"Students want HIV testing in schools" a formative evaluation of the acceptability of HIV testing and counselling at schools in Gauteng and North West provinces in South Africa.
"Students want HIV testing in schools" a formative evaluation of the acceptability of HIV testing and counselling at schools in Gauteng and North West provinces in South Africa.
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DOI：
10.1186/s12889-015-1746-x
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发表时间：
2015-04-17
影响因子：
4.5
通讯作者：
Mokgatle M
中科院分区：
文献类型：
--
作者：
Madiba S;Mokgatle M
2011年，南非卫生部提议在学校实施艾滋病毒检测和咨询(HTC)，这引发了关于这种检测是否合适的辩论。然而，这场辩论是在教育部和卫生部之间进行的，几乎没有考虑到学生。这项研究的主要目的是评估学生对艾滋病毒检测和咨询的总体意见和接受程度，以及学校提供艾滋病毒检测和咨询的可接受性。这项研究还确定了社会人口特征、性行为和学生的艾滋病毒检测行为之间的联系。对南非西北部和豪登省10-12年级的高中生进行了一项调查。17所高中(9所农村和8所城市)被随机选为研究人员辅助的、自填的、半结构的问卷。共有2970名14-27岁的学生参与了这项研究，其中1632名(55%)是女孩，1810名(61%)有过性行为，1271名(49.8%)有一个以上的性伴侣。首次性行为的平均年龄为15.6岁。半数(n = 1494人，50.1%)已做过艾滋病毒检测。拥有多个性伴侣、年龄和性别与接受艾滋病毒检测的几率增加显著相关。恐惧，对HTC一无所知，以及对艾滋病毒风险较低的看法是不接受检测的原因。学校对HTC的接受度较高(n = 2282，76.9%)，愿意在学校接受测试的有2129人(71.8%)。适当性、隐私性和保密性是HTC在学校里支持和反对的主要论点。三分之一(n = 860，29%)有向学生披露其艾滋病毒状况的意向，而教师为1258(42.5%)。耻辱、歧视和保密是学生不打算透露的主要原因。HTC的高可接受性和在学校接受测试的意愿表明，鉴于学生已经准备好接受HTC，为年轻人量身定做的艾滋病毒预防计划具有很高的成功潜力。将艾滋病毒检测带到学校将增加年轻人对HTC的接受，并有助于在南非扩大HTC的规模。
The proposal by the South African Health Ministry to implement HIV testing and counselling (HTC) at schools in 2011 generated debates about the appropriateness of such testing. However, the debate has been between the Ministries of Education and Health, with little considerations of the students. The main aim of the study was to assess the students’ opinions and uptake of HIV testing and counselling in general, and the acceptability of the provision of HIV testing and counselling in schools. The study also determined the association between socio-demographic characteristics, sexual behaviour, and HIV testing behaviour of the students. A survey was conducted among grade 10–12 high school students in North West and Gauteng provinces, South Africa. Seventeen high schools (nine rural and eight urban) were randomly selected for the administration of a researcher-assisted, self-administered, semi-structured questionnaire. A total of 2970 students aged 14–27 years participated in the study; 1632 (55%) were girls, 1810 (61%) ever had sex, and 1271 (49.8%) had more than one sex partner. The mean age of first sexual activity was 15.6. Half (n = 1494, 50.1%) had been tested for HIV. Having multiple sexual partners, age, and gender were significantly associated with increased odds of having had a HIV test. Fear, being un-informed about HTC, and low HIV risk perceptions were the reasons for not getting tested. The acceptability of HTC at school was high (n = 2282, 76.9%) and 2129 (71.8%) were willing to be tested at school. Appropriateness, privacy, and secrecy were the main arguments for and against HTC at school. One-third (n = 860, 29%) had intentions to disclose their HIV status to students versus 1258 (42.5%) for teachers. Stigma, discrimination and secrecy were the primary reasons students did not intend to disclose. A high acceptability of HTC and willingness to be tested at school suggest that HIV prevention programs tailored to youth have a high potential of success given the readiness of students to uptake HTC. Bringing HIV testing to the school setting will increase the uptake of HTC among youth and contribute towards efforts to scale up HTC in South Africa.
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影响因子：
1.8
作者：
Sisay, Solomon;Erku, Woldaregay;Woldeyohannes, Desalegn
通讯作者：
Woldeyohannes, Desalegn
DOI：
10.2174/1874613601408010007
发表时间：
2014
期刊：
The open AIDS journal
影响因子：
--
作者：
Mwangi M;Kellogg TA;Dadabhai SS;Bunnell R;Baltazar G;Ngare C;K'opiyo G;Mburu M;Kim AA
通讯作者：
Kim AA
影响因子：
5.4
作者：
Angotti, Nicole;Bula, Agatha;Yeatman, Sara E.
通讯作者：
Yeatman, Sara E.
影响因子：
4.2
作者：
Bayer, Ronald;Edington, Claire
通讯作者：
Edington, Claire
影响因子：
10.5
作者：
Link, BG;Phelan, JC
通讯作者：
Phelan, JC