‘There’s no place like home’: perceptions of home-based HIV testing in Lesotho
Identifieur interne : 000F62 ( Pmc/Checkpoint ); précédent : 000F61; suivant : 000F63‘There’s no place like home’: perceptions of home-based HIV testing in Lesotho
Auteurs : J. E. Mantell [États-Unis] ; A. L. Dicarlo [États-Unis] ; R. H. Remien [États-Unis] ; A. Zerbe [États-Unis] ; D. Morris [États-Unis] ; B. Pitt [États-Unis] ; J. P. Nkonyana ; E. J. Abrams [États-Unis] ; W. El-Sadr [États-Unis]Source :
- Health Education Research [ 0268-1153 ] ; 2014.
Abstract
HIV testing has the potential to reduce HIV transmission by identifying and counseling individuals with HIV, reducing risk behaviors, linking persons with HIV to care and earlier treatment, and reducing perinatal transmission. In Lesotho, a high HIV prevalence country in which a large proportion of the population has never tested for HIV, home-based testing (HBT) may be an important strategy to increase HIV testing. We identified factors influencing acceptability of HIV prevention strategies among a convenience sample of 200 pregnant or post-partum Basotho women and 30 Basotho men. We first conducted cross-sectional surveys, followed by key informant interviews with all 30 men and focus group discussions with a sub-set of 62 women. In total, 82% of women reported positive perceptions of HBT; women and men viewed HBT as a potential way to increase testing among men and saw the home as a comfortable, supportive environment for testing and counseling couples and families together. Potential barriers to HBT uptake included concerns about confidentiality, privacy, coercion to test, conflict within the family and fear of HIV/AIDS-associated stigma. Participants emphasized community mobilization and education as important elements of HBT.
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DOI: 10.1093/her/cyu004
PubMed: 24599266
PubMed Central: 4021194
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E." last="Mantell">J. E. Mantell</name><affiliation wicri:level="2"><nlm:aff id="cyu004-AFF1">Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA,</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Dicarlo, A L" sort="Dicarlo, A L" uniqKey="Dicarlo A" first="A. L." last="Dicarlo">A. L. Dicarlo</name><affiliation wicri:level="2"><nlm:aff id="cyu004-AFF1">Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA,</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="cyu004-AFF1">Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032, USA,</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Remien, R H" sort="Remien, R H" uniqKey="Remien R" first="R. H." last="Remien">R. H. Remien</name><affiliation wicri:level="2"><nlm:aff id="cyu004-AFF1">Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA,</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Zerbe, A" sort="Zerbe, A" uniqKey="Zerbe A" first="A." last="Zerbe">A. Zerbe</name><affiliation wicri:level="4"><nlm:aff wicri:cut=" and" id="cyu004-AFF1">ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Morris, D" sort="Morris, D" uniqKey="Morris D" first="D." last="Morris">D. Morris</name><affiliation wicri:level="4"><nlm:aff wicri:cut=" and" id="cyu004-AFF1">ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Pitt, B" sort="Pitt, B" uniqKey="Pitt B" first="B." last="Pitt">B. Pitt</name><affiliation wicri:level="4"><nlm:aff wicri:cut=" and" id="cyu004-AFF1">ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Nkonyana, J P" sort="Nkonyana, J P" uniqKey="Nkonyana J" first="J. P." last="Nkonyana">J. P. Nkonyana</name><affiliation><nlm:aff id="cyu004-AFF1">Department of Disease Control, Lesotho Ministry of Health, Maseru, Lesotho 100.</nlm:aff><wicri:noCountry code="subfield">Lesotho 100.</wicri:noCountry></affiliation></author><author><name sortKey="Abrams, E J" sort="Abrams, E J" uniqKey="Abrams E" first="E. J." last="Abrams">E. J. Abrams</name><affiliation wicri:level="4"><nlm:aff wicri:cut=" and" id="cyu004-AFF1">ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="El Sadr, W" sort="El Sadr, W" uniqKey="El Sadr W" first="W." last="El-Sadr">W. El-Sadr</name><affiliation wicri:level="4"><nlm:aff wicri:cut=" and" id="cyu004-AFF1">ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author></analytic><series><title level="j">Health Education Research</title><idno type="ISSN">0268-1153</idno><idno type="eISSN">1465-3648</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>HIV testing has the potential to reduce HIV transmission by identifying and counseling individuals with HIV, reducing risk behaviors, linking persons with HIV to care and earlier treatment, and reducing perinatal transmission. In Lesotho, a high HIV prevalence country in which a large proportion of the population has never tested for HIV, home-based testing (HBT) may be an important strategy to increase HIV testing. We identified factors influencing acceptability of HIV prevention strategies among a convenience sample of 200 pregnant or post-partum Basotho women and 30 Basotho men. We first conducted cross-sectional surveys, followed by key informant interviews with all 30 men and focus group discussions with a sub-set of 62 women. In total, 82% of women reported positive perceptions of HBT; women and men viewed HBT as a potential way to increase testing among men and saw the home as a comfortable, supportive environment for testing and counseling couples and families together. Potential barriers to HBT uptake included concerns about confidentiality, privacy, coercion to test, conflict within the family and fear of HIV/AIDS-associated stigma. Participants emphasized community mobilization and education as important elements of HBT.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Educ Res</journal-id><journal-id journal-id-type="iso-abbrev">Health Educ Res</journal-id><journal-id journal-id-type="publisher-id">healed</journal-id><journal-id journal-id-type="hwp">her</journal-id><journal-title-group><journal-title>Health Education Research</journal-title></journal-title-group><issn pub-type="ppub">0268-1153</issn><issn pub-type="epub">1465-3648</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24599266</article-id><article-id pub-id-type="pmc">4021194</article-id><article-id pub-id-type="doi">10.1093/her/cyu004</article-id><article-id pub-id-type="publisher-id">cyu004</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>‘There’s no place like home’: perceptions of home-based HIV testing in Lesotho</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mantell</surname><given-names>J. E.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>1</sup></xref><xref ref-type="corresp" rid="cyu004-COR1">*</xref></contrib><contrib contrib-type="author"><name><surname>DiCarlo</surname><given-names>A. L.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>1</sup></xref><xref ref-type="aff" rid="cyu004-AFF1"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Remien</surname><given-names>R. H.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Zerbe</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Morris</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pitt</surname><given-names>B.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nkonyana</surname><given-names>J. P.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Abrams</surname><given-names>E. J.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>El-Sadr</surname><given-names>W.</given-names></name><xref ref-type="aff" rid="cyu004-AFF1"><sup>3</sup></xref></contrib><aff id="cyu004-AFF1"><sup>1</sup>Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute & Columbia University, 1051 Riverside Dr., Unit 15, New York, NY 10032, USA,<sup>2</sup>Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, New York, NY 10032, USA,<sup>3</sup>ICAP, Columbia University, Mailman School of Public Health, New York, NY 10032, USA and<sup>4</sup>Department of Disease Control, Lesotho Ministry of Health, Maseru, Lesotho 100.</aff></contrib-group><author-notes><corresp id="cyu004-COR1">*Correspondence to: J. E. Mantell. E-mail: <email>jem57@columbia.edu</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>5</day><month>3</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>6</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 12 months and
0 days and was based on the
<volume>29</volume><issue>3</issue><fpage>456</fpage><lpage>469</lpage><history><date date-type="received"><day>29</day><month>5</month><year>2013</year></date><date date-type="accepted"><day>23</day><month>1</month><year>2014</year></date></history><permissions><copyright-statement>© The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><p>HIV testing has the potential to reduce HIV transmission by identifying and counseling individuals with HIV, reducing risk behaviors, linking persons with HIV to care and earlier treatment, and reducing perinatal transmission. In Lesotho, a high HIV prevalence country in which a large proportion of the population has never tested for HIV, home-based testing (HBT) may be an important strategy to increase HIV testing. We identified factors influencing acceptability of HIV prevention strategies among a convenience sample of 200 pregnant or post-partum Basotho women and 30 Basotho men. We first conducted cross-sectional surveys, followed by key informant interviews with all 30 men and focus group discussions with a sub-set of 62 women. In total, 82% of women reported positive perceptions of HBT; women and men viewed HBT as a potential way to increase testing among men and saw the home as a comfortable, supportive environment for testing and counseling couples and families together. Potential barriers to HBT uptake included concerns about confidentiality, privacy, coercion to test, conflict within the family and fear of HIV/AIDS-associated stigma. Participants emphasized community mobilization and education as important elements of HBT.</p></abstract><counts><page-count count="14"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><noCountry><name sortKey="Nkonyana, J P" sort="Nkonyana, J P" uniqKey="Nkonyana J" first="J. P." last="Nkonyana">J. P. Nkonyana</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Mantell, J E" sort="Mantell, J E" uniqKey="Mantell J" first="J. E." last="Mantell">J. E. Mantell</name></region><name sortKey="Abrams, E J" sort="Abrams, E J" uniqKey="Abrams E" first="E. J." last="Abrams">E. J. Abrams</name><name sortKey="Dicarlo, A L" sort="Dicarlo, A L" uniqKey="Dicarlo A" first="A. L." last="Dicarlo">A. L. Dicarlo</name><name sortKey="Dicarlo, A L" sort="Dicarlo, A L" uniqKey="Dicarlo A" first="A. L." last="Dicarlo">A. L. Dicarlo</name><name sortKey="El Sadr, W" sort="El Sadr, W" uniqKey="El Sadr W" first="W." last="El-Sadr">W. El-Sadr</name><name sortKey="Morris, D" sort="Morris, D" uniqKey="Morris D" first="D." last="Morris">D. Morris</name><name sortKey="Pitt, B" sort="Pitt, B" uniqKey="Pitt B" first="B." last="Pitt">B. Pitt</name><name sortKey="Remien, R H" sort="Remien, R H" uniqKey="Remien R" first="R. H." last="Remien">R. H. Remien</name><name sortKey="Zerbe, A" sort="Zerbe, A" uniqKey="Zerbe A" first="A." last="Zerbe">A. Zerbe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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