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.
PLoS One. 2018 Aug 27;13(8):e0202521. doi: 10.1371/journal.pone.0202521. eCollection 2018.
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.
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。
Curr Opin Infect Dis. 2018-2