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坦桑尼亚达累斯萨拉姆的男性最近性伴侣接受 HIV 自我检测包的意愿:STEP 项目基线调查结果。

Willingness to Receive HIV Self-Testing Kits from Recent Sexual Partners Among Men in Dar Es Salam, Tanzania: Findings from the STEP Project Baseline Survey.

机构信息

Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.

Jhpiego, Dar es Salaam, Tanzania.

出版信息

AIDS Behav. 2024 Jul;28(7):2314-2320. doi: 10.1007/s10461-024-04330-1. Epub 2024 May 30.


DOI:10.1007/s10461-024-04330-1
PMID:38814407
Abstract

Globally, men are less likely to access HIV services, and addressing HIV service challenges among men is crucial to the global HIV/AIDS response. HIV self-testing (HIVST) has been shown to be a potentially effective strategy in improving HIV testing coverage among men. This study assessed and identified factors influencing willingness to receive HIVST kits from sexual partners among men in Tanzania. Data are from the baseline survey of the Self-Testing Education and Promotion (STEP) project, a five-year study comprising male participants aged 18 or older who self-reported as HIV-negative. Logistic regression models were used to assess factors associated with men's willingness to receive HIVST kits from their sexual partners. There were 505 heterosexual male participants enrolled in the study with an average age of 29 years, of whom 69% reported being willing to receive HIVST kits from their sexual partner. Logistic regression models demonstrated that willingness to receive HIVST kits from sexual partners was significantly associated with number of sexual partners within 12 months (aOR = 1.2, 95% CI [1.1-1.3]), awareness of HIVST (aOR = 5.6, 95% CI [3.2-9.5]), previous discussion of HIVST with sexual partners aOR = 14.0, 95% CI [8.0-24.6]), and previous testing for HIV with sexual partners not (aOR = 2.5, 95% CI [1.3-4.7]). These findings suggest additional promotional strategies to improve men's awareness of HIVST and support open conversations about HIVST and HIV testing with sexual partners could improve men's willingness to receive HIVST kits when distributed through their sexual partners.

摘要

在全球范围内,男性获得艾滋病毒服务的机会较少,因此解决男性艾滋病毒服务面临的挑战对于全球艾滋病毒/艾滋病应对至关重要。艾滋病毒自我检测(HIVST)已被证明是提高男性艾滋病毒检测覆盖率的潜在有效策略。本研究评估并确定了影响坦桑尼亚男性从性伴侣那里接受 HIVST 试剂盒的意愿的因素。数据来自自我检测教育和推广(STEP)项目的基线调查,这是一项为期五年的研究,包括自我报告为 HIV 阴性的 18 岁或以上的男性参与者。使用逻辑回归模型评估与男性从性伴侣处接受 HIVST 试剂盒的意愿相关的因素。该研究共纳入 505 名异性恋男性参与者,平均年龄 29 岁,其中 69%的人表示愿意从性伴侣处接受 HIVST 试剂盒。逻辑回归模型表明,从性伴侣处接受 HIVST 试剂盒的意愿与 12 个月内的性伴侣数量显著相关(调整后的比值比 [aOR] = 1.2,95%置信区间 [1.1-1.3])、对 HIVST 的认识(aOR = 5.6,95%置信区间 [3.2-9.5])、与性伴侣讨论过 HIVST(aOR = 14.0,95%置信区间 [8.0-24.6])以及与性伴侣进行过 HIV 检测(aOR = 2.5,95%置信区间 [1.3-4.7])。这些发现表明,需要采取额外的宣传策略来提高男性对 HIVST 的认识,并支持与性伴侣就 HIVST 和 HIV 检测进行开放对话,这可能会提高男性在通过性伴侣分发 HIVST 试剂盒时接受试剂盒的意愿。

相似文献

[1]
Willingness to Receive HIV Self-Testing Kits from Recent Sexual Partners Among Men in Dar Es Salam, Tanzania: Findings from the STEP Project Baseline Survey.

AIDS Behav. 2024-7

[2]
Impact of providing free HIV self-testing kits on frequency of testing among men who have sex with men and their sexual partners in China: A randomized controlled trial.

PLoS Med. 2020-10-9

[3]
Sexual network distribution of HIV self-testing kits: Findings from the process evaluation of an intervention for men who have sex with men in China.

PLoS One. 2020-4-22

[4]
Men's comfort in distributing or receiving HIV self-test kits from close male social network members in Dar Es Salaam, Tanzania: baseline results from the STEP project.

BMC Public Health. 2021-9-24

[5]
Sexual and Social Network Correlates of Willingness to Self-Test for HIV Among Ever-Tested and Never-Tested Men: Implications for the Tanzania STEP Project.

AIDS Care. 2019-2

[6]
Partner-delivered HIV self-test kits with and without financial incentives in antenatal care and index patients with HIV in Malawi: a three-arm, cluster-randomised controlled trial.

Lancet Glob Health. 2021-7

[7]
'If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV': HIV self-testing perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda.

Glob Health Action. 2018

[8]
"He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.

Am J Mens Health. 2018-9

[9]
High willingness to use novel HIV and bacterial sexually transmitted infection partner notification, testing, and treatment strategies among gay and bisexual men.

Sex Transm Infect. 2019-6-12

[10]
Feasibility of Indirect Secondary Distribution of HIV Self-test Kits via WeChat Among Men Who Have Sex With Men: National Cross-sectional Study in China.

J Med Internet Res. 2021-10-26

本文引用的文献

[1]
Who Accepts and Who Uses Community-Based Secondary Distribution HIV Self-Testing (HIVST) Kits? Findings From the Intervention Arm of a Cluster-Randomized Trial of HIVST Distribution Nested in Four HPTN 071 (PopART) Communities in Zambia.

J Acquir Immune Defic Syndr. 2020-8-1

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