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马拉维男性中与机构检测相关的个体和机构层面因素：一项代表性社区调查的结果

Individual- and Facility-Level Factors Associated with Facility Testing among Men in Malawi: Findings from a Representative Community Survey.

作者信息

Balakasi Kelvin, Nichols Brooke E, Mphande Misheck, Stillson Christian, Khan Shaukat, Kalande Pericles, Robson Isabella, Sanena Maria, Ng'ona Khumbo, van Oosterhout Joep J, Doi Naoko, Dovel Kathryn

机构信息

Partners in Hope, Lilongwe, Malawi.

Department of Global Health, School of Public Health, Boston University, Boston, MA 02118, USA.

出版信息

Diagnostics (Basel). 2021 May 26;11(6):950. doi: 10.3390/diagnostics11060950.

DOI:10.3390/diagnostics11060950
PMID:34073217
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8228120/
Abstract

(1) Background: Men frequent outpatient departments (OPD) but are underrepresented in HIV testing services throughout sub-Saharan Africa. (2) Methods: We conducted a secondary analysis on data from a community-based survey with men in rural Malawi to assess factors associated with HIV testing, and being offered testing, during men's OPD visits. We include OPD visits made by men in-need of testing as our unit of observation. Multilevel mixed-effects logistic regression models were conducted. (3) Results: 782 men were eligible for these analyses, with 1575 OPD visits included (median two visits per man; IQR 1-3). 17% of OPD visits resulted in HIV testing. Being offered testing (aOR 42.45; 95% CI 15.13-119.10) and satisfaction with services received (aOR 3.27; 95% CI 1.28-8.33) were significantly associated with HIV testing. 14% of OPD visits resulted in being offered HIV testing. Being married/steady relationship (aOR 2.53; 95% CI 1.08-5.91) and having a sexual partner living with HIV (aOR 8.22; 95% CI 1.67-40.49) were significantly associated with being offered testing. (4) Conclusion: Being offered HIV testing was the strongest factor associated with testing uptake, while HIV status of sexual partner had the strongest association with being offered testing. Implementation of provider-initiated-testing should be prioritized for male OPD visits.

摘要

(1) 背景：在撒哈拉以南非洲地区，男性常去门诊就诊，但在艾滋病毒检测服务中的占比却很低。(2) 方法：我们对马拉维农村地区男性的一项社区调查数据进行了二次分析，以评估男性门诊就诊期间与艾滋病毒检测及接受检测服务相关的因素。我们将有检测需求的男性的门诊就诊作为观察单位。采用了多水平混合效应逻辑回归模型。(3) 结果：782名男性符合这些分析条件，共纳入1575次门诊就诊（每人中位数为2次就诊；四分位间距为1 - 3次）。17%的门诊就诊进行了艾滋病毒检测。接受检测服务（调整后比值比为42.45；95%置信区间为15.13 - 119.10）以及对所接受服务的满意度（调整后比值比为3.27；95%置信区间为1.28 - 8.33）与艾滋病毒检测显著相关。14%的门诊就诊接受了艾滋病毒检测服务。已婚/处于稳定关系（调整后比值比为2.53；95%置信区间为1.08 - 5.91）以及有感染艾滋病毒的性伴侣（调整后比值比为8.22；95%置信区间为1.67 - 40.49）与接受检测服务显著相关。(4) 结论：接受艾滋病毒检测服务是与检测接受率相关的最强因素，而性伴侣的艾滋病毒感染状况与接受检测服务的关联最为紧密。对于男性门诊就诊，应优先实施由医护人员主动提供检测的措施。

相似文献

[1]
Individual- and Facility-Level Factors Associated with Facility Testing among Men in Malawi: Findings from a Representative Community Survey.

Diagnostics (Basel). 2021-5-26

[2]
Factors associated with men's health facility attendance as clients and caregivers in Malawi: a community-representative survey.

BMC Public Health. 2022-10-12

[3]
Men's Satisfaction with General Health Services is Associated with Future Use of HIV Testing in Malawi: A Community-Representative Survey.

AIDS Behav. 2024-8

[4]
Facility-based HIV self-testing strategies may substantially and cost-effectively increase the number of men and youth tested for HIV in Malawi: results from an individual-based mathematical model.

J Int AIDS Soc. 2022-10

[5]
Frequency of visits to health facilities and HIV services offered to men, Malawi.

Bull World Health Organ. 2021-9-1

[6]
Gendered health institutions: examining the organization of health services and men's use of HIV testing in Malawi.

J Int AIDS Soc. 2020-6

[7]
Evaluating the integration of HIV self-testing into low-resource health systems: study protocol for a cluster-randomized control trial from EQUIP Innovations.

Trials. 2018-9-17

[8]
High patient acceptability but low coverage of provider-initiated HIV testing among adult outpatients with symptoms of acute infectious illness in coastal Kenya.

PLoS One. 2021

[9]
Who are the missing men? Characterising men who never tested for HIV from population-based surveys in six sub-Saharan African countries.

J Int AIDS Soc. 2019-10

[10]
Predictors of provider- initiated HIV testing and counseling refusal by outpatient department clients in Wolaita zone, Southern Ethiopia: a case control study.

BMC Public Health. 2016-8-12

引用本文的文献

[1]
Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania.

PLOS Glob Public Health. 2024-2-26

[2]
Factors associated with men's health facility attendance as clients and caregivers in Malawi: a community-representative survey.

BMC Public Health. 2022-10-12

本文引用的文献

[1]
Facility HIV Self-Testing in Outpatient Departments: An Assessment of Characteristics and Concerns of Outpatients Who Opt Out of Testing in Malawi.

J Acquir Immune Defic Syndr. 2024-2-1

[2]
Sex Differences in HIV Testing - 20 PEPFAR-Supported Sub-Saharan African Countries, 2019.

MMWR Morb Mortal Wkly Rep. 2020-12-4

[3]
Factors associated with HIV testing and intention to test for HIV among the general population of Nonthaburi Province, Thailand.

PLoS One. 2020-8-14

[4]
Provider-initiated HIV testing and TB screening in the era of universal coverage: Are the right people being reached? A cohort study in Blantyre, Malawi.

PLoS One. 2020-8-13

[5]
Improving inpatient provider-initiated HIV testing and counseling in Sierra Leone.

PLoS One. 2020-7-24

[6]
Index and targeted community-based testing to optimize HIV case finding and ART linkage among men in Zambia.

J Int AIDS Soc. 2020-6

[7]
Gendered health institutions: examining the organization of health services and men's use of HIV testing in Malawi.

J Int AIDS Soc. 2020-6

[8]
Creating HIV risk profiles for men in South Africa: a latent class approach using cross-sectional survey data.

J Int AIDS Soc. 2020-6

[9]
Barriers to HIV testing uptake among men in sub-Saharan Africa: a scoping review.

Afr J AIDS Res. 2020-3

[10]
Expanded eligibility for HIV testing increases HIV diagnoses-A cross-sectional study in seven health facilities in western Kenya.

PLoS One. 2019-12-27

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