How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda.
How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda.
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DOI：
10.1007/s10461-017-1817-3
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发表时间：
2017-08
影响因子：
4.4
通讯作者：
Wanyenze RK
中科院分区：
文献类型：
--
作者：
Kiene SM;Gbenro O;Sileo KM;Lule H;Wanyenze RK
在接受个人提供者发起的艾滋病毒检测和咨询（PITC）的门诊患者样本（152名女性，152名男性）中，我们旨在确定与随后接受伴侣艾滋病毒检测相关的因素。在乌干达一家医院接受PITC治疗的门诊患者在艾滋病毒检测前立即填写了一份问卷，然后在检测后3个月和6个月填写了一份问卷。在6个月的随访中，96%的参与者报告向其伴侣透露了他们的艾滋病毒检测结果，96.4%的参与者报告要求其伴侣进行检测。38.8%的女性和78.9%的男性报告说，他们的伴侣进行了检测，并且他们知道检测结果。最近（男性：AOR 5.84, 95.0% CI 1.90-17.99；女性：AOR 6.19, 95.0% CI 2.74-13.59）或伴侣之前的任何检测（女性：AOR 4.01, 95% CI 1.06-15.10）预测6个月随访时接受伴侣检测。在女性中，从伴侣那里获得更多的社会支持可能反映了更好的关系质量，这可以预测她们的男性伴侣是否会检测出艾滋病毒（AOR 2.37, 95% CI 1.22-4.58）。值得注意的是，亲密伴侣暴力与伴侣测试没有负相关。我们的研究结果表明，与男性相比，女性在影响其伴侣进行艾滋病毒检测的能力方面处于劣势，改善亲密关系中的社会支持应成为艾滋病毒伴侣检测干预措施的重点。但是，需要对改善伴侣检测的干预措施进行更多的研究，特别是在确定支持妇女使其伴侣参与检测的有效方法方面。
In a sample of outpatients (152 females, 152 males) receiving individual provider-initiated HIV testing and counselling (PITC) we aimed to identify factors associated with subsequent uptake of partner HIV testing. Purposively sampled outpatients receiving PITC at a Ugandan hospital completed a questionnaire immediately prior to testing for HIV, and then at 3 and 6 months post-test. By 6-month follow-up 96% of participants reported disclosing their HIV test results to their partner and 96.4% reported asking their partner to test. 38.8% of women and 78.9% of men reported that their partner tested and they knew their results. Recent (men: AOR 5.84, 95.0% CI 1.90–17.99; women AOR 6.19, 95.0% CI 2.74–13.59) or any previous testing by the partner (women: AOR 4.01, 95% CI 1.06–15.10) predicted uptake of partner testing by the 6-month follow-up. Among women, perceiving greater social support from their partner, which perhaps reflects better relationship quality, was predictive of their male partner testing for HIV (AOR 2.37, 95% CI 1.22–4.58). Notably intimate partner violence showed no negative association with partner testing. Our findings demonstrate that women are at a disadvantage compared to men in their ability to influence their partner to test for HIV, and that improving social support in intimate relationships should be a focus of HIV partner testing interventions. However, more research on interventions to improve partner testing is needed, particularly in identifying effective ways to support women in engaging their partners to test.
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影响因子：
4.4
作者：
Kiene SM;Bateganya MH;Lule H;Wanyenze RK
通讯作者：
Wanyenze RK
影响因子：
2.8
作者：
Atuyambe LM;Ssegujja E;Ssali S;Tumwine C;Nekesa N;Nannungi A;Ryan G;Wagner G
通讯作者：
Wagner G
影响因子：
4.4
作者：
Conroy AA;Gamarel KE;Neilands TB;Dilworth SE;Darbes LA;Johnson MO
通讯作者：
Johnson MO
影响因子：
168.9
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
DOI：
10.1097/qai.0000000000000546
发表时间：
2015-05-01
影响因子：
3.6
作者：
Kenyon, Chris Richard;Kirungi, Wilford;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca