乌干达孕妇对亲密伴侣暴力的低接受度预示着其男性伴侣对 HIV 自我检测的接受度更高。
Low acceptance of intimate partner violence by pregnant women in Uganda predicts higher uptake of HIV self-testing among their male partners.
机构信息
Department of Public Health Sciences, Medical University of South Carolina, Charleston, USA.
Infectious Disease section, Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, USA.
出版信息
Afr J AIDS Res. 2021 Dec;20(4):287-296. doi: 10.2989/16085906.2021.2000449.
: Heterosexual couples are at high risk for HIV acquisition in sub-Saharan Africa, and HIV self-testing (HST) is an additional approach to expand access to HIV testing services. However, it is not well known how gender equality is associated with HST.: We used intervention-arm data from a cluster-randomised controlled HST intervention trial ( = 1 618) conducted in Uganda to determine the association between attitudes towards intimate partner violence (IPV), decision-making power and male partner's uptake of HST among heterosexual couples expecting a child in south-central Uganda. The original study question was to assess the impact of providing pregnant women with HST kits to improve male partner's HIV testing rates. For this analysis, the primary exposures were gender equality (measured by male partner's and female partner's attitudes towards IPV and the female partner's household decision-making power), and the primary outcome was the male partner's uptake of HST. Multivariate logistic regression was used for analysis.: We found that male partner HST uptake did not vary depending on male partner's attitudes towards IPV or decision-making power; however, male partner HST uptake did depend on the female partner's attitude towards IPV, with 1.76 times more testing (95% CI 1.06-2.92) in couples where the woman had "medium" versus "high" acceptance of IPV, and 1.82 times more testing (95% CI 1.08-3.08) in couples where the woman had "low" versus "high" acceptance of IPV.: This study shows the importance of appropriate negative attitudes by women to IPV in increasing male partner's HST uptake to integrate HST into national health care policies.
: 撒哈拉以南非洲的异性恋夫妇感染艾滋病毒的风险很高,艾滋病毒自检 (HST) 是扩大艾滋病毒检测服务获取途径的另一种方法。然而,人们对性别平等如何与 HST 相关知之甚少。
: 我们使用来自乌干达一项 HST 干预试验( = 1618 对夫妇)的干预组数据,以确定在乌干达中南部,夫妇双方对亲密伴侣暴力 (IPV) 的态度、决策权以及男性伴侣接受 HST 的情况与异性恋夫妇的关系。最初的研究问题是评估向孕妇提供 HST 试剂盒以提高男性伴侣 HIV 检测率的影响。在这项分析中,主要暴露因素是性别平等(通过男性伴侣和女性伴侣对 IPV 的态度以及女性伴侣的家庭决策能力来衡量),主要结局是男性伴侣接受 HST。采用多变量逻辑回归进行分析。
: 我们发现,男性伴侣接受 HST 的情况并不取决于男性伴侣对 IPV 的态度或决策能力;然而,男性伴侣接受 HST 的情况确实取决于女性伴侣对 IPV 的态度,与对 IPV 持“高”接受态度的夫妇相比,对 IPV 持“中”接受态度的夫妇进行检测的比例高 1.76 倍(95%CI 1.06-2.92),对 IPV 持“低”接受态度的夫妇进行检测的比例高 1.82 倍(95%CI 1.08-3.08)。
: 这项研究表明,女性对 IPV 的适当消极态度在增加男性伴侣 HST 接受度方面的重要性,应将 HST 纳入国家卫生保健政策。