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Men's comfort in distributing or receiving HIV self-test kits from close male social network members in Dar Es Salaam, Tanzania: baseline results from the STEP project.

作者信息

Matovu Joseph K B, Mbita Gaspar, Hamilton Akeen, Mhando Frank, Sims Wynton M, Thompson Noah, Komba Albert N, Lija Jackson, Zhang Jiajia, van den Akker Thomas, Duncan Dustin T, Choko Augustine T, Conserve Donaldson F

机构信息

Makerere University School of Public Health, Kampala, Uganda.

Busitema University Faculty of Health Sciences, Mbale, Uganda.

出版信息

BMC Public Health. 2021 Sep 24;21(1):1739. doi: 10.1186/s12889-021-11806-5.


DOI:10.1186/s12889-021-11806-5
PMID:34560878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8464146/
Abstract

BACKGROUND: A variety of strategies have been used to reach men with HIV self-testing services, including social network-based HIV self-test kits distribution. However, few studies have assessed men's comfort to distribute to or receive HIV self-test kits from close male friends within the same social network. In this study, we assessed men's comfort to distribute to and/or receive HIV self-test kits from close male friends and associated factors among men who socialize in networks locally referred to as "camps" in Tanzania. METHODS: Data are from the baseline survey of a cluster-randomized controlled trial conducted in June 2019 with 18 social networks or "camps" in Dar es Salaam, Tanzania. Participants were 18-year-old or older male camp members who were HIV-negative at the time of enrolment. We used the Generalized Estimating Equations (GEE) to assess factors associated with being comfortable to distribute to and/or receive HIV self-test kits from close male members within one's social network. RESULTS: Of 505 participants, 67.9% (n = 342) reported being comfortable to distribute to while 68.2% (n = 344) were comfortable to receive HIV self-test kits from their close male friends. Ever having heard about HIV self-testing (Adjusted Prevalence Ratio (Adj. PR): 1.6; 95% Confidence Interval [CI]: 1.3, 1.9), willingness to self-test for HIV in front of a sexual partner (Adj. PR: 3.0; 95%CI: 1.5, 6.1) and exposure to peer-led HIV self-testing education and promotion (Adj. PR: 1.4; 95%CI: 1.2, 1.7) were significantly associated with being comfortable to distribute HIV self-test kits to close male members within one's social network. Similar results were observed for being comfortable to receive HIV self-test kits from a close male friend within one's social network. CONCLUSIONS: Overall, these findings suggest that distribution of HIV self-test kits through close male friends could improve the proportion of men reached with HIV self-testing services and improve HIV testing rates in this population where uptake remains low. However, additional promotional strategies such as peer-led HIV self-testing education are needed to raise awareness and increase the proportion of men who are comfortable to receive and/or distribute HIV self-testing kits.

摘要

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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.

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[8]
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[9]
Secondary distribution of HIV self-test kits from males to their female sexual partners in two fishing communities in rural Uganda.

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[10]
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本文引用的文献

[1]
Sexual network distribution of HIV self-testing kits: Findings from the process evaluation of an intervention for men who have sex with men in China.

PLoS One. 2020-4-22

[2]
Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study.

PLoS One. 2020-1-23

[3]
Men's perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis.

BMC Public Health. 2020-1-15

[4]
HIV testing preferences among pregnant women attending antenatal care and their male partners: a discrete choice experiment in Uganda.

Afr J AIDS Res. 2019-12

[5]
Effect of Internet-Distributed HIV Self-tests on HIV Diagnosis and Behavioral Outcomes in Men Who Have Sex With Men: A Randomized Clinical Trial.

JAMA Intern Med. 2020-1-1

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The effects of HIV self-testing kits in increasing uptake of male partner testing among pregnant women attending antenatal clinics in Kenya: a randomized controlled trial.

Pan Afr Med J. 2019-7-16

[7]
Gendered relationship between HIV stigma and HIV testing among men and women in Mozambique: a cross-sectional study to inform a stigma reduction and male-targeted HIV testing intervention.

BMJ Open. 2019-10-7

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Developing national strategies for reaching men with HIV testing services in Tanzania: results from the male catch-up plan.

BMC Health Serv Res. 2019-5-20

[9]
"Self-testing sounds more private, rather than going to the clinic and everybody will find out": Facilitators and barriers regarding HIV testing among men who purchase sex in Bali, Indonesia.

PLoS One. 2019-4-8

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