Recruiting the social contacts of patients with STI for HIV screening in Lilongwe, Malawi: process evaluation and assessment of acceptability.
Recruiting the social contacts of patients with STI for HIV screening in Lilongwe, Malawi: process evaluation and assessment of acceptability.
复制标题
在马拉维利隆圭招募性传播感染患者的社会联系人进行艾滋病毒筛查：过程评估和可接受性评估。
DOI：
10.1136/sextrans-2015-052496
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发表时间：
2016
影响因子：
3.6
通讯作者：
Miller,WilliamC
中科院分区：
文献类型：
--
作者：
Rosenberg,NoraE;Stanley,ChristopherC;Rutstein,SarahE;Bonongwe,Naomi;Kamanga,Gift;Pettifor,Audrey;Mapanje,Clement;Martinson,Francis;Hoffman,IrvingF;Miller,WilliamC
ObjectivesTo explore acceptability of recruiting social contacts for HIV and sexually transmitted infection (STI) screening in Lilongwe, Malawi.MethodsIn this observational study, three groups of ‘seed’ patients were enrolled: 45 HIV-infected patients with STI, 45 HIV-uninfected patients with STI and 45 community controls, who were also tested for HIV as part of the study. Each seed was given five coupons and asked to recruit up to five social contacts to the STI clinic. Seeds were told the programme for contacts would include HIV testing, STI screening and general health promotion. Seeds were asked to return after 1 month to report on the contact recruitment process. Seeds received $2 for each successfully recruited contact.ResultsEighty-nine seeds (66%) returned for 1-month follow-up with no difference between the three seed groups (p=0.9). Returning seeds reported distributing most of their coupons (mean=4.1) and discussing each feature of the programme with most contacts—HIV testing (90%), STI screening (87%) and health promotion (91%). Seeds reported discussing their own HIV status with most contacts (52%), with a lower proportion of HIV-infected seeds discussing their HIV status (22%) than HIV-uninfected seeds (81%) or community seeds (64%) (p<0.001). Contact recruitment did not vary with socioeconomic status.ConclusionsMost seeds distributed all coupons and reported describing all aspects of the programme to most contacts. Patients with STI are able to act as health promoters within their social networks and may be a critical link to increasing STI and HIV status awareness among high-risk groups.
