"He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.
"He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.
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DOI：
10.1177/1557988318777674
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Kajula L
中科院分区：
文献类型：
--
作者：
Conserve DF;Alemu D;Yamanis T;Maman S;Kajula L
在撒哈拉以南非洲，男子接受艾滋病毒检测的比例仍然很低。最近来自撒哈拉以南非洲的定量证据表明，鼓励男性网络成员进行艾滋病毒检测与以前更高的艾滋病毒检测和艾滋病毒自我检测（HIVST）意愿有关。利用这一积极的网络影响力，在男子中推广艾滋病毒/艾滋病防治措施，是一项有希望增加艾滋病毒检测的战略。这项研究调查的原因和策略，男人用来鼓励他们的同龄人测试艾滋病毒和结果，以告知发展的社会网络为基础的艾滋病毒的男性干预称为步骤（自我检测教育和推广）。对来自当地称为“营地”的网络的23名男子进行了访谈，以探讨鼓励艾滋病毒检测的原因、鼓励艾滋病毒检测的战略以及鼓励艾滋病毒检测的结果。男性报告的鼓励同龄人进行艾滋病毒检测的原因包括意识到同龄人的危险性行为，认识艾滋病毒阳性的同龄人，以及有艾滋病毒检测经验。鼓励测试的策略包括进行正式和非正式的对话，以及陪同朋友去诊所。令人鼓舞的成果包括对一些男子进行了艾滋病毒检测，而另一些男子由于在诊所缺乏隐私和害怕艾滋病毒污名化而没有进行检测。艾滋病毒检测鼓励的其他成果是愿意自我检测艾滋病毒和有兴趣教育同龄人有关艾滋病毒/艾滋病的知识。这些发现强调了利用男性现有的艾滋病毒检测鼓励策略在同龄人中促进艾滋病毒感染者的潜力。
Men continue to test for HIV at a low rate in sub-Saharan Africa. Recent quantitative evidence from sub-Saharan Africa indicates that encouragement to test for HIV from men’s network members is associated with higher previous HIV testing and HIV self-testing (HIVST) willingness. Leveraging this positive network influence to promote HIVST among men is a promising strategy that could increase HIV testing. This study investigated the reasons and strategies men used to encourage their peers to test for HIV and the outcomes in order to inform the development of a social network-based HIVST intervention for men called STEP (Self-Testing Education and Promotion). Twenty-three men from networks locally referred to as “camps” were interviewed to explore reasons for encouraging HIV testing, strategies to encourage HIV testing, and outcomes of HIV testing encouragement. Reasons men reported for encouraging their peers to test for HIV included awareness of their peers’ risky sexual behavior, knowing an HIV-positive peer, and having HIV testing experience. Strategies for encouraging testing included engaging in formal and informal conversations and accompanying friends to the clinic. Encouragement outcomes included HIV testing for some men while others remained untested due to lack of privacy in the clinic and fear of HIV stigma. Willingness to self-test for HIV and an interest to educate peers about HIVST were other outcomes of HIV testing encouragement. These findings underscore the potential of leveraging men’s existing HIV testing encouragement strategies to promote HIVST among their peers.
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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
DOI：
10.1080/09540120701427498
发表时间：
2008-01-01
影响因子：
1.7
作者：
Denison, J. A.;Mccauley, A. P.;Sweat, M. D.
通讯作者：
Sweat, M. D.
影响因子：
3.8
作者：
Druyts, Eric;Dybul, Mark;Mills, Edward J.
通讯作者：
Mills, Edward J.
DOI：
10.1177/1557988316635247
发表时间：
2017-09
期刊：
American journal of men's health
影响因子：
--
作者：
Conserve DF;Iwelunmor J;Whembolua GL;Sofolahan-Oladeinde Y;Teti M;Surkan PJ
通讯作者：
Surkan PJ
影响因子：
2.8
作者：
Abongomera G;Kiwuwa-Muyingo S;Revill P;Chiwaula L;Mabugu T;Phillips A;Katabira E;Musiime V;Gilks C;Chan A;Hakim J;Colebunders R;Kityo C;Gibb DM;Seeley J;Ford D;Lablite Project Team
通讯作者：
Lablite Project Team