实际与感知的 HIV 检测规范，以及个人 HIV 检测参与度：乌干达农村的一项横断面、基于人群的研究。

Actual Versus Perceived HIV Testing Norms, and Personal HIV Testing Uptake: A Cross-Sectional, Population-Based Study in Rural Uganda.

机构信息

Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

Harvard Center for Population and Development Studies, Cambridge, MA, USA.

出版信息

AIDS Behav. 2018 Feb;22(2):616-628. doi: 10.1007/s10461-017-1691-z.

DOI:10.1007/s10461-017-1691-z

PMID:28233075

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5568980/

Abstract

HIV testing is an essential part of treatment and prevention. Using population-based data from 1664 adults across eight villages in rural Uganda, we assessed individuals' perception of the norm for HIV testing uptake in their village and compared it to the actual uptake norm. In addition, we examined how perception of the norm was associated with personal testing while adjusting for other factors. Although the majority of people had been tested for HIV across all villages, slightly more than half of men and women erroneously thought that the majority in their village had never been tested. They underestimated the prevalence of HIV testing uptake by 42 percentage points (s.d. = 17 percentage points), on average. Among men, perceiving that HIV testing was not normative was associated with never testing for HIV (AOR = 2.6; 95% CI 1.7-4.0, p < 0.001). Results suggest an opportunity for interventions to emphasize the commonness of HIV testing uptake.

摘要

艾滋病毒检测是治疗和预防的重要组成部分。我们利用来自乌干达农村 8 个村庄的 1664 名成年人的基于人群的数据，评估了个人对其所在村庄艾滋病毒检测采用率的规范看法，并将其与实际的采用率规范进行了比较。此外，我们还研究了在调整其他因素的情况下，对规范的看法如何与个人检测相关。尽管所有村庄的大多数人都接受了艾滋病毒检测，但略多于一半的男性和女性错误地认为他们所在村庄的大多数人从未接受过检测。他们平均低估了艾滋病毒检测采用率 42 个百分点（标准差= 17 个百分点）。在男性中，认为艾滋病毒检测不规范与从未接受过艾滋病毒检测有关（AOR = 2.6；95%CI 1.7-4.0，p<0.001）。结果表明，可以通过干预措施强调艾滋病毒检测采用率的普遍性。