Leblanc Natalie M, Andes Karen L
J Assoc Nurses AIDS Care. 2015 May-Jun;26(3):281-95. doi: 10.1016/j.jana.2014.09.006. Epub 2014 Oct 2.
We explored men's HIV knowledge, perceptions of HIV risk, and willingness to test for HIV in preparation for the initiation of formalized voluntary counseling and testing (VCT) services at Yendi Hospital in Yendi District, Ghana. A multi-method approach was used, including surveys of 129 male hospital patrons, three men-only focus group discussions, and eight interviews with clinical staff at the hospital. History of condom use, perception of risk, paying for an HIV test, and age were all significantly associated (p < .05) with willingness to test. An aversion to the hospital was the most prominent theme among participants. Aversion was due to perceived lack of confidentiality, preference for traditional healers, perceived costs, and fear of testing. Our participants (a) expressed the need for VCT services, (b) recommended that VCT target men for HIV prevention and VCT patronage, and (c) thought locations outside of hospitals should provide testing services.
我们对加纳延迪区延迪医院的男性进行了调查，以了解他们的艾滋病病毒（HIV）知识、对HIV风险的认知以及接受HIV检测的意愿，为正式启动自愿咨询检测（VCT）服务做准备。我们采用了多种方法，包括对129名男性医院就诊者进行调查、开展三场仅限男性参与的焦点小组讨论，以及对医院临床工作人员进行八次访谈。是否使用过避孕套、对风险的认知、支付HIV检测费用的情况以及年龄，均与接受检测的意愿显著相关（p < 0.05）。参与者中最突出的主题是对医院的反感。反感的原因包括认为缺乏保密性、更倾向于传统治疗师、感知到的费用以及对检测的恐惧。我们的参与者：（a）表示需要VCT服务；（b）建议VCT将男性作为HIV预防和VCT服务对象；（c）认为医院以外的地点应提供检测服务。
