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冈比亚男性人群中艾滋病自我检测知晓率与近期艾滋病检测参与度之间的关联:来自 2019-2020 年人口与健康调查的数据分析。

The association between HIV self-test awareness and recent HIV testing uptake in the male population in Gambia: data analysis from 2019-2020 demographic and health survey.

机构信息

School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.

LGJ Consultants, Inc., Valencia, Spain.

出版信息

BMC Infect Dis. 2023 May 26;23(1):360. doi: 10.1186/s12879-023-08254-4.


DOI:10.1186/s12879-023-08254-4
PMID:37237265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10214616/
Abstract

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.

摘要

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。

相似文献

[1]
The association between HIV self-test awareness and recent HIV testing uptake in the male population in Gambia: data analysis from 2019-2020 demographic and health survey.

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[7]
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引用本文的文献

[1]
Prevalence of HIV and HIV-Hepatitis B Co-Infection in Hepatocellular Carcinoma Patients in the Gambia, 2012-2019: A Prospective Cohort Study.

Health Sci Rep. 2025-7-9

本文引用的文献

[1]
Achieving the 95 95 95 targets for all: A pathway to ending AIDS.

PLoS One. 2022

[2]
Factors Associated with HIV Testing among Reproductive Women Aged 15-49 Years in the Gambia: Analysis of the 2019-2020 Gambian Demographic and Health Survey.

Int J Environ Res Public Health. 2022-4-16

[3]
Men missing from the HIV care continuum in sub-Saharan Africa: a meta-analysis and meta-synthesis.

J Int AIDS Soc. 2022-3

[4]
Did you hear about HIV self-testing? HIV self-testing awareness after community-based HIVST distribution in rural Zimbabwe.

BMC Infect Dis. 2022-1-13

[5]
Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial.

Pilot Feasibility Stud. 2021-11-12

[6]
A Systematic Review and Network Meta-analyses to Assess the Effectiveness of Human Immunodeficiency Virus (HIV) Self-testing Distribution Strategies.

Clin Infect Dis. 2021-8-16

[7]
Understanding barriers and facilitators to HIV testing in Canada from 2009-2019: A systematic mixed studies review.

Can Commun Dis Rep. 2021-3-4

[8]
HIV Self-Testing Uptake and Intervention Strategies Among Men in Sub-Saharan Africa: A Systematic Review.

Front Public Health. 2021

[9]
The effects of HIV self-testing on the uptake of HIV testing, linkage to antiretroviral treatment and social harms among adults in Africa: A systematic review and meta-analysis.

PLoS One. 2021

[10]
Awareness and Attitudes Toward HIV Self-Testing in Northern Thailand.

Int J Environ Res Public Health. 2021-1-20

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