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Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania.

作者信息

Madut Deng B, Manavalan Preeti, Mtalo Antipas, Peter Timothy, Ostermann Jan, Njau Bernard, Thielman Nathan M

机构信息

Department of Medicine, Duke University, Durham, North Carolina, United States of America.

Duke Global Health Institute, Durham, North Carolina, United States of America.

出版信息

PLOS Glob Public Health. 2024 Feb 26;4(2):e0002946. doi: 10.1371/journal.pgph.0002946. eCollection 2024.


DOI:10.1371/journal.pgph.0002946
PMID:38408037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10896543/
Abstract

Community-based HIV testing offers an alternative approach to encourage HIV testing among men in sub-Saharan Africa. In this study, we evaluated a community-based HIV testing strategy targeting male bar patrons in northern Tanzania to assess factors predictive of prior HIV testing and factors predictive of accepting a real-time HIV test offer. Participants completed a detailed survey and were offered HIV testing upon survey completion. Poisson regression was used to identify prevalence ratios for the association between potential predictors and prior HIV testing or real-time testing uptake. Of 359 participants analyzed, the median age was 41 (range 19-82) years, 257 (71.6%) reported a previous HIV test, and 321 (89.4%) accepted the real-time testing offer. Factors associated with previous testing for HIV (adjusted prevalence ratio [aPR], 95% CI) were wealth scores in the upper-middle quartile (1.25, 1.03-1.52) or upper quartile (1.35, 1.12-1.62) and HIV knowledge (1.04, 1.01-1.07). Factors that predicted real-time testing uptake were lower scores on the Gender-Equitable Men scale (0.99, 0.98-0.99), never testing for HIV (1.16, 1.03-1.31), and testing for HIV > 12 months prior (1.18, 1.06-1.31). We show that individual-level factors that influence the testing-seeking behaviors of men are not likely to impact their acceptance of an HIV offer.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b361/10896543/b55dc458a9cd/pgph.0002946.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b361/10896543/b55dc458a9cd/pgph.0002946.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b361/10896543/b55dc458a9cd/pgph.0002946.g001.jpg

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Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania.

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引用本文的文献

[1]
Factors associated with HIV testing among young women in Tanzania: Insights from the 2022 Tanzanian Demographic and Health Survey using Anderson's Behavioral Model.

Front Public Health. 2025-1-8

本文引用的文献

[1]
Individual- and Facility-Level Factors Associated with Facility Testing among Men in Malawi: Findings from a Representative Community Survey.

Diagnostics (Basel). 2021-5-26

[2]
Increasing the Uptake of HIV Testing among Men in Tanzania: A Novel Intervention for Bar Patrons.

AIDS Behav. 2021-7

[3]
Who are the missing men? Characterising men who never tested for HIV from population-based surveys in six sub-Saharan African countries.

J Int AIDS Soc. 2019-10

[4]
Gender Norms and HIV Testing/Treatment Uptake: Evidence from a Large Population-Based Sample in South Africa.

AIDS Behav. 2019-9

[5]
Refusal bias in HIV data from the Demographic and Health Surveys: Evaluation, critique and recommendations.

Stat Methods Med Res. 2020-3

[6]
Shedding light on a HIV blind spot: Factors associated with men's HIV testing in five African countries.

Glob Public Health. 2019-2-22

[7]
The effect of HIV educational interventions on HIV-related knowledge, condom use, and HIV incidence in sub-Saharan Africa: a systematic review and meta-analysis.

BMC Public Health. 2018-11-13

[8]
What Role Do Masculine Norms Play in Men's HIV Testing in Sub-Saharan Africa?: A Scoping Review.

AIDS Behav. 2018-8

[9]
Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants.

BMC Public Health. 2017-5-22

[10]
Community-based strategies to strengthen men's engagement in the HIV care cascade in sub-Saharan Africa.

PLoS Med. 2017-4-11

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