Targeting interventions for HIV testing and treatment uptake: An attitudinal and behavioural segmentation of men aged 20-34 in KwaZulu-Natal and Mpumalanga, South Africa.
Targeting interventions for HIV testing and treatment uptake: An attitudinal and behavioural segmentation of men aged 20-34 in KwaZulu-Natal and Mpumalanga, South Africa.
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针对艾滋病毒检测和治疗的干预措施：南非夸祖鲁-纳塔尔和普马兰加20-34岁男子的态度和行为分类。
DOI：
10.1371/journal.pone.0247483
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Hasen N
中科院分区：
文献类型：
--
作者：
Bell J;Sharma S;Malone S;Levy M;Reast J;Ciecieląg J;Gogolina S;Ansons T;Fourie S;Braz R;Little K;Hasen N
尽管最近有所改善，但在南非，男性的艾滋病毒结果仍然比女性更糟。这项研究描述了青年男子如何形成不同的行为和态度亚群，旨在为设计有针对性的干预措施提供信息，以鼓励艾滋病毒检测和开始抗逆转录病毒治疗。收集数据时采用了一项跨部门调查，调查内容涉及男子对艾滋病毒/艾滋病的态度、信念和行为。2018年10月至2,019年1月期间，从夸祖鲁-纳塔尔省和姆普马兰加省的8个地区市随机抽取了2,019名男性。男性有资格参加，条件是他们年龄在20-34岁之间，是非洲黑人，受教育程度低于大学毕业，了解艾滋病毒，并愿意透露他们是否接受过艾滋病毒检测。每个参与者都回答了一份问卷，询问他们的人口特征，报告的性行为，参与艾滋病毒检测和治疗服务，饮酒，艾滋病毒知识，对性别平等的态度和报告的抑郁症状程度。数据进行了分析，采用典型相关，层次聚类和因素分析技术，以产生五组男子。结果综合使用以人为本的设计原则，建议为每个部分的潜在干预领域。结果表明，男子因其对性别和男子气概的态度、饮酒、检测和治疗行为、对艾滋病毒的恐惧以及对检测方式的偏好而有所不同。第1部分（21%）避免谈论艾滋病毒，可能是担心对他的生活造成影响。第2类（23%）与其社区有良好的联系，并对艾滋病毒有社会关注。第3部分（15%）与艾滋病毒感染的更远的决定因素，如失业和精神健康状况不佳作斗争。第4部分（25%）担心如果他是艾滋病毒阳性，需要改变生活方式。第5部分（16%）有强烈的传统心态，担心艾滋病毒在其社区的影响。研究结果将用于设计有针对性的干预措施，以提高南非青年男子的艾滋病毒检测和治疗率。需要进一步研究，以了解以这种方式设计的干预措施的影响。
Despite recent improvements, men still have worse HIV outcomes than women in South Africa. This study describes how young men form distinct behavioural and attitudinal subgroups, and is intended to inform the design of targeted interventions to encourage HIV testing and initiation on antiretroviral therapy. Data were collected using a cross-sectional survey with questions on men’s attitudes, beliefs and behaviours around HIV/AIDS. A total of 2,019 men were randomly sampled from eight district municipalities in KwaZulu-Natal and Mpumalanga provinces between October 2018 and January 2019. Men were eligible to participate if they were aged 20–34, Black African, had an education level below university graduation, were aware of HIV and were willing to disclose whether they had tested for HIV. Each participant responded to a questionnaire asking about their demographic characteristics, reported sexual behaviour, engagement with HIV testing and treatment services, alcohol consumption, HIV knowledge, attitudes to gender equity and reported level of depressive symptoms. Data were analysed using canonical correlation, hierarchical clustering and factor analysis techniques to produce five groups of men. The results were synthesised using Human Centred Design principles to suggests areas for potential intervention for each segment. The results showed that men vary based on their attitudes to gender and masculinity, use of alcohol, testing and treatment behaviour, HIV-related fears and preferences for testing modalities. Segment 1 (21%) avoids the topic of HIV, perhaps fearful of the impact on his life. Segment 2 (23%) is well connected to his community and has social concerns about HIV. Segment 3 (15%) struggles with more distal determinants of HIV acquisition such as unemployment and poor mental health. Segment 4 (25%) has concerns about the lifestyle changes that would be required if he were HIV positive. Segment 5 (16%) has a strong traditional mindset and is fearful of the ramifications of HIV in his community. The results will be used to design targeted interventions to increase HIV testing and treatment rates among young men in South Africa. Further research is required to understand the impact of interventions designed in this way.
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DOI：
10.1080/13691058.2016.1183045
发表时间：
2016-11
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Fleming PJ;Colvin C;Peacock D;Dworkin SL
通讯作者：
Dworkin SL
影响因子：
4.4
作者：
Gottert A;Barrington C;Pettifor A;McNaughton-Reyes HL;Maman S;MacPhail C;Kahn K;Selin A;Twine R;Lippman SA
通讯作者：
Lippman SA
影响因子：
7.6
作者：
Hatcher, Abigail M.;Gibbs, Andrew;Christofides, Nicola
通讯作者：
Christofides, Nicola
DOI：
10.1186/1748-5908-7-37
发表时间：
2012-04-24
期刊：
Implementation science : IS
影响因子：
--
作者：
Cane J;O'Connor D;Michie S
通讯作者：
Michie S
影响因子：
3.9
作者：
Hoelker, Sarah;von Meyer-Hoefer, Marie;Spiller, Achim
通讯作者：
Spiller, Achim