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艾滋病毒自我检测:2020年在南非约翰内斯堡一所高等院校的学生中进行的横断面调查。

HIV self-testing: a cross-sectional survey conducted among students at a tertiary institution in Johannesburg, South Africa in 2020.

作者信息

Mthiyane Hloniphile R, Makatini Zinhle, Tsukulu Refilwe, Jeena Rumaanah, Mutloane Motheo, Giddings David, Mahlangu Sifiso, Likotsi Paballo, Majavie Liezl, Druker Tali, Treurnicht Florette

机构信息

Department of Virology, School of Pathology.

Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

J Public Health Afr. 2023 Apr 28;14(5):2227. doi: 10.4081/jphia.2023.2227. eCollection 2023 Apr 30.


DOI:10.4081/jphia.2023.2227
PMID:37441117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10334437/
Abstract

BACKGROUND: Despite the growing evidence for reasonable acceptance and the willingness to use HIV self-testing (HIVST), South Africa has not yet fully explored HIVST. OBJECTIVE: This study's objective was to determine knowledge, attitudes, and practices for HIVST among students aged 18 to 29 years from the University of the Witwatersrand, Johannesburg. METHODS: An online cross-sectional self-administered survey was used to collect data from 01 January 2020 to 31 June 2020. Chi-squared test was used to determine the contribution between categorical variables and HIVST outcomes at a P-value of ≤0.05. Logistic regression was performed to analyze the association between categorical variables with HIVST at a 95% confidence interval. RESULTS: A total of 227 students were included and more than half were females and 68% were between 20 and 24 years of age. Only 15% reported prior access to HIVST. Almost all students (99%) indicated that they would confirm self-test results if positive. Age group 25-29 (aOR 3.43; 95% CI 1.7-77) was associated with HIVST access compared to ≤19 and 24-29 age groups. CONCLUSIONS: HIVST awareness was generally high among this study population. Of concern is the extremely low number of students who had previously used HIVST, as well as those who were unaware of HIVST's existence. Our findings highlight a necessity for HIVST advocacy in South Africa that provides information on where and how HIVST kits can be accessed to potentially upscale HIV testing - essential for achieving UNAIDS targets towards the elimination of HIV/AIDS epidemic as a public health threat.

摘要

背景:尽管有越来越多的证据表明人们合理接受并愿意使用艾滋病毒自我检测(HIVST),但南非尚未充分探索HIVST。 目的:本研究的目的是确定约翰内斯堡金山大学18至29岁学生对HIVST的知识、态度和实践情况。 方法:采用在线横断面自填式调查于2020年1月1日至2020年6月31日收集数据。卡方检验用于确定分类变量与HIVST结果之间的关系,P值≤0.05。进行逻辑回归分析分类变量与HIVST之间在95%置信区间的关联。 结果:共纳入227名学生,其中一半以上为女性,68%年龄在20至24岁之间。只有15%的人报告曾有过HIVST检测经历。几乎所有学生(99%)表示如果检测结果呈阳性,他们会去确认。与19岁及以下和20至24岁年龄组相比,25至29岁年龄组(调整后比值比3.43;95%置信区间1.7 - 7.7)与HIVST检测经历相关。 结论:本研究人群中对HIVST的知晓率普遍较高。令人担忧的是,之前使用过HIVST的学生数量极少,以及那些不知道有HIVST的学生。我们的研究结果凸显了在南非开展HIVST宣传的必要性,该宣传应提供关于何处以及如何获取HIVST检测试剂盒的信息,以潜在地扩大艾滋病毒检测范围,这对于实现联合国艾滋病规划署消除艾滋病毒/艾滋病作为公共卫生威胁的目标至关重要。

相似文献

[1]
HIV self-testing: a cross-sectional survey conducted among students at a tertiary institution in Johannesburg, South Africa in 2020.

J Public Health Afr. 2023-4-28

[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]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Exploring HIV self-testing as an early detection strategy among female sex workers in Waliso town, Ethiopia: a community based cross sectional study.

AIDS Res Ther. 2025-3-18

[2]
Acceptability and use of HIV self-testing among young people in sub-Saharan Africa: a mixed methods systematic review.

BMC Prim Care. 2024-10-15

本文引用的文献

[1]
Implementation of HIV Self-Testing to Reach Men in Rural uMkhanyakude, KwaZulu-Natal, South Africa. a DO-ART Trial Sub Study.

Front Public Health. 2021

[2]
Level of knowledge, acceptability, and willingness to use oral fluid HIV self-testing among medical students in Kilimanjaro region, Tanzania: a descriptive cross-sectional study.

AIDS Res Ther. 2020-9-9

[3]
Acceptability and correlates of HIV self-testing among university students in northern Nigeria.

Int J STD AIDS. 2020-8

[4]
Use and awareness of and willingness to self-test for HIV: an analysis of cross-sectional population-based surveys in Malawi and Zimbabwe.

BMC Public Health. 2020-5-25

[5]
HIV self-testing among young women in rural South Africa: A randomized controlled trial comparing clinic-based HIV testing to the choice of either clinic testing or HIV self-testing with secondary distribution to peers and partners.

EClinicalMedicine. 2020-4-18

[6]
HIV self-testing in Rwanda: awareness and acceptability among male clinic attendees in Kigali, Rwanda: A cross-sectional survey.

Heliyon. 2020-3-7

[7]
Factors associated with acceptability of HIV self-testing (HIVST) among university students in a Peri-Urban area of the Democratic Republic of Congo (DRC).

Pan Afr Med J. 2018-12-27

[8]
Feasibility of community-based HIV self-screening in South Africa: a demonstration project.

BMC Public Health. 2019-7-8

[9]
Modelling the epidemiologic impact of achieving UNAIDS fast-track 90-90-90 and 95-95-95 targets in South Africa.

Epidemiol Infect. 2019-1

[10]
HIV self-testing: South African young adults' recommendations for ease of use, test kit contents, accessibility, and supportive resources.

BMC Public Health. 2019-1-29

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