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
Přispěvatelé: Athena Institute, APH - Global Health, Network Institute
Jazyk: angličtina
Rok vydání: 2021
Předmět:
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