Sexual and Social Network Correlates of Willingness to Self-Test for HIV Among Ever-Tested and Never-Tested Men: Implications for the Tanzania STEP Project
Sexual and Social Network Correlates of Willingness to Self-Test for HIV Among Ever-Tested and Never-Tested Men: Implications for the Tanzania STEP Project
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DOI：
10.1080/09540121.2018.1537466
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发表时间：
2019-02-01
影响因子：
1.7
通讯作者：
Maman, Suzanne
中科院分区：
文献类型：
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作者：
Conserve, Donaldson F.;Bay, Camden;Maman, Suzanne
我们研究了与艾滋病毒自我检测（HIVST）的男性曾经测试者和从未测试者谁参加了在达累斯萨拉姆的一个集群随机对照艾滋病毒预防试验的中点调查的意愿相关的因素。构建线性混合二元logistic回归模型，以检查与自测意愿相关的因素（人口统计学、HIV风险行为和性/社会网络）。在301名从未测试过的人中，67%的人愿意自我检测艾滋病毒，而在577名曾经测试过的人中，这一比例为72%。在从未测试过的人中，与性伴侣讨论过艾滋病毒检测是与艾滋病毒检测意愿相关的唯一因素（2.36，95% CI：1.35-4.15）。对于直立人来说，年轻男性比年长男性更不愿意自我测试，而受过高等教育的男性比受教育程度较低的男性更愿意自我测试。对于曾经的测试者来说，相对于没有风险感知（0.40，95%CI 0.23-0.70），具有中度/高度HIV风险感知的人降低了HIVST意愿的几率。与性伴侣讨论艾滋病毒检测以及被朋友鼓励进行艾滋病毒检测与愿意自我检测的几率较高相关（2.22，2.23; 95% CI 1.34-3.67，1.14-4.39）。这些研究结果表明，艾滋病病毒感染的意愿是高度可接受的男性测试者和从未测试。
We examined factors associated with HIV self-testing (HIVST) willingness among male ever-testers and never-testers who participated in a midpoint survey of a cluster randomized controlled HIV prevention trial in Dar es Salaam. Linear mixed binary logistic regression models were constructed to examine factors (demographic, HIV risk behavior, and sexual/social network) associated with willingness to self-test. Sixtyseven percent of 301 never-testers were willing to self-test for HIV compared to 72% 577 of ever-testers. Among never-testers, having discussed testing for HIV with a sexual partner was the only factor associated with HIVST willingness (2.36, 95% CI: 1.35-4.15). For evertesters, younger men were less willing to self-test than older men while men with higher education were more willing to self-test than less educated men. Having a moderate/great HIV risk perception decreased the odds of HIVST willingness relative to no risk perception (0.40, 95% CI 0.23-0.70) for ever-testers. Discussing HIV testing with a sexual partner and having been encouraged to test for HIV by a friend were associated with higher odds of being willing to self-test (2.22, 2.23; 95% CI 1.34-3.67, 1.14-4.39, respectively) among ever-testers. These findings suggest that HIVST willingness is highly acceptable among both male ever-testers and never-testers.