School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
LGJ Consultants, Inc., Valencia, Spain.
BMC Infect Dis. 2023 May 26;23(1):360. doi: 10.1186/s12879-023-08254-4.
BACKGROUND: The Gambian Ministry of Health is supportive of HIV self-testing (HIVST) and HIVST initiatives are being piloted as an additional strategy to increase HIV testing for individuals not currently reached by existing services, particularly men. This study aimed to determine awareness of HIVST among Gambian men, and whether prior awareness of HIVST is associated with recent HIV testing uptake. METHODS: We used men's cross-sectional data from the 2019-2020 Gambian Demographic and Health Survey. We employed design-adjusted multivariable logistic regression to examine the association between HIVST awareness and recent HIV testing. Propensity-score weighting was conducted as sensitivity analyses. RESULTS: Of 3,308 Gambian men included in the study, 11% (372) were aware of HIVST and 16% (450) received HIV testing in the last 12 months. In the design-adjusted multivariable analysis, men who were aware of HIVST had 1.76 times (95% confidence interval: 1.26-2.45) the odds of having an HIV test in the last 12 months, compared to those who were not aware of HIVST. Sensitivity analyses revealed similar findings. CONCLUSION: Awareness of HIVST may help increase the uptake of HIV testing among men in Gambia. This finding highlights HIVST awareness-raising activities to be an important intervention for nationwide HIVST program planning and implementation in Gambia.
背景:冈比亚卫生部支持艾滋病毒自检(HIVST),并正在试点 HIVST 举措,作为增加现有服务未覆盖人群(尤其是男性)艾滋病毒检测的一项补充策略。本研究旨在确定冈比亚男性对 HIVST 的认知程度,以及先前对 HIVST 的认知是否与最近的艾滋病毒检测率有关。
方法:我们使用了 2019-2020 年冈比亚人口与健康调查中男性的横断面数据。我们采用设计调整后的多变量逻辑回归来检验 HIVST 认知与最近 HIV 检测之间的关联。还进行了倾向评分加权作为敏感性分析。
结果:在纳入研究的 3308 名冈比亚男性中,11%(372 名)知晓 HIVST,16%(450 名)在过去 12 个月接受过 HIV 检测。在设计调整后的多变量分析中,与不了解 HIVST 的男性相比,知晓 HIVST 的男性在过去 12 个月进行 HIV 检测的可能性高出 1.76 倍(95%置信区间:1.26-2.45)。敏感性分析得出了类似的发现。
结论:对 HIVST 的认知程度可能有助于提高冈比亚男性的 HIV 检测率。这一发现强调了 HIVST 认知提升活动对于在冈比亚全国范围内规划和实施 HIVST 方案的重要性。
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