Understanding the Intention to Undergo Regular HIV Testing Among Female Sex Workers in Benin: A Key Issue for Entry Into HIV Care
Understanding the Intention to Undergo Regular HIV Testing Among Female Sex Workers in Benin: A Key Issue for Entry Into HIV Care
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DOI：
10.1097/qai.0000000000000452
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发表时间：
2015-03-01
影响因子：
3.6
通讯作者：
Alary, Michel
中科院分区：
文献类型：
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作者：
Batona, Georges;Gagnon, Marie-Pierre;Alary, Michel
背景：艾滋病毒检测是艾滋病毒预防和获得护理的切入点。尽管近年来大多数低收入和中等收入国家获得检测的机会有所增加，但在高危人群中定期进行艾滋病毒检测仍然是一项挑战。了解定期艾滋病毒检测的决定因素是改善治疗预防方案和获得护理的关键。本研究的目的是确定相关的心理社会因素的意图是艾滋病毒检测每3个月之间的女性性工作者（FSWs）在Benin.Methods：我们制定了一个访谈问卷的基础上计划行为理论和其他理论变量。我们在他们的工作场所采访了450名FSW。使用阿莫斯软件，我们采用结构方程模型来确定intention.Results的决定因素：以前的测试是由87%的FSW，其中40%的人报告说，在过去的3个月内进行了测试。超过一半的性工作者（69%）表示有强烈的意愿在未来3个月内接受艾滋病毒检测。结构模型表明，55%的意图的方差解释的重要性降序（标准化系数权重，B）由感知控制，描述性规范，控制信念，习惯，态度，风险认知，和规范believs.Conclusions：这是第一个基于理论的研究确定的决定因素，打算在撒哈拉以南非洲地区的FSWs定期进行艾滋病毒检测。研究结果可以为制定干预措施提供信息，以维持和增加FSW中的定期艾滋病毒检测，从而加强初级预防并支持抢先体验获得护理。
Background: HIV testing constitutes an entry point for HIV prevention and access to care. Although access to tests has increased in most low-and middle-income countries in recent years, regular HIV testing among high-risk populations remains a challenge. Understanding the determinants of regular HIV testing is the key to improving treatment-as-prevention programs and access to care. This study aimed to identify psychosocial factors associated with the intention to be HIV tested every 3 months among female sex workers (FSWs) in Benin.Methods: We developed an interview questionnaire based on the Theory of Planned Behavior and other theoretical variables. We interviewed 450 FSWs in their work place. Using Amos software, we applied structural equation modeling to identify the determinants of intention.Results: Previous testing was reported by 87% of FSWs, 40% of whom reported having been tested in the last 3 months. More than half of the FSWs (69%) showed a strong intention to be HIV tested during the next 3 months. The structural model indicates that 55% of the variance in intention is explained in descending order of importance (standardized coefficient weight, b) by perceived control, descriptive norms, control beliefs, habits, attitude, risk perception, and normative beliefs.Conclusions: This is the first theoretically based study identifying determinants of intention to undergo regular HIV testing among FSWs in sub-Saharan Africa. The results can inform development of interventions to maintain and increase regular HIV testing among FSWs, thus reinforcing primary prevention and supporting early access to care.