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People's willingness to use COVID-19 self-testing in Nigeria: a cross-sectional survey.
Folayan, Morenike; Shilton, Sonjelle; Undelikwo, Veronica; Alaba, Oluwatoyin; Amusan, Ranmilowo; Ibrahim, Mustapha; Ogbozor, Pamela Adaobi; Mojisola, Oluyide; Batheja, Deepshikha; Banerji, Abhik; Ivanova Reipold, Elena; Martínez-Pérez, Guillermo Z.
Afiliación
  • Folayan M; Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
  • Shilton S; FIND, the global alliance for diagnostics, Geneva, Switzerland sonjelle.shilton@finddx.org.
  • Undelikwo V; Department of Sociology, University of Calabar, Calabar, Nigeria.
  • Alaba O; Institute of Public Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
  • Amusan R; Department of Community Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
  • Ibrahim M; SabonTrack Consultancy Company, Kaduna, Nigeria.
  • Ogbozor PA; Department of Psychology, Enugu State University of Science and Technology, Enugu, Anambra State, Nigeria.
  • Mojisola O; Department of Mental Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
  • Batheja D; Center for Disease Dynamics Economics & Policy, Delhi, India.
  • Banerji A; Center for Disease Dynamics Economics & Policy, Delhi, India.
  • Ivanova Reipold E; FIND, the global alliance for diagnostics, Geneva, Switzerland.
  • Martínez-Pérez GZ; FIND, the global alliance for diagnostics, Geneva, Switzerland.
BMJ Open ; 13(1): e063323, 2023 01 30.
Article en En | MEDLINE | ID: mdl-36717135
OBJECTIVES: Nigeria has been badly affected by the COVID-19 pandemic, and the poor testing coverage in the country may make controlling the spread of COVID-19 challenging. The aim of this study was to assess the general public's acceptability of SARS-CoV-2 self-testing as an approach which could help to address this gap. SETTING: A household-based survey was conducted in five urban and five rural local government areas in the states of Akwa Ibom, Anambra, Benue, Kaduna and Lagos, in mid-2021. PARTICIPANTS: 2126 respondents (969 were female) participated. A five-pronged, probabilistic sampling approach was used to recruit individuals older than 17 years and available to participate when randomly approached in their households by the surveyors. A 35-item questionnaire was used to collect data on their values towards SARS-CoV-2 self-testing. Primary outcomes were: likelihood to use a self-test; willingness to pay for a self-test; and likely actions following a reactive self-test result. RESULTS: Of the total 2126 respondents, 14 (0.66%) were aware of COVID-19 self-testing, 1738 (81.80%) agreed with the idea of people being able to self-test for COVID-19, 1786 (84.05%) were likely/very likely to use self-tests if available, 1931 (90.87%) would report a positive result and 1875 (88.28%) would isolate if they self-tested positive. Factors significantly associated with the use of a self-test were having a college education or higher (adjusted Odds Ratio (AOR): 1.55; 95% CI: 1.03 to 2.33), full-time employment (AOR: 1.67; 95% CI: 1.06 to 2.63), feeling at moderate/high risk of COVID-19 (AOR: 2.43; 95% CI: 1.70 to 3.47) and presence of individuals at risk of COVID-19 within the household (AOR: 1.38; 95% CI: 1.06 to 1.78). CONCLUSION: A majority of Nigerians agree with the concept of COVID-19 self-testing and would act to protect public health on self-testing positive. Self-test implementation research is necessary to frame how acceptability impacts uptake of preventive behaviours following a positive and a negative self-test result.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Reino Unido