Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, #7025, Atlanta, GA 30322, USA.
AIDS Behav. 2013 Sep;17(7):2352-66. doi: 10.1007/s10461-012-0223-0.
Despite efforts to increase HIV testing in the African region, the proportion of men who report ever having been tested for HIV remains low. Research has focused on individual level determinants of women's testing however little is known about factors associated with men's testing behavior. This analysis investigates community influences on HIV testing among men ages 15-54, using Demographic and Health Survey (DHS) data from Chad, Ghana, Malawi, Nigeria, Tanzania, Uganda, Zambia, and Zimbabwe. Multilevel models were fitted in each country for the outcome of ever receiving an HIV test. After controlling for individual and household level factors, community level factors of demographics, economics, and behavior and knowledge remain significantly associated with HIV testing among men. The results of this analysis highlight the need to recognize the impact of community influences on men's HIV test seeking behavior, and to harness these community factors in the design of programs aimed at encouraging the uptake of HIV testing among men in Africa.
尽管非洲地区一直在努力增加艾滋病毒检测，但报告曾接受过艾滋病毒检测的男性比例仍然很低。研究集中在女性检测的个体层面决定因素上，但对于与男性检测行为相关的因素知之甚少。本分析使用来自乍得、加纳、马拉维、尼日利亚、坦桑尼亚、乌干达、赞比亚和津巴布韦的人口与健康调查 (DHS) 数据，调查了社区对 15-54 岁男性艾滋病毒检测的影响。在每个国家，都为曾经接受过艾滋病毒检测的结果拟合了多层次模型。在控制了个人和家庭层面的因素后，社区层面的人口统计学、经济学以及行为和知识因素仍然与男性艾滋病毒检测显著相关。本分析的结果强调需要认识到社区对男性艾滋病毒检测寻求行为的影响，并利用这些社区因素来设计旨在鼓励非洲男性接受艾滋病毒检测的项目。
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