Men's Beliefs About the Likelihood of Serodiscordance in Couples with an HIV-Positive Partner: Survey Evidence from Rural Uganda

Men's Beliefs About the Likelihood of Serodiscordance in Couples with an HIV-Positive Partner: Survey Evidence from Rural Uganda
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DOI:
10.1007/s10461-019-02531-7
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发表时间:
2020-03-01
期刊:
影响因子:
4.4
通讯作者:
Thirumurthy, Harsha
Thirumurthy, Harsha
中科院分区:
医学2区
文献类型:
--
作者:
Ndyabakira, Alex;Chamie, Gabriel;Thirumurthy, Harsha

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在撒哈拉以南非洲,很少有研究评估男子对伴侣艾滋病毒呈阳性的夫妇血清不一致的可能性以及抗逆转录病毒疗法如何影响这一情况的了解。使用Likert量表和概率量表,我们引出了2532乌干达农村男性的信念,在已婚夫妇与HIV阳性的女性伴侣谁是服用ART或不服用ART的可能性血清一致性。Logistic回归分析探讨了信念和各种健康行为之间的关联。概率量表反应与Likert量表反应一致。在没有抗逆转录病毒疗法和有抗逆转录病毒疗法的情况下,血清一致性被认为是可能的,在0-10的量表上,平均血清一致性可能性分别为8.1和6.6。大多数参与者(57%)认为血清一致性的可能性较低的情况下与ART。结果表明,需要加强教育的男性之间的血清不一致性稳定的关系和ART的预防作用。
Few studies in sub-Saharan Africa have assessed men's knowledge about the likelihood of serodiscordance in couples with an HIV-positive partner and how this is affected by antiretroviral therapy (ART). Using a Likert scale and probabilistic scale, we elicited beliefs of 2532 rural Ugandan men about the likelihood of seroconcordance in married couples with an HIV-positive female partner who is either taking ART or not taking ART. Logistic regression analyses explored associations between beliefs and various health behaviors. Probabilistic scale responses were consistent with Likert scale responses. Seroconcordance was believed to be likely in the scenarios without ART and with ART, with mean seroconcordance likelihood of 8.1 and 6.6, respectively, on a scale of 0-10. The majority of participants (57%) believed the likelihood of seroconcordance was lower in the scenario with ART. The results suggest a need for enhanced education among men about serodiscordance in stable relationships and about the preventive effects of ART.