Male partners of young women in Uganda: Understanding their relationships and use of HIV testing.
Male partners of young women in Uganda: Understanding their relationships and use of HIV testing.
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DOI：
10.1371/journal.pone.0200920
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Mathur S
中科院分区：
文献类型：
--
作者：
Gottert A;Pulerwitz J;Siu G;Katahoire A;Okal J;Ayebare F;Jani N;Keilig P;Mathur S
在非洲东部和南部，青少年女孩和年轻妇女（AGYW， 15-24岁）性传播艾滋病毒的风险很高，这是人们非常关注的问题。然而，对AGYW的男性性伴侣进行了有限的研究，了解他们对关系和减轻艾滋病毒风险战略的看法。我们试图填补这一空白，以便为乌干达的DREAMS伙伴关系和类似的艾滋病毒预防项目提供信息。2017年4月至6月，我们在Gulu、Mukono和Sembabule三个地区对AGYW的男性合伙人进行了94次深度访谈。在被确定为潜在传播区域的社区场所招募男性，并通过参加DREAMS的女性伴侣招募男性。分析的重点是男性目前和最近的伙伴关系以及艾滋病毒服务的使用情况。大多数受访者（80%）已婚，平均年龄为28岁。男性认为伴侣同时存在很普遍，一半的人描述了他们目前的多个伴侣。大多数男性在20岁出头就结婚了，随着时间的推移，他们会继续寻找AGYW作为新的伴侣，而不考虑自己的年龄。人际关系非常不稳定，随意的短期伙伴关系变得更加正式，而更正式的伙伴关系以分离和外部伙伴关系为特征。几乎所有男子都报告了最近的艾滋病毒检测，并描述了在不同的关系点（例如，在决定继续一段关系/结婚时，或在分离后与伴侣团聚时）进行的检测。检测通常源于对伴侣行为的不信任，艾滋病毒阴性状态有助于验证受访者目前的关系实践。在乌干达的三个区域，与AGYW合作伙伴的调查结果证实了乌干达早先关于多个同时合作伙伴关系的报告，并证明了大量的艾滋病毒检测。然而，它们也揭示了这些伙伴关系的流动程度（在非正式和/或更长期的伙伴关系之间切换），这使潜在的艾滋病毒预防战略复杂化。针对这些伙伴关系和风险的具体情况的调查结果对于进一步制定艾滋病毒预防规划至关重要。
Substantial concern exists about the high risk of sexually transmitted HIV to adolescent girls and young women (AGYW, ages 15–24) in Eastern and Southern Africa. Yet limited research has been conducted with AGYW’s male sexual partners regarding their perspectives on relationships and strategies for mitigating HIV risk. We sought to fill this gap in order to inform the DREAMS Partnership and similar HIV prevention programs in Uganda. We conducted 94 in-depth interviews, from April-June 2017, with male partners of AGYW in three districts: Gulu, Mukono, and Sembabule. Men were recruited at community venues identified as potential transmission areas, and via female partners enrolled in DREAMS. Analyses focused on men’s current and recent partnerships and HIV service use. Most respondents (80%) were married and 28 years old on average. Men saw partner concurrency as pervasive, and half described their own current multiple partners. Having married in their early 20s, over time most men continued to seek out AGYW as new partners, regardless of their own age. Relationships were highly fluid, with casual short-term partnerships becoming more formalized, and more formalized partnerships characterized by periods of separation and outside partnerships. Nearly all men reported recent HIV testing and described testing at distinct relationship points (e.g., when deciding to continue a relationship/get married, or when reuniting with a partner after a separation). Testing often stemmed from distrust of partner behavior, and an HIV-negative status served to validate respondents’ current relationship practices. Across the three regions in Uganda, findings with partners of AGYW confirm earlier reports in Uganda of multiple concurrent partnerships, and demonstrate substantial HIV testing. Yet they also unearth the degree to which these partnerships are fluid (switching between casual and/or more long-term partnerships), which complicates potential HIV prevention strategies. Context-specific findings around these partnerships and risk are critical to further tailor HIV prevention programs.
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影响因子：
4.5
作者：
Siu GE;Wight D;Seeley JA
通讯作者：
Seeley JA
DOI：
10.1097/qai.0000000000000988
发表时间：
2016-08-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
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作者：
Ritchwood TD;Hughes JP;Jennings L;MacPhail C;Williamson B;Selin A;Kahn K;Gómez-Olivé FX;Pettifor A
通讯作者：
Pettifor A
DOI：
10.1056/nejmoa1702150
发表时间：
2017-11-30
期刊：
The New England journal of medicine
影响因子：
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作者：
Grabowski MK;Serwadda DM;Gray RH;Nakigozi G;Kigozi G;Kagaayi J;Ssekubugu R;Nalugoda F;Lessler J;Lutalo T;Galiwango RM;Makumbi F;Kong X;Kabatesi D;Alamo ST;Wiersma S;Sewankambo NK;Tobian AAR;Laeyendecker O;Quinn TC;Reynolds SJ;Wawer MJ;Chang LW;Rakai Health Sciences Program
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影响因子：
2.5
作者：
Siu, Godfrey E.;Wight, Daniel;Kasule, Sarah
通讯作者：
Kasule, Sarah
影响因子：
9.3
作者：
Abramsky, Tanya;Devries, Karen;Watts, Charlotte
通讯作者：
Watts, Charlotte