Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions
Identifieur interne : 001166 ( Pmc/Corpus ); précédent : 001165; suivant : 001167Who 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.
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
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PMC:3137901Le document en format XML
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<author><name sortKey="Venkatesh, Kartik K" sort="Venkatesh, Kartik K" uniqKey="Venkatesh K" first="Kartik K" last="Venkatesh">Kartik K. Venkatesh</name>
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<author><name sortKey="Madiba, Precious" sort="Madiba, Precious" uniqKey="Madiba P" first="Precious" last="Madiba">Precious Madiba</name>
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<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>
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<author><name sortKey="Coates, Thomas J" sort="Coates, Thomas J" uniqKey="Coates T" first="Thomas J" last="Coates">Thomas J. Coates</name>
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<author><name sortKey="Gray, Glenda E" sort="Gray, Glenda E" uniqKey="Gray G" first="Glenda E" last="Gray">Glenda E. Gray</name>
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<author><name sortKey="Coates, Thomas J" sort="Coates, Thomas J" uniqKey="Coates T" first="Thomas J" last="Coates">Thomas J. Coates</name>
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<series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title>
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<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>
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<pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100892005</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21821</journal-id>
<journal-id journal-id-type="nlm-ta">J Acquir Immune Defic Syndr</journal-id>
<journal-title-group><journal-title>Journal of acquired immune deficiency syndromes (1999)</journal-title>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Venkatesh</surname>
<given-names>Kartik K</given-names>
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<degrees>PhD</degrees>
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<contrib contrib-type="author"><name><surname>Madiba</surname>
<given-names>Precious</given-names>
</name>
<degrees>MSW</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>De Bruyn</surname>
<given-names>Guy</given-names>
</name>
<degrees>MD, MPH</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Lurie</surname>
<given-names>Mark N</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Coates</surname>
<given-names>Thomas J</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Gray</surname>
<given-names>Glenda E</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<aff id="A1">Perinatal HIV Research Unit (PHRU), University of the Witwatersrand, Chris Hani Baragwanath Hospital (Johannesburg, SOUTH AFRICA) (GDB, PB, NAM, GEG); Department of Community Health, Alpert Medical School, Brown University (Providence, RI, USA) (KKV; MNL); University of California Los Angeles (Los Angeles, CA, USA) (TJC)</aff>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>27</day>
<month>6</month>
<year>2011</year>
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<pub-date pub-type="ppub"><day>1</day>
<month>2</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>2</month>
<year>2012</year>
</pub-date>
<volume>56</volume>
<issue>2</issue>
<fpage>151</fpage>
<lpage>165</lpage>
<abstract><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>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>AIDS</kwd>
<kwd>VCT</kwd>
<kwd>testing</kwd>
<kwd>Africa</kwd>
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</front>
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