Increasing the acceptability of HIV counseling and testing with three C's: Convenience, confidentiality and credibility
Increasing the acceptability of HIV counseling and testing with three C's: Convenience, confidentiality and credibility
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DOI：
10.1016/j.socscimed.2009.02.041
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发表时间：
2009-06-01
影响因子：
5.4
通讯作者：
Yeatman, Sara E.
中科院分区：
文献类型：
--
作者：
Angotti, Nicole;Bula, Agatha;Yeatman, Sara E.
从事防止艾滋病毒进一步传播的人道主义工作的机构强调了自愿咨询和检测（VCT）的重要性，大多数高流行国家现在都拥有提供免费检测的设施。然而，尽管有很多人表示希望对这些服务进行测试，但这些服务的利用率却低得令人失望。对这种差异的解释通常依赖于对心理或社会障碍方面提出的假设问题的回答；通常，原因是人们害怕得知自己感染了一种他们认为是致命且具有耻辱性的疾病。然而，当我们作为马拉维农村纵向研究的一部分提供艾滋病毒上门快速血液检测时，绝大多数人同意接受检测并立即收到结果。因此，在本文中，我们要问：为什么更多的人没有接受检测？通过解释性研究设计，我们发现农村马拉维人对挨家挨户艾滋病毒检测做出反应，原因如下：方便、保密、快速血液检测可信。我们的研究表明，在 VCT 策略中关注这些因素可能会减轻对艾滋病毒检测的恐惧，并最终增加非洲农村地区的接受率。 (C) 2009 Elsevier Ltd. 保留所有权利。
Agencies engaged in humanitarian efforts to prevent the further spread of HIV have emphasized the importance of voluntary counseling and testing (VCT), and most high-prevalence countries now have facilities that offer testing free of charge. The utilization of these services is disappointingly low, however, despite high numbers reporting that they would like to be tested. Explanations of this discrepancy typically rely on responses to hypothetical questions posed in terms of psychological or social barriers; often, the explanation is that people fear learning that they are infected with a disease that they understand to be fatal and stigmatizing. Yet when we offered door-to-door rapid blood testing for HIV as part of a longitudinal study in rural Malawi, the overwhelming majority agreed to be tested and to receive their results immediately. Thus, in this paper, we ask: why are more people not getting tested? Using an explanatory research design, we find that rural Malawians are responsive to door-to-door HIV testing for the following reasons: it is convenient:, confidential, and the rapid blood test is credible. Our study suggests that attention to these factors in VCT strategies may mitigate the fear of HIV testing, and ultimately increase uptake in rural African settings. (C) 2009 Elsevier Ltd. All rights reserved.