HIV self-testing (HIVST) as an alternative to traditional HIV testing (1), the present study aims to study the acceptability of HIV self-testing among Iranian women injecting drug users (WIDUs). The results of this study are expected to provide valuable evidence for the proper implementation of this program in Iran. Methods: This study employed a content analysis approach to gather qualitative data. The investigation was conducted from April to July 2023. We have chosen the following five provinces, namely Mashhad, Tehran, Kurdistan, Mazandaran, and Kerman, as the designated areas for our study. A sample of Iranians (17–62 years) was selected by purposeful and snowball sampling methods to participate in the study, and 31 semi-structured interviews were conducted. The data collection tool was an interview guide, which was designed based on a review of the literature. The data were analyzed using conventional content analysis. The interviews continued until data saturation was reached. Results: Based on our findings, we distilled 2 main themes and 9 categories including Inhibiting factors (Access and Affordability, Accuracy Concerns, Low knowledge, linkage to HIV treatment, the window period, Ignoring the danger) and Focalizing factors (Empowerment and autonomy, Stigma and privacy. Conclusion Iran’s HIV stigma may discourage regular testing, but self-testing can help overcome challenges. Support for counseling, care links, and accurate information dissemination are crucial.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: A qualitative study / Acceptability / Adolescent / Adult / AIDS treatment / Analysis / Biostatistics / Content analysis / Data analysis / Data collection / Discrimination against AIDS virus carriers / Drug abuse / Drug addicts / Drug Users - psychology / Drug Users - statistics & numerical data / Empowerment / Environmental Health / Epidemiology / Ethics / Female / Health aspects / HIV / HIV (Viruses) / HIV Infections - diagnosis / HIV Infections - psychology / HIV self-testing / HIV testing / Human immunodeficiency virus / Humans / Injecting drug users / Interviews / Interviews as Topic / Iran / Literature reviews / Medical tests / Medicine / Medicine & Public Health / Middle Aged / Patient Acceptance of Health Care - psychology / Patient Acceptance of Health Care - statistics & numerical data / Pilot projects / Prevention / Privacy / Public Health / Qualitative analysis / Qualitative Research / Sampling methods / Self testing / Social aspects / Stigma / Stigma (Social psychology) / Substance Abuse, Intravenous - psychology / Vaccine / Womens health / Young Adult