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同伴关爱:为男性开发坦桑尼亚 HIV 自检教育和推广(坦桑尼亚 STEP)项目的形成性研究。

Mate Yako Afya Yako: Formative research to develop the Tanzania HIV self-testing education and promotion (Tanzania STEP) project for men.

机构信息

Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.

Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.

出版信息

PLoS One. 2018 Aug 27;13(8):e0202521. doi: 10.1371/journal.pone.0202521. eCollection 2018.


DOI:10.1371/journal.pone.0202521
PMID:30148846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6110473/
Abstract

The purpose of this formative research, guided by the Integrated Behavioral Model, was to assess men's attitudes and personal agency towards HIV self-testing (HIVST) and confirmatory HIV testing in order to inform the development of the Tanzania STEP (Self-Testing Education and Promotion) Project, a peer-based HIV self-testing intervention for young men in Tanzania. Qualitative in-depth interviews were conducted with 23 men in Dar es Salaam, Tanzania who socialize in networks locally referred to as "camps". Men reported privacy, confidentiality, and saving time as the primary reasons for their self-testing interest. Most participants had high perceived control and self-efficacy to self-test and seek confirmatory HIV testing. Nevertheless, men reported concerns related to their ability to perform the test and the potential lack of post-test counseling. Specific recommendations for the intervention included providing HIVST education and pre-test counseling, and using mobile health (mHealth) strategies for participants to reach a healthcare professional for further assistance. The findings suggest that while HIVST is highly acceptable among men in Tanzania, future interventions will need to address the challenges that men may face with HIVST before promoting it as an alternative or supplement to facility-based HIV testing.

摘要

本形成性研究以综合行为模型为指导,旨在评估男性对 HIV 自我检测(HIVST)和确证性 HIV 检测的态度和个人能动性,以便为坦桑尼亚 STEP(自我检测教育和推广)项目的制定提供信息,该项目是一个基于同伴的针对坦桑尼亚年轻男性的 HIV 自我检测干预措施。在坦桑尼亚达累斯萨拉姆,对 23 名在当地被称为“营地”的网络中社交的男性进行了定性深入访谈。男性报告称,隐私、保密和节省时间是他们对自我检测感兴趣的主要原因。大多数参与者对自我检测和寻求确证性 HIV 检测有较高的感知控制和自我效能感。然而,男性报告了与他们进行检测的能力以及潜在缺乏检测后咨询相关的担忧。干预措施的具体建议包括提供 HIVST 教育和检测前咨询,并利用移动健康(mHealth)策略,让参与者能够联系医疗保健专业人员以获得进一步的帮助。研究结果表明,虽然 HIVST 在坦桑尼亚男性中高度可接受,但未来的干预措施需要解决男性在推广 HIVST 作为替代或补充基于机构的 HIV 检测之前可能面临的挑战。

相似文献

[1]
Mate Yako Afya Yako: Formative research to develop the Tanzania HIV self-testing education and promotion (Tanzania STEP) project for men.

PLoS One. 2018-8-27

[2]
"He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.

Am J Mens Health. 2018-9

[3]
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[4]
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BMC Health Serv Res. 2024-10-2

[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Unlocking self-testing: predictors of HIV self-testing kit use among reproductive-aged women in tanzania; a multilevel analysis of the 2022 demographic and health survey.

AIDS Res Ther. 2025-8-4

[2]
Social-ecological predictors of HIV testing among adult men: analysis of the 2022 Tanzania demographic and health survey data.

BMJ Glob Health. 2025-7-17

[3]
"There is no need to leave the beach to test": a qualitative study of HIV self-testing knowledge and acceptability of HIV self-test kit distribution among social networks of fishermen in Western Kenya.

BMC Public Health. 2025-3-14

[4]
"There is no need to leave the beach to test": A qualitative study of HIV self-testing knowledge and acceptability of HIV self-test kit distribution among social networks of fishermen in western Kenya.

Res Sq. 2024-11-27

[5]
Development and feasibility of the peer and nurse-led HIV Self-Testing Education and Promotion (STEP) intervention among social networks of men in Dar es Salaam, Tanzania: application of the ADAPT-ITT model.

BMC Health Serv Res. 2024-10-2

[6]
Men's Willingness to Receive Text Messages and Talk with an HIV counselor from the National HIV Hotline in Tanzania for Support with Linkage to Care Following HIV self-testing.

medRxiv. 2024-6-4

[7]
Peer-based Promotion and Nurse-led Distribution of HIV Self-Testing Among Networks of Men in Dar es Salaam, Tanzania: Development and Feasibility Results of the STEP Intervention.

Res Sq. 2023-8-22

[8]
Secondary distribution of HIV self-test kits by HIV index and antenatal care clients: implementation and costing results from the STAR Initiative in South Africa.

BMC Infect Dis. 2023-6-1

[9]
The association between HIV self-test awareness and recent HIV testing uptake in the male population in Gambia: data analysis from 2019-2020 demographic and health survey.

BMC Infect Dis. 2023-5-26

[10]
Perceived benefits, challenges, and recommendations for HIV research dissemination and implementation science efforts in Tanzania: Findings from the HIV/AIDS Research Forum brainstorming session.

PLOS Glob Public Health. 2022-10-26

本文引用的文献

[1]
"He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.

Am J Mens Health. 2018-9

[2]
Scaling up HIV self-testing in sub-Saharan Africa: a review of technology, policy and evidence.

Curr Opin Infect Dis. 2018-2

[3]
HIV self-testing among female sex workers in Zambia: A cluster randomized controlled trial.

PLoS Med. 2017-11-21

[4]
Perceived Cost Advantages and Disadvantages of Purchasing HIV Self-Testing Kits among Urban Tanzanian Men: An Inductive Content Analysis.

J AIDS Clin Res. 2017-8

[5]
HIV Self-Testing in Lusaka Province, Zambia: Acceptability, Comprehension of Testing Instructions, and Individual Preferences for Self-Test Kit Distribution in a Population-Based Sample of Adolescents and Adults.

AIDS Res Hum Retroviruses. 2018-3

[6]
A Randomized Controlled Trial Evaluating Efficacy of Promoting a Home-Based HIV Self-Testing with Online Counseling on Increasing HIV Testing Among Men Who Have Sex with Men.

AIDS Behav. 2018-1

[7]
Acceptability of woman-delivered HIV self-testing to the male partner, and additional interventions: a qualitative study of antenatal care participants in Malawi.

J Int AIDS Soc. 2017-6-26

[8]
Offering Self-administered Oral HIV Testing as a Choice to Truck Drivers in Kenya: Predictors of Uptake and Need for Guidance While Self-testing.

AIDS Behav. 2018-2

[9]
Examining the effects of HIV self-testing compared to standard HIV testing services: a systematic review and meta-analysis.

J Int AIDS Soc. 2017-5-15

[10]
Zambian Peer Educators for HIV Self-Testing (ZEST) study: rationale and design of a cluster randomised trial of HIV self-testing among female sex workers in Zambia.

BMJ Open. 2017-4-20

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