BACKGROUND Despite high HIV incidence rates among young people in Nigeria, less than 24% of this population have ever tested for HIV. These low HIV testing rates suggest that current testing services may not align with their testing preferences. To address this gap, the objective of this study was to assess preferences for HIV testing options among young people in Nigeria. METHODS We conducted a cross-sectional study using survey to assess preferences for HIV testing options among 113 youth aged 14-24 years residing in Nigeria. The survey included a series of hypothetical HIV testing options, comprised of six characteristics centered around HIV testing service (i.e. location of testing, test administrator, mode of pre-test, mode of post-test counseling, type of HIV test, and cost of HIV test). For each characteristic, participants were asked to select one of the options that they prefer or indicate none of the above. A descriptive analysis of the preferences made by participants was conducted, summarizing proportions of participants who selected different options for HIV testing. RESULTS The mean age of study participants was 19.5 years old (SD = 2.7). Most youth (73, 64.6%) had at least a secondary school degree. There was pronounced heterogeneity in HIV testing preferences among young people. Although most youth preferred free HIV testing, 14 (16.7%) reported preferring paying a small amount compared to free testing. More youth preferred blood-based HIV self-testing 39(48.8%) compared to facility-based HIV testing and oral HIV self-testing. CONCLUSIONS Our finding suggest that young people have a range of HIV testing preferences in Nigeria. This suggests that a "one-size-fits-all" approach to delivering services to youth may be challenging in this context. HIV testing services can be optimized to reach young people if a variety options are provided to meet their unique preferences.

中文翻译：

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尼日利亚年轻人对艾滋病毒检测服务的偏爱。

背景技术尽管尼日利亚年轻人中艾滋病毒的发病率很高，但该人口中只有不到24％进行过艾滋病毒检测。这些较低的艾滋病毒检测率表明，当前的检测服务可能与他们的检测偏好不符。为了解决这一差距，本研究的目的是评估尼日利亚年轻人对HIV检测选项的偏好。方法我们使用调查进行了一项横断面研究，以评估居住在尼日利亚的113位年龄在14-24岁之间的年轻人对HIV检测选项的偏好。该调查包括一系列假设的HIV检测选项，包括围绕HIV检测服务的六个特征（即检测位置，检测管理员，检测前模式，检测后咨询模式，检测类型以及检测成本）。 HIV测试）。对于每个特征，要求参与者选择他们更喜欢的选项之一，或者不选择以上任何一项。对参与者的偏好进行了描述性分析，总结了选择不同选项进行HIV检测的参与者的比例。结果研究参与者的平均年龄为19.5岁（SD = 2.7）。大多数青年（73，64.6％）至少具有中学学位。年轻人对艾滋病毒的检测偏好存在明显的异质性。尽管大多数年轻人更喜欢免费的艾滋病毒检测，但有14名（16.7％）的报告称他们比免费检测更愿意支付少量费用。与基于设施的艾滋病毒检测和口服艾滋病毒自我检测相比，更多的年轻人更喜欢基于血液的艾滋病毒自我检测39（48.8％）。结论我们的研究结果表明，尼日利亚年轻人对HIV检测的偏爱范围很大。这表明，在这种情况下，向所有人提供服务的“千篇一律”方法可能是具有挑战性的。如果提供了多种选择来满足他们的独特喜好，则可以优化HIV检测服务，以覆盖年轻人。