Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.
Jhpiego, Dar es Salaam, Tanzania.
AIDS Behav. 2024 Jul;28(7):2314-2320. doi: 10.1007/s10461-024-04330-1. Epub 2024 May 30.
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.
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。