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[PMID]:28746166
[Au] Autor:Schaffer EM; Agot K; Thirumurthy H
[Ad] Endereço:*Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC †Impact Research and Development Organization, Kisumu, Kenya ‡Carolina Population Center, Chapel Hill, NC.
[Ti] Título:The Association Between Intimate Partner Violence and Women's Distribution and Use of HIV Self-Tests With Male Partners: Evidence From a Cohort Study in Kenya.
[So] Source:J Acquir Immune Defic Syndr;76(3):e85-e87, 2017 11 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sorodiagnóstico da AIDS/utilização
Infecções por HIV/diagnóstico
Violência por Parceiro Íntimo/estatística & dados numéricos
Programas de Rastreamento/métodos
Kit de Reagentes para Diagnóstico/utilização
Serviços de Saúde Reprodutiva
Parceiros Sexuais/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Infecções por HIV/psicologia
Acesso aos Serviços de Saúde
Seres Humanos
Quênia
Masculino
Programas de Rastreamento/psicologia
Ensaios Clínicos Controlados Aleatórios como Assunto
Estigma Social
Adulto Jovem
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Reagent Kits, Diagnostic)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001502


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[PMID]:29251433
[Au] Autor:Sabapathy K; Mubekapi-Musadaidzwa C; Mulubwa C; Schaap A; Hoddinott G; Stangl A; Floyd S; Ayles H; Fidler S; Hayes R; HPTN 071 (PopART) study team
[Ad] Endereço:London School of Hygiene and Tropical Medicine, London, United Kingdom.
[Ti] Título:Predictors of timely linkage-to-ART within universal test and treat in the HPTN 071 (PopART) trial in Zambia and South Africa: findings from a nested case-control study.
[So] Source:J Int AIDS Soc;20(4), 2017 Dec.
[Is] ISSN:1758-2652
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: HPTN 071 (PopART) is a three-arm community randomized trial in Zambia and South Africa evaluating the impact of a combination HIV prevention package, including universal test and treat (UTT), on HIV incidence. This nested study examined factors associated with timely linkage-to-care and ART initiation (TLA) (i.e. within six-months of referral) in the context of UTT within the intervention communities of the HPTN 071 (PopART) trial. METHODS: Of the 7572 individuals identified as persons living with HIV (PLWH) (and not on antiretroviral treatment (ART)) during the first year of the PopART intervention provided by Community HIV-care Providers (CHiPs) through door-to-door household visits, individuals who achieved TLA (controls) and those who did not (cases), stratified by gender and community, were randomly selected to be re-contacted for interview. Standardized questionnaires were administered to explore factors potentially associated with TLA, including demographic and behavioural characteristics, and participants' opinions on HIV and related services. Odds ratios comparing cases and controls were estimated using a multi-variable logistic regression. RESULTS: Data from 705 participants (333 cases/372 controls) were analysed. There were negligible differences between cases and controls by demographic characteristics including age, marital or socio-economic position. Prior familiarity with the CHiPs encouraged TLA (aOR of being a case: 0.58, 95% CI: 0.39 to 0.86, p = 0.006). Participants who found clinics overcrowded (aOR: 1.51, 95% CI: 1.08 to 2.12, p = 0.006) or opening hours inconvenient (aOR: 1.63, 95% CI: 1.06 to 2.51, p = 0.02) were less likely to achieve TLA, as were those expressing stronger feelings of shame about having HIV (p  = 0.007). Expressing "not feeling ready" (aOR: 2.75, 95% CI: 1.89 to 4.01, p < 0.001) and preferring to wait until they felt sick (aOR: 2.00, 95% CI: 1.27 to 3.14, p = 0.02) were similarly indicative of being a case. Worrying about being seen in the clinic or about how staff treated patients was not associated with TLA. While the association was not strong, we found that the greater the number of self-reported lifetime sexual partners the more likely participants were to achieve TLA (p  = 0.06). There was some evidence that participants with HIV-positive partners on ART were less likely to be cases (aOR: 0.75, 95% CI: 0.53 to 1.06, p = 0.07). DISCUSSION: The lack of socio-demographic differences between cases and controls is encouraging for a "universal" intervention that seeks to ensure high coverage across whole communities. Making clinics more "patient-friendly" could enhance treatment uptake further. The finding that those with higher risk behaviour are more actively engaging with UTT holds promise for treatment-as-prevention.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Intervenção Médica Precoce
Infecções por HIV/prevenção & controle
Aceitação pelo Paciente de Cuidados de Saúde
[Mh] Termos MeSH secundário: Adulto
Fármacos Anti-HIV/administração & dosagem
Estudos de Casos e Controles
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Ensaios Clínicos Controlados Aleatórios como Assunto
Encaminhamento e Consulta
Parceiros Sexuais
África do Sul
Zâmbia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.1002/jia2.25037


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[PMID]:28457203
[Au] Autor:Kenyon CR
[Ad] Endereço:1 Institute of Tropical Medicine, Antwerp, Belgium.
[Ti] Título:Bypassing the 'rapid-clearance-in-males-buffer': A fourth mechanism to explain how concurrency enhances STI spread.
[So] Source:Int J STD AIDS;28(14):1444-1446, 2017 12.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A number of sexually transmitted infections (STIs) persist for a considerably shorter period in the male urethra than the vagina. If the gap between sequential partnerships is longer than the duration of STI colonization in males, then this would protect future female partners from this STI in a setting of serial monogamy. If, however, males have more than one partner at a time (concurrency), then this would enable the STI to bypass this gap/buffer. We therefore propose bypassing the rapid-clearance-in-males-buffer as a fourth mechanism, whereby concurrency could enhance the spread of STIs.
[Mh] Termos MeSH primário: Comportamento Sexual
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/transmissão
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1177/0956462417706246


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[PMID]:28468648
[Au] Autor:Clark JL; Segura ER; Oldenburg CE; Rios J; Montano SM; Perez-Brumer A; Villaran M; Sanchez J; Coates TJ; Lama JR
[Ad] Endereço:David Geffen School of Medicine, University of California, Los Angeles, CA, USA. jlclark@mednet.ucla.edu.
[Ti] Título:Expedited Partner Therapy (EPT) increases the frequency of partner notification among MSM in Lima, Peru: a pilot randomized controlled trial.
[So] Source:BMC Med;15(1):94, 2017 05 04.
[Is] ISSN:1741-7015
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Expedited Partner Therapy (EPT) has been shown to improve treatment outcomes among heterosexual partners of individuals with curable sexually transmitted infections (STIs). Although the use of EPT with men who have sex with men (MSM) has been debated, due to the potential for missed opportunities to diagnose unidentified cases of HIV and syphilis infection in symptomatic partners, increases in partner notification (PN) resulting from use of EPT may promote testing and treatment of otherwise unidentified partners. We assessed the impact of EPT on self-reported PN among MSM in Peru with gonorrheal (GC) and/or chlamydial (CT) infection. METHODS: We enrolled 173 MSM in Lima, Peru with symptomatic or asymptomatic GC and/or CT infection between 2012 and 2014. We enrolled 44 MSM with symptomatic urethritis/proctitis and 129 MSM with asymptomatic GC/CT infection, diagnosed based on nucleic acid testing (Aptima Combo 2 Transcription-Mediated Amplification [TMA]) from urethral, pharyngeal, and rectal sites. Eligible participants were randomly assigned to receive either standard PN counseling (n = 84) or counseling plus EPT (cefixime 400 mg/azithromycin 1 g) for up to five recent partners (n = 89). Self-reported notification was assessed by computer-assisted self-administered survey among 155 participants who returned for 14-day follow-up. RESULTS: The median age of participants was 26 (interquartile range [IQR]: 23-31) with a median of 3 sexual partners (IQR: 2-4) in the previous 30-day period. Among all participants, 111/155 (71.6%) notified at least one partner at 14-day follow-up with a median of 1 partner notified per participant (IQR: 0-2). For participants randomized to receive EPT, 69/83 (83.1%) reported notifying at least one partner, compared with 42/72 (58.3%) of participants in the control arm (odds ratio = 3.52; 95% confidence interval [CI]: 1.68-7.39). The proportion of all recent partners notified was significantly greater in the EPT than in the control arm (53.5%, 95% CI: 45.0-62.0% versus 36.4%, 95% CI: 27.0-47.4%). CONCLUSIONS: Provision of EPT led to significant increases in notification among Peruvian MSM diagnosed with GC/CT infection. Additional research is needed to assess the impact of EPT on biological outcomes, including persistent or recurrent infection, antimicrobial resistance, and HIV/STI transmission, in MSM sexual networks. TRIAL REGISTRATION: ClinicalTrials.gov, NCT01720654 . Registered on 10/29/2012.
[Mh] Termos MeSH primário: Infecções por Chlamydia/terapia
Busca de Comunicante
Gonorreia/terapia
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Homossexualidade Masculina
Seres Humanos
Masculino
Peru
Projetos Piloto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1186/s12916-017-0858-9


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[PMID]:29206976
[Au] Autor:Brotman S; Drummond J; Silverman M; Sussman T; Orzeck P; Barylak L; Wallach I; Billette V
[Ad] Endereço:School of Work, McGill University, 3506 University Street, Montreal, Quebec, Canada.
[Ti] Título:Talking about Sexuality and Intimacy with Women Spousal Caregivers: Perspectives of Service Providers.
[So] Source:Health Soc Work;41(4):263-270, 2016 Nov 20.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article reports the findings of an exploratory study examining service provider perceptions and experiences of addressing sexuality and intimacy with women spousal caregivers. The caregiver-provider encounter is examined, and challenges faced by service providers in addressing sexuality are considered. Themes identified include ambivalence and discomfort, personal and institutional barriers, meanings attributed to sexuality and intimacy, and lack of opportunities to discuss experiences. Strategies to overcome silence and invisibility on the part of service providers in the health and social services system are considered.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Papel Profissional
Sexualidade
Assistentes Sociais
Cônjuges/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Pesquisa Qualitativa
Comportamento Sexual
Parceiros Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw040


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[PMID]:27777330
[Au] Autor:Thompson R; Lewis T; Neilson EC; English DJ; Litrownik AJ; Margolis B; Proctor L; Dubowitz H
[Ad] Endereço:1 Juvenile Protective Association, Chicago, IL, USA.
[Ti] Título:Child Maltreatment and Risky Sexual Behavior.
[So] Source:Child Maltreat;22(1):69-78, 2017 Feb.
[Is] ISSN:1552-6119
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Risky sexual behavior is a serious public health problem. Child sexual abuse is an established risk factor, but other forms of maltreatment appear to elevate risky behavior. The mechanisms by which child maltreatment influence risk are not well understood. This study used data from 859 high-risk youth, followed through age 18. Official reports of each form of maltreatment were coded. At age 16, potential mediators (trauma symptoms and substance use) were assessed. At age 18, risky sexual behavior (more than four partners, unprotected sex, unassertiveness in sexual refusal) was assessed. Neglect significantly predicted unprotected sex. Substance use predicted unprotected sex and four or more partners but did not mediate the effects of maltreatment. Trauma symptoms predicted unprotected sex and mediated effects of emotional maltreatment on unprotected sex and on assertiveness in sexual refusal and the effects of sexual abuse on unprotected sex. Both neglect and emotional maltreatment emerged as important factors in risky sexual behavior. Trauma symptoms appear to be an important pathway by which maltreatment confers risk for risky sexual behavior. Interventions to reduce risky sexual behavior should include assessment and treatment for trauma symptoms and for history of child maltreatment in all its forms.
[Mh] Termos MeSH primário: Maus-Tratos Infantis/psicologia
Sexo sem Proteção/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Maus-Tratos Infantis/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Fatores de Risco
Autoeficácia
Parceiros Sexuais/psicologia
Sexo sem Proteção/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1177/1077559516674595


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[PMID]:29364979
[Au] Autor:Thomson KA; Telfer B; Opondo Awiti P; Munge J; Ngunga M; Reid A
[Ad] Endereço:Médecins Sans Frontières (MSF) Operational Centre Brussels, Nairobi, Kenya.
[Ti] Título:Navigating the risks of prevention of mother to child transmission (PMTCT) of HIV services in Kibera, Kenya: Barriers to engaging and remaining in care.
[So] Source:PLoS One;13(1):e0191463, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Within the first year of implementation, 43% of women who tested HIV positive at their first antenatal care visit were no longer retained and being followed in the free prevention of mother to child transmission (PMTCT) of HIV program offered by the Kenyan Ministry of Health and Médecins Sans Frontières in the informal settlement of Kibera, Nairobi. This study aimed to explore barriers to enrolling and remaining engaged in PMTCT services throughout the pregnancy and postpartum periods. Qualitative data from 31 focus group discussions and 35 in-depth interviews across six stakeholder groups that included women, men, and PMTCT service providers were analyzed. Using an inductive exploratory approach, four researchers coded the data and identified key themes. Five themes emerged from the data that may influence attrition from PMTCT service in this setting: 1) HIV in the context of Kibera, 2) knowledge of HIV status, 3) knowledge of PMTCT, 4) disclosure of HIV status, and 5) male partner support for PMTCT services. A new HIV diagnosis during pregnancy immediately triggered an ongoing risk assessment of perceived hazards in the home, community, and clinic environments that could occur as a result of female participation in PMTCT services. Male partners were a major influence in this risk assessment, but were generally unaware of PMTCT services. To preserve relationships with male partners, meet community expectations of womanhood, and maintain confidentiality while following recommendations of healthcare providers, women had to continuously weigh the risks and benefits of PMTCT services and interventions. Community-based HIV testing and PMTCT education, male involvement in antenatal care, and counseling customized to assist each woman in her own unique risk assessment, may improve uptake of and retention in care and optimize the HIV prevention benefit of PMTCT interventions.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Infecções por HIV/transmissão
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Complicações Infecciosas na Gravidez
[Mh] Termos MeSH secundário: Criança
Feminino
Infecções por HIV/complicações
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Recém-Nascido
Quênia
Masculino
Organizações
Participação do Paciente
Gravidez
Complicações Infecciosas na Gravidez/terapia
Cuidado Pré-Natal
Medição de Risco
Gestão de Riscos
Parceiros Sexuais/psicologia
Revelação da Verdade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191463


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[PMID]:29352278
[Au] Autor:Teame H; Addissie A; Ayele W; Hirpa S; Gebremariam A; Gebreheat G; Jemal A
[Ad] Endereço:Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.
[Ti] Título:Factors associated with cervical precancerous lesions among women screened for cervical cancer in Addis Ababa, Ethiopia: A case control study.
[So] Source:PLoS One;13(1):e0191506, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cervical cancer is the second most prevalent cancer among women in the developing countries including Ethiopia. Precancerous lesions can be developed and risk to the development of cervical cancer over time. Early identification of the precancerous lesion and its risk factor is paramount in preventing cervical cancer. However, the determinants of cervical precancerous lesions are not well documented in Ethiopia. Therefore, this study is conducted to determine factors associated with cervical precancerous lesion among women screened for cervical cancer. METHODS: A hospital-based unmatched case-control study was conducted in selected health facilities in Addis Ababa from March to April 2016. Data were collected from 114 cases and 229 controls using an interviewer-administered questionnaire, entered to Epi Info version 7, and exported to SPSS version 20 for analysis. Odds ratios with its 95% confidence intervals and two-tailed P-value were calculated. Variables with P-value ≤ 0.2 in the bivariate analysis were included in the multivariate logistic regression model. RESULTS: Women aged 40-49 years had 2.4-fold higher odds of precancerous lesions compared to those aged 30-39 (Adjusted Odds Ratio = 2.4, 95% Confidence Interval: 1.27-4.54). Women having history of sexually transmitted infections were significantly associated with cervical precancerous lesion compared to their counterparts (Adjusted Odds Ratio = 3.20, 95% Confidence Interval: 1.26-8.10). Similarly, those women who had two or more lifetime sexual partners (Adjusted Odds Ratio = 2.17 95% Confidence Interval: 1.01-4.67), and women whose husbands had two or more lifetime sexual partners (Adjusted Odds Ratio = 3.03, 95% Confidence Interval: 1.25, 7.33) had higher odds of cervical precancerous lesions. CONCLUSIONS: Older age, history of multiple sexual partners and sexual transmitted infections were associated with increased risk of precancerous lesion. Therefore, women with higher risk of precancerous lesions should be encouraged to be screened more frequently for cervical cancer.
[Mh] Termos MeSH primário: Lesões Pré-Cancerosas/epidemiologia
Neoplasias do Colo do Útero/epidemiologia
[Mh] Termos MeSH secundário: Ácido Acético
Adulto
Fatores Etários
Estudos de Casos e Controles
Etiópia/epidemiologia
Feminino
Seres Humanos
Modelos Logísticos
Programas de Rastreamento/métodos
Meia-Idade
Razão de Chances
Lesões Pré-Cancerosas/diagnóstico
Prevalência
Fatores de Risco
Comportamento Sexual
Parceiros Sexuais
Neoplasias do Colo do Útero/diagnóstico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
Q40Q9N063P (Acetic Acid)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180121
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191506


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[PMID]:28457201
[Au] Autor:Hoyos Miller J; Clarke E; Patel R; Kell P; Desai M; Nardone A
[Ad] Endereço:1 Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Spain.
[Ti] Título:How are sexual health clinics in England managing men who have sex with men who refuse to be tested for HIV?
[So] Source:Int J STD AIDS;28(13):1305-1310, 2017 11.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to ascertain the existence of written policies and common clinical practices in sexual health clinics in England for the management of men who have sex with men who refuse to test for HIV. All sexual health clinics in England ( n = 223) were invited to complete an online questionnaire in August-September 2014. The questionnaire covered the four domains of clinic policies, management practices, training and monitoring. We assess differences by region. Overall, 92 clinics participated. Only three clinics reported having a written policy. In contrast, most reported having a common agreed practice (94% in London vs. 71.6% elsewhere). When encountering a refusal, 72.2% of the London clinics and 53.4% of the clinics from elsewhere offered a less invasive option. Few clinics (17.4%) provided information on home sampling kits and 74.4% informed about other testing options. Eighty-seven per cent of the clinics recorded the occurrence of refusals, but only 37.8% reviewed the collected data. Providing staff with training was more common in London (94.1% vs. 73.8%). Clear policies should be developed to guide professionals when encountering men who have sex with men who refuse an HIV test. Offering less invasive testing options and information on alternative testing options could be easily introduced into routine practice. Efforts should be made to review monitoring data in order to identify implications of test refusals and introduce improvements in management of refusals.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Política de Saúde
Homossexualidade Masculina/estatística & dados numéricos
Programas de Rastreamento/utilização
Recusa do Paciente ao Tratamento/estatística & dados numéricos
[Mh] Termos MeSH secundário: Instituições de Assistência Ambulatorial
Inglaterra
Infecções por HIV/epidemiologia
Infecções por HIV/prevenção & controle
Infecções por HIV/psicologia
Soropositividade para HIV
Seres Humanos
Masculino
Programas de Rastreamento/psicologia
Guias de Prática Clínica como Assunto
Parceiros Sexuais
Inquéritos e Questionários
Recusa do Paciente ao Tratamento/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1177/0956462417704343


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[PMID]:28449628
[Au] Autor:Matovu JK; Buregyeya E; Arinaitwe J; Wanyenze RK
[Ad] Endereço:1 Department of Community Health and Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.
[Ti] Título:'. . . if you bring the kit home, you [can] get time and test together with your partner': Pregnant women and male partners' perceptions regarding female partner-delivered HIV self-testing in Uganda - A qualitative study.
[So] Source:Int J STD AIDS;28(13):1341-1347, 2017 11.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In 2015, the World Health Organization reported that more than 60 million people were tested for HIV in 122 low- and middle-income countries between 2010 and 2014. Despite this level of progress, over 40% of people living with HIV remain unaware of their HIV status. This calls for innovative approaches to improve uptake of HIV testing services, including use of HIV self-test (HIVST) kits. We conducted a cross-sectional, qualitative study to assess pregnant women and their male partners' perceptions regarding female partner-delivered HIVST kits. This study was conducted at two health facilities in Central Uganda between November and December 2015. Data were collected on pregnant women's willingness to take HIVST kits to their male partners and other household members using eight focus group discussions and 30 in-depth interviews. Data were analyzed following a thematic framework approach. Overall, pregnant women were willing to take HIVST kits to their partners and other household members, with the exception of their cowives. Male partners were willing to use HIVST kits brought by their female partners. Our findings suggest that secondary distribution of HIVST kits through female partners is acceptable and has the potential to improve male partner and household-member HIV testing.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Programas de Rastreamento/psicologia
Percepção
Gestantes/psicologia
Testes Sorológicos/métodos
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Grupos Focais
Seres Humanos
Masculino
Programas de Rastreamento/métodos
Gravidez
Pesquisa Qualitativa
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1177/0956462417705800



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