BACKGROUND Despite the many HIV testing models implemented in Africa, the level of HIV testing uptake remains relatively poor, especially among men. The HIV self-testing (HIVST) model offers an additional approach for encouraging men to get tested. This study aimed to synthesise evidence on men's perspectives regarding HIVST in sub-Saharan Africa (SSA). METHODS The databases searched included PubMed/MEDLINE, American Doctoral Dissertations via EBSCO host; Union Catalogue of Theses and Dissertations; SA ePublications via SABINET Online; World Cat Dissertations; Theses via OCLC; ERIC; CINAH; PsychInfo; Embase, Sociological Abstract, Scopus; and Google Scholar. The World Health Organization (WHO) and The Joint United Nations' Programme on HIV and AIDS (UNAIDS) websites were further searched. We only extracted qualitative information from the included studies, despite the research method used (qualitative or mixed methods). The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), as well as the Mixed Method Appraisal Tool (MMAT) version 2018, were used to determine the methodological quality of the included studies. NVivo version 11 was used for thematic analysis. RESULTS A total of 21,184 articles were identified by the initial search criteria, but only 16 articles were included in the data extraction and quality assessment stage. The following key themes emerged: knowledge of HIVST; acceptability of HIVST; need for HIVST counselling; confidentiality of HIVST; convenience of HIVST; and accuracy of HIVST. The study shows that while HIVST provides men with an alternative, confidential and convenient testing model, the potential for psychological and physical harm remains a challenge. CONCLUSION The introduction of the HIVST strategy has the potential of improving men's uptake in HIV testing services, thereby contributing towards addressing the first cascade of the 90-90-90 strategy. While HIVST has a potential for addressing men's barriers to attending clinic settings, such as confidentiality and convenience, it barely addresses the HIVST counselling and accuracy concerns.

中文翻译：

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男性对撒哈拉以南非洲地区艾滋病毒自我检测的观点：系统的综述和综合分析。

背景技术尽管在非洲实施了许多HIV检测模型，但HIV检测的吸收水平仍然相对较差，尤其是在男性中。艾滋病毒自我检测（HIVST）模型为鼓励男性接受检测提供了另一种方法。这项研究旨在综合证据，证明男人在撒哈拉以南非洲（SSA）中对HIVST的看法。方法检索的数据库包括PubMed / MEDLINE，通过EBSCO托管的美国博士学位论文；论文和论文联合目录；通过SABINET Online的SA电子出版物；世界猫论文；通过OCLC的论文；埃里克 CINAH；PsychInfo; Embase，社会学摘要，Scopus；和Google学术搜索。进一步搜索了世界卫生组织（世卫组织）和联合国艾滋病毒/艾滋病联合规划署（UNAIDS）网站。尽管使用了研究方法（定性或混合方法），但我们仅从所包括的研究中提取了定性信息。系统评价和荟萃分析的首选报告项目（PRISMA）以及混合方法评估工具（MMAT）2018版均用于确定纳入研究的方法学质量。NVivo 11版用于主题分析。结果最初的检索标准总共鉴定了21,184篇文章，但在数据提取和质量评估阶段仅包括16篇文章。出现了以下关键主题：HIVST知识；HIVST的可接受性；需要艾滋病毒咨询服务；HIVST的机密性；HIVST的便利；和HIVST的准确性。研究表明，尽管艾滋病毒/艾滋病传播技术为男子提供了另一种选择，机密和便捷的测试模型对心理和身体造成伤害的可能性仍然是一个挑战。结论HIVST策略的引入有可能改善男性对HIV检测服务的接受程度，从而有助于解决90-90-90策略的第一个阶段。虽然HIVST可以解决男性在诊所就诊时遇到的障碍，例如保密性和便利性，但几乎不能解决HIVST咨询和准确性方面的问题。