尽管南非中型公司努力在工作场所提供艾滋病毒咨询和检测(HCT)，公司报告的吸收率相对较差。已确定迫切需要一系列旨在增加工作场所HCT参与的不同干预措施。这项研究的目的是定性地探讨彩票激励系统（LIS）作为干预措施的影响，以影响车间工人的工作场所HIV检测行为。在两家实施HCTLIS的南非中型汽车制造公司中，通过便利抽样对17名车间工人进行了定性研究。深度访谈采用半结构化访谈时间表，并使用主题分析来分析数据。采访显示，LIS在公司中引起了兴奋，并重新激发了员工对HCT的个人兴趣。兴奋促进了社交互动，导致与HCT有关的强大团体凝聚力，减轻了工作场所艾滋病毒污名化的负担。公开讨论允许发展支持性社会团体的压力，以寻求HCT作为一个集体，以期获得奖励。Lotteries被认为是对工作场所HCT的支持性和创新性公司方法。该研究确定了公司在使用LIS加强工作场所HIV检测时需要考虑的重要方面。强调了参与者之间和内部对话在激活集体主义非洲背景下艾滋病毒检测的支持性社会规范方面的重要性。
Despite South African mid-sized companies\' efforts to offer HIV counselling and testing (HCT) in the workplace, companies report relatively poor uptake rates. An urgent need for a range of different interventions aimed at increasing participation in workplace HCT has been identified. The aim of this study was to explore qualitatively the influence of a lottery incentive system (LIS) as an intervention to influence shop-floor workers\' workplace HIV testing behaviour. A qualitative study was conducted among 17 shop-floor workers via convenience sampling in two mid-sized South African automotive manufacturing companies in which an LIS for HCT was implemented. The in-depth interviews employed a semi-structured interview schedule and thematic analysis was used to analyse the data. The interviews revealed that the LIS created excitement in the companies and renewed employees\' personal interest in HCT. The excitement facilitated social interactions that resulted in a strong group cohesion pertaining to HCT that mitigated the burden of HIV stigma in the workplace. Open discussions allowed for the development of supportive social group pressure to seek HCT as a collective in anticipation of a reward. Lotteries were perceived as a supportive and innovative company approach to workplace HCT. The study identified important aspects for consideration by companies when using an LIS to enhance workplace HIV testing. The significance of inter- and intra-player dialogue in activating supportive social norms for HIV testing in collectivist African contexts was highlighted.
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