Department of Health Promotion, Education and Behavior, University of South Carolina, Columbia, SC, United States.
Department of Biological Sciences, University of South Carolina, Columbia, SC, United States.
Front Public Health. 2021 Feb 19;9:594298. doi: 10.3389/fpubh.2021.594298. eCollection 2021.
HIV testing is an essential gateway to HIV prevention and treatment services. However, HIV testing uptake remains low among men due to stigma, discrimination, and confidentiality concerns. HIV self-testing (HIVST) is an alternative HIV testing method that can address many of these barriers for men. We conducted a systematic review to examine HIVST uptake and intervention strategies among Men in Sub-Saharan Africa. We used a systematic approach to survey literature published from January 2010 to June 2020 using five electronic databases (PubMed-Medline, CINAHL Complete, PsychINFO, Google Scholar, and Web of Science) and a manual search. Studies were included if they were peer-reviewed, published in English, and examined HIVST willingness, uptake, and/or linkage to care and included men in Sub-Saharan Africa. Sixty-three articles related to HIVST were reviewed. Of the included articles, 37 discussed HIVST uptake/acceptability and 24 discussed intervention strategies. Both oral swab and finger-prick methods had high acceptability with ease of access and availability of the test cited as important by men. Free HIVST kits were preferred by men. Secondary distribution of kits via peers, sexual partners, and female sex workers were successful. HIV self-testing is highly acceptable to men. More efforts are needed to develop policies to implement HIVST programs targeting men in Sub-Saharan Africa, including a focus on linkage to care in sub-Saharan Africa. Future interventions should directly target men independently in tandem with using peers and their romantic partners to promote self-testing among men in sub-Saharan Africa. HIVST kit distribution strategies should be combined with services that can offer confirmatory tests and counseling for men as well as linkage to care.
艾滋病病毒检测是预防和治疗艾滋病的重要途径。然而,由于污名化、歧视和保密性问题,男性接受艾滋病病毒检测的比例仍然很低。艾滋病病毒自我检测(HIVST)是一种替代艾滋病病毒检测方法,可以解决男性面临的许多这些障碍。我们进行了一项系统评价,以研究撒哈拉以南非洲地区男性的 HIVST 使用率和干预策略。我们采用系统方法,使用五个电子数据库(PubMed-Medline、CINAHL Complete、PsychINFO、Google Scholar 和 Web of Science)和手动搜索,调查了 2010 年 1 月至 2020 年 6 月期间发表的文献。如果研究是同行评审的、用英文发表的,并检查了 HIVST 的意愿、接受率和/或与护理的联系,并纳入了撒哈拉以南非洲的男性,则将其纳入研究。共审查了 63 篇与 HIVST 相关的文章。在纳入的文章中,37 篇讨论了 HIVST 的接受率/可接受性,24 篇讨论了干预策略。口腔拭子和指尖采血两种方法都具有很高的可接受性,男性认为检测的便利性和可获得性很重要。男性更喜欢免费的 HIVST 检测包。通过同伴、性伴侣和性工作者的二次分发试剂盒是成功的。HIVST 对男性来说是高度可接受的。需要进一步努力制定政策,在撒哈拉以南非洲实施针对男性的 HIVST 方案,包括关注该地区的护理衔接。未来的干预措施应直接针对男性,同时利用同伴及其浪漫伴侣,促进撒哈拉以南非洲地区男性的自我检测。HIVST 检测包的分发策略应与能够为男性提供确认检测和咨询以及护理衔接的服务相结合。
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