'If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV': HIV self-testing perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda.
'If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV': HIV self-testing perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda.
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DOI：
10.1080/16549716.2018.1503784
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发表时间：
2018
影响因子：
2.6
通讯作者：
Wanyenze RK
中科院分区：
文献类型：
--
作者：
Matovu JKB;Kisa R;Buregyeya E;Chemusto H;Mugerwa S;Musoke W;Vrana CJ;Malek AM;Korte JE;Wanyenze RK
背景：艾滋病毒自我检测（HIVST）可以提高包括男性在内的“难以接触”人群的艾滋病毒检测率。我们探讨了乌干达中部孕妇及其男性伴侣对艾滋病毒的认知、分娩策略和检测后经历。方法：这是一项定性研究，作为在乌干达中部三家卫生机构接受产前保健服务的1,514名孕妇进行的一项试验性、集群随机口服hiv干预试验的一部分。该研究的定性部分在2017年2月至3月期间进行。我们进行了32次深度访谈，记录了女性和男性对艾滋病毒传播的看法、女性向男性伴侣提供试剂盒时使用的策略、男性伴侣从女性伴侣那里收到试剂盒时的反应，以及检测后的积极和消极社会结果。所有访谈都录音，逐字抄录，并按照主题框架方法进行人工分析。结果：女性最初担心如果她们把艾滋病毒检测试剂盒带回家，男性伴侣的反应，但大多数人最终成功地将试剂盒送到了他们手中。有一定程度忧虑的女性使用了各种策略来递送工具包，包括将工具包放在会引起男性伴侣好奇的地方，或者等待丈夫更容易接受的“合适”时刻。少数（三）名妇女谎报了检测试剂盒的用途（检测梅毒和其他疾病），而一名妇女偷偷地从丈夫那里拿走了粘膜拭子。大多数男性最初怀疑口服HIV试剂盒检测HIV的能力，但这并没有阻止他们使用它们。男性和女性都认为艾滋病毒传播是一个了解彼此艾滋病毒状况的机会。试验后未发现严重不良事件。结论：我们的研究结果进一步证实了之前的研究结果，即在撒哈拉以南非洲地区，女性提供艾滋病毒传播技术可以改善男性伴侣的艾滋病毒检测。然而，需要在具有挑战性的关系中为妇女提供支持，以尽量减少欺骗和胁迫的可能性。
Background: HIV self-testing (HIVST) can improve HIV-testing rates in ‘hard-to-reach’ populations, including men. We explored HIVST perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda. Methods: This was a qualitative study implemented as part of a pilot, cluster-randomized oral HIVST intervention trial among 1,514 pregnant women attending antenatal care services at three health facilities in Central Uganda. The qualitative component of the study was conducted between February and March 2017. We conducted 32 in-depth interviews to document women and men’s perceptions about HIVST, strategies used by women in delivering the kits to their male partners, male partners’ reactions to receiving kits from their female partners, and positive and negative social outcomes post-test. All interviews were audio-recorded, transcribed verbatim, and analyzed manually following a thematic framework approach. Results: Women were initially anxious about their male partners’ reaction if they brought HIVST kits home, but the majority eventually managed to deliver the kits to them successfully. Women who had some level of apprehension used a variety of strategies to deliver the kits including placing the kits in locations that would arouse male partners’ inquisitiveness or waited for ‘opportune’ moments when their husbands were likely to be more receptive. A few (three) women lied about the purpose of the test kit (testing for syphilis and other illnesses) while one woman stealthily took a mucosal swab from the husband. Most men initially doubted the ability of oral HIVST kits to test for HIV, but this did not stop them from using them. Both men and women perceived HIVST as an opportunity to learn about each other’s HIV status. No serious adverse events were reported post-test. Conclusion: Our findings lend further credence to previous findings regarding the feasibility of female-delivered HIVST to improve male partner HIV testing in sub-Saharan Africa. However, support for women in challenging relationships is required to minimize potential for deception and coercion.
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影响因子：
15.8
作者：
Masters SH;Agot K;Obonyo B;Napierala Mavedzenge S;Maman S;Thirumurthy H
通讯作者：
Thirumurthy H
DOI：
10.1080/09540120701687059
发表时间：
2008-01-01
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通讯作者：
Thirumurthy H
影响因子：
3.7
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通讯作者：
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