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HIV Self-Testing Uptake and Intervention Strategies Among Men in Sub-Saharan Africa

A Systematic Review

Dados Bibliográficos

ID22091520
AutoresAkeen Hamilton (0000-0002-7040-1446), Noah Thompson, Augustine T Choko, Mbuzeleni Hlongwa (0000-0002-5352-5658), Pauline Jolly, Jeffrey E Korte (0000-0001-7369-9228), Donaldson F Conserve (0000-0001-8193-817X)
Ano2021
Volume9
Data de publicação2021-02-19
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.594298
IdiomaEN
Citações recebidas24
Referências citadas78

Background: HIV testing is an essential gateway to HIV prevention and treatment services. However, HIV testing uptake remains low among men due to stigma, discrimination, and confidentiality concerns. HIV self-testing (HIVST) is an alternative HIV testing method that can address many of these barriers for men. We conducted a systematic review to examine HIVST uptake and intervention strategies among Men in Sub-Saharan Africa. Methods: We used a systematic approach to survey literature published from January 2010 to June 2020 using five electronic databases (PubMed-Medline, CINAHL Complete, PsychINFO, Google Scholar, and Web of Science) and a manual search. Studies were included if they were peer-reviewed, published in English, and examined HIVST willingness, uptake, and/or linkage to care and included men in Sub-Saharan Africa. Results: Sixty-three articles related to HIVST were reviewed. Of the included articles, 37 discussed HIVST uptake/acceptability and 24 discussed intervention strategies. Both oral swab and finger-prick methods had high acceptability with ease of access and availability of the test cited as important by men. Free HIVST kits were preferred by men. Secondary distribution of kits via peers, sexual partners, and female sex workers were successful. Conclusion: HIV self-testing is highly acceptable to men. More efforts are needed to develop policies to implement HIVST programs targeting men in Sub-Saharan Africa, including a focus on linkage to care in sub-Saharan Africa. Future interventions should directly target men independently in tandem with using peers and their romantic partners to promote self-testing among men in sub-Saharan Africa. HIVST kit distribution strategies should be combined with services that can offer confirmatory tests and counseling for men as well as linkage to care

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Obras citantes distintas24
Citações por ano4,8
Intervalo de citações2021 - 2026 (6)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 24
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