Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions
Identifieur interne : 003A81 ( Main/Exploration ); précédent : 003A80; suivant : 003A82Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions
Auteurs : Kartik K. Venkatesh ; Precious Madiba ; Guy De Bruyn ; Mark N. Lurie ; Thomas J. Coates ; Glenda E. GraySource :
- Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2011.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Adolescent, Adulte, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (), Infections à VIH (diagnostic), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Population urbaine, République d'Afrique du Sud, Études transversales.
- MESH :
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adolescent, Adult, Cross-Sectional Studies, Female, HIV Infections (diagnosis), HIV Infections (epidemiology), HIV Infections (prevention & control), Humans, Male, Patient Acceptance of Health Care (statistics & numerical data), Sex Factors, Socioeconomic Factors, South Africa, Urban Population, Young Adult.
- MESH :
- geographic : South Africa.
- diagnosis : HIV Infections.
- epidemiology : HIV Infections.
- prevention & control : HIV Infections.
- statistics & numerical data : Patient Acceptance of Health Care.
- Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Male, Sex Factors, Socioeconomic Factors, Urban Population, Young Adult.
Abstract
With increasing calls for linking HIV-infected individuals to treatment and care via expanded testing, we examined socio-demographic and behavioral characteristics associated with HIV testing among men and women in Soweto, South Africa.
We conducted a cross-sectional household survey involving 1539 men and 1877 women as part of the community-randomized prevention trial Project ACCEPT/HPTN043 between July 2007-October 2007. Multivariable logistic regression models, stratified by sex, assessed factors associated with HIV testing, and then repeated testing.
Most women (64.8%) and 28.9% of men reported ever having been tested for HIV, among whom 57.9% reported repeated HIV testing. In multivariable analyses, youth and students had a lower odds of HIV testing. Men and women who had conversations about HIV/AIDS with increasing frequency and who had heard about antiretroviral therapy were more likely to report HIV testing, as well as repeated testing. Men who had ≥12 years of education and who were of high socio-economic status; and women who were married, who were of low socio-economic status, and who had children under their care had a higher odds of HIV testing. Women, older individuals, those with higher levels of education, married individuals, and those with children under their care had a higher odds of reporting repeated HIV testing. Uptake of HIV testing was not associated with condom use, having multiple sex partners, and HIV-related stigma.
Given the low uptake of HIV testing among men and youth, further targeted interventions could facilitate a test and treat strategy among urban South Africans.
Url:
DOI: 10.1097/QAI.0b013e318202c82c
PubMed: 21084993
PubMed Central: 3137901
Affiliations:
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Le document en format XML
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Implications for test and treat and gender-based prevention interventions</title><author><name sortKey="Venkatesh, Kartik K" sort="Venkatesh, Kartik K" uniqKey="Venkatesh K" first="Kartik K" last="Venkatesh">Kartik K. Venkatesh</name></author><author><name sortKey="Madiba, Precious" sort="Madiba, Precious" uniqKey="Madiba P" first="Precious" last="Madiba">Precious Madiba</name></author><author><name sortKey="De Bruyn, Guy" sort="De Bruyn, Guy" uniqKey="De Bruyn G" first="Guy" last="De Bruyn">Guy De Bruyn</name></author><author><name sortKey="Lurie, Mark N" sort="Lurie, Mark N" uniqKey="Lurie M" first="Mark N" last="Lurie">Mark N. Lurie</name></author><author><name sortKey="Coates, Thomas J" sort="Coates, Thomas J" uniqKey="Coates T" first="Thomas J" last="Coates">Thomas J. Coates</name></author><author><name sortKey="Gray, Glenda E" sort="Gray, Glenda E" uniqKey="Gray G" first="Glenda E" last="Gray">Glenda E. Gray</name></author></analytic><series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title><idno type="ISSN">1525-4135</idno><idno type="eISSN">1944-7884</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>HIV Infections (diagnosis)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (prevention & control)</term><term>Humans</term><term>Male</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Sex Factors</term><term>Socioeconomic Factors</term><term>South Africa</term><term>Urban Population</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Adolescent</term><term>Adulte</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (diagnostic)</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Population urbaine</term><term>République d'Afrique du Sud</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Sex Factors</term><term>Socioeconomic Factors</term><term>Urban Population</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adolescent</term><term>Adulte</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Population urbaine</term><term>République d'Afrique du Sud</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">With increasing calls for linking HIV-infected individuals to treatment and care via expanded testing, we examined socio-demographic and behavioral characteristics associated with HIV testing among men and women in Soweto, South Africa.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">We conducted a cross-sectional household survey involving 1539 men and 1877 women as part of the community-randomized prevention trial Project ACCEPT/HPTN043 between July 2007-October 2007. Multivariable logistic regression models, stratified by sex, assessed factors associated with HIV testing, and then repeated testing.</p></sec><sec id="S3"><title>Results</title><p id="P3">Most women (64.8%) and 28.9% of men reported ever having been tested for HIV, among whom 57.9% reported repeated HIV testing. In multivariable analyses, youth and students had a lower odds of HIV testing. Men and women who had conversations about HIV/AIDS with increasing frequency and who had heard about antiretroviral therapy were more likely to report HIV testing, as well as repeated testing. Men who had ≥12 years of education and who were of high socio-economic status; and women who were married, who were of low socio-economic status, and who had children under their care had a higher odds of HIV testing. Women, older individuals, those with higher levels of education, married individuals, and those with children under their care had a higher odds of reporting repeated HIV testing. Uptake of HIV testing was not associated with condom use, having multiple sex partners, and HIV-related stigma.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Given the low uptake of HIV testing among men and youth, further targeted interventions could facilitate a test and treat strategy among urban South Africans.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Coates, Thomas J" sort="Coates, Thomas J" uniqKey="Coates T" first="Thomas J" last="Coates">Thomas J. Coates</name><name sortKey="De Bruyn, Guy" sort="De Bruyn, Guy" uniqKey="De Bruyn G" first="Guy" last="De Bruyn">Guy De Bruyn</name><name sortKey="Gray, Glenda E" sort="Gray, Glenda E" uniqKey="Gray G" first="Glenda E" last="Gray">Glenda E. Gray</name><name sortKey="Lurie, Mark N" sort="Lurie, Mark N" uniqKey="Lurie M" first="Mark N" last="Lurie">Mark N. Lurie</name><name sortKey="Madiba, Precious" sort="Madiba, Precious" uniqKey="Madiba P" first="Precious" last="Madiba">Precious Madiba</name><name sortKey="Venkatesh, Kartik K" sort="Venkatesh, Kartik K" uniqKey="Venkatesh K" first="Kartik K" last="Venkatesh">Kartik K. Venkatesh</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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