This study explores the contextual factors mediating HIV transmission risk in barbershops using qualitative data from in-depth interviews with barbers (n = 16) in Nigeria. Barbers were aware of individual-level risk factors for HIV transmission. Accounts highlighted individualisation of risk responsibility, wherein the decisions and actions of individual barbers were seen as primary determinants of risk, while overlooking the role of factors beyond the individual in the production of risk. The implementation of HIV prevention measures (such as sterilisation of barbering equipment) was impeded by social and structural factors such as income insecurity and pressure and demands from clients. These exogenous factors interacted with individual-behavioural ones (fatigue, delay in restocking disinfectants) to create a risk environment for HIV transmission in barbershops. Barbers chose between competing risks when making decisions about HIV prevention. Concerns about maximising income by serving more clients often trumped HIV prevention through sterilisation of equipment. These findings contribute further insights and nuances to an existing literature which shows that risk is a highly contextualised phenomenon that reflects the different impacts of structural forces on lived experiences. The findings highlight a need for models that bridge cognitive and lived dimensions of risk understanding to optimise HIV prevention in barbershops.

本研究使用来自尼日利亚理发师 (n = 16) 的深入访谈的定性数据，探讨了调解理发店 HIV 传播风险的背景因素。理发师了解个人层面的 HIV 传播风险因素。报告强调了风险责任的个体化，其中个别理发师的决定和行为被视为风险的主要决定因素，而忽略了个人以外的因素在风险产生中的作用。艾滋病预防措施（如理发设备消毒）的实施受到收入不安全、客户压力和需求等社会和结构性因素的阻碍。这些外源性因素与个体行为因素（疲劳、延迟补充消毒剂）为理发店的艾滋病毒传播创造风险环境。理发师在做出有关艾滋病毒预防的决定时，会在相互竞争的风险中做出选择。通过为更多客户提供服务来最大化收入的担忧往往胜过通过对设备进行消毒来预防艾滋病毒。这些发现为现有文献提供了进一步的见解和细微差别，这些文献表明风险是一种高度情境化的现象，反映了结构力对生活经历的不同影响。研究结果强调了需要建立模型来连接风险理解的认知和生活维度，以优化理发店的艾滋病毒预防。通过为更多客户提供服务来最大化收入的担忧往往胜过通过对设备进行消毒来预防艾滋病毒。这些发现为现有文献提供了进一步的见解和细微差别，这些文献表明风险是一种高度情境化的现象，反映了结构力对生活经历的不同影响。研究结果强调了需要建立模型来连接风险理解的认知和生活维度，以优化理发店的艾滋病毒预防。通过为更多客户提供服务来最大化收入的担忧往往胜过通过对设备进行消毒来预防艾滋病毒。这些发现为现有文献提供了进一步的见解和细微差别，这些文献表明风险是一种高度情境化的现象，反映了结构力对生活经历的不同影响。研究结果强调了需要建立模型来连接风险理解的认知和生活维度，以优化理发店的艾滋病毒预防。