Men’s comfort in distributing or receiving HIV self-test kits from close male social network members in Dar Es Salaam, Tanzania:baseline results from the STEP project
Autor: | Akeen Hamilton, Donaldson F. Conserve, Augustine T. Choko, Frank Mhando, Dustin T. Duncan, Wynton M. Sims, Jiajia Zhang, Thomas van den Akker, Gaspar Mbita, Jackson Lija, Joseph K. B. Matovu, Albert Komba, Noah Thompson |
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Přispěvatelé: | Athena Institute, APH - Global Health, Network Institute |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
Sexual partner medicine.medical_specialty Adolescent Population HIV self-testing HIV Infections Tanzania Gee Social networks Social Networking SDG 3 - Good Health and Well-being Epidemiology Humans Medicine education education.field_of_study Social network biology business.industry Research Public health Public Health Environmental and Occupational Health HIV Men biology.organism_classification Self-Testing Family medicine Public aspects of medicine RA1-1270 Biostatistics business |
Zdroj: | Matovu, J K B, Mbita, G, Hamilton, A, Mhando, F, Sims, W M, Thompson, N, Komba, A N, Lija, J, Zhang, J, van den Akker, T, Duncan, D T, Choko, A T & Conserve, D F 2021, ' Men’s comfort in distributing or receiving HIV self-test kits from close male social network members in Dar Es Salaam, Tanzania : baseline results from the STEP project ', BMC Public Health, vol. 21, no. 1, 1739, pp. 1-11 . https://doi.org/10.1186/s12889-021-11806-5 BMC Public Health, 21(1):1739, 1-11. BioMed Central BMC Public Health BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) |
ISSN: | 1471-2458 |
Popis: | Background A variety of strategies have been used to reach men with HIV self-testing services, including social network-based HIV self-test kits distribution. However, few studies have assessed men’s comfort to distribute to or receive HIV self-test kits from close male friends within the same social network. In this study, we assessed men’s comfort to distribute to and/or receive HIV self-test kits from close male friends and associated factors among men who socialize in networks locally referred to as “camps” in Tanzania. Methods Data are from the baseline survey of a cluster-randomized controlled trial conducted in June 2019 with 18 social networks or “camps” in Dar es Salaam, Tanzania. Participants were 18-year-old or older male camp members who were HIV-negative at the time of enrolment. We used the Generalized Estimating Equations (GEE) to assess factors associated with being comfortable to distribute to and/or receive HIV self-test kits from close male members within one’s social network. Results Of 505 participants, 67.9% (n = 342) reported being comfortable to distribute to while 68.2% (n = 344) were comfortable to receive HIV self-test kits from their close male friends. Ever having heard about HIV self-testing (Adjusted Prevalence Ratio (Adj. PR): 1.6; 95% Confidence Interval [CI]: 1.3, 1.9), willingness to self-test for HIV in front of a sexual partner (Adj. PR: 3.0; 95%CI: 1.5, 6.1) and exposure to peer-led HIV self-testing education and promotion (Adj. PR: 1.4; 95%CI: 1.2, 1.7) were significantly associated with being comfortable to distribute HIV self-test kits to close male members within one’s social network. Similar results were observed for being comfortable to receive HIV self-test kits from a close male friend within one’s social network. Conclusions Overall, these findings suggest that distribution of HIV self-test kits through close male friends could improve the proportion of men reached with HIV self-testing services and improve HIV testing rates in this population where uptake remains low. However, additional promotional strategies such as peer-led HIV self-testing education are needed to raise awareness and increase the proportion of men who are comfortable to receive and/or distribute HIV self-testing kits. |
Databáze: | OpenAIRE |
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