SidaGhanaV1, Main, Exploration, bibRecord, 000436

Sex differences in perceived risk and testing experience of HIV in an urban fishing setting in Ghana

Identifieur interne : 000436 ( Main/Exploration ); précédent : 000435; suivant : 000437

Sex differences in perceived risk and testing experience of HIV in an urban fishing setting in Ghana

Auteurs : Alfred E. Yawson [Ghana] ; Labi K. Appiah [Ghana] ; Anita O. Yawson [Ghana] ; George Bonsu [Ghana] ; Simon Aluze-Ele [Ghana] ; Nana Ak Owusu Amanhyia [Ghana] ; Margaret Lartey [Ghana] ; Andrew A. Adjei [Ghana] ; Aaron L. Lawson [Ghana] ; Curt Beckwith [États-Unis] ; Awewura Kwara [États-Unis] ; Timothy Flanigan [États-Unis]

Source :

International Journal for Equity in Health [ 1475-9276 ] ; 2014.

RBID : PMC:4234896

Descripteurs français

KwdFr :
- Acceptation des soins par le patient (), Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Dépistage systématique (), Enquêtes et questionnaires, Facteurs sexuels, Femelle, Ghana, Humains, Infections à VIH (diagnostic), Infections à VIH (psychologie), Jeune adulte, Mâle, Perception, Population urbaine (), Risque, Études transversales.
MESH :
- diagnostic : Infections à VIH.
- psychologie : Infections à VIH.
- Acceptation des soins par le patient, Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Dépistage systématique, Enquêtes et questionnaires, Facteurs sexuels, Femelle, Ghana, Humains, Jeune adulte, Mâle, Perception, Population urbaine, Risque, Études transversales.
Wicri :
- geographic : Ghana.

English descriptors

KwdEn :
- Adolescent, Adult, Attitude to Health, Cross-Sectional Studies, Female, Ghana, HIV Infections (diagnosis), HIV Infections (psychology), Humans, Male, Mass Screening (statistics & numerical data), Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Perception, Risk, Sex Factors, Surveys and Questionnaires, Urban Population (statistics & numerical data), Young Adult.
MESH :
- geographic : Ghana.
- diagnosis : HIV Infections.
- psychology : HIV Infections.
- statistics & numerical data : Mass Screening, Patient Acceptance of Health Care, Urban Population.
- Adolescent, Adult, Attitude to Health, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Perception, Risk, Sex Factors, Surveys and Questionnaires, Young Adult.

Abstract

Introduction

Understanding sex differences in willingness to test and testing experience could aid the design of focus interventions to enhance uptake and engagement with care, treatment and support services. This study determined differences in perceived risk of acquiring HIV, willingness to test and HIV testing experience in an urban fishing community.

Methods

A cross-sectional community survey was conducted in 2013 among men and women in two fishing communities (Chorkor and James Town) in Accra. In all, 554 subjects (≥18 years) were involved, 264 in Chorkor and 290 in James Town. Data on demographic characteristics, perceived risk for HIV and willingness to test for HIV and testing experience were collected with a structured questionnaire. Descriptive statistics and Chi square test were used for the analysis at 95% significant level, using SPSS version 21.

Results

Of 554 subjects, 329 (59.4%) were females, and median age was 32 years. Overall, only 91(40.4%) men and 118(35.9%) women perceived themselves to be at risk of acquiring HIV. A significant proportion of women were willing to test for HIV compared to men (86.3% vs. 80.0%, P = 0.048). Women were more likely to have ever tested for HIV compared to men (42.2% vs. 28.6%, P = 0.001) and more women had tested within 12 months prior to survey than men (49.6% vs. 40.6%, P = 0.230). Of the number who had tested for HIV infection, a higher proportion of men tested voluntarily 42(65.6%), while a higher proportion of women tested as part of healthcare service received 96(69.1%); (P = 0.001; indicating women vs. men).

Conclusion

Sex differences in risk perception and willingness to test need more focused public education and behaviour change communication strategies to achieve high coverage. Community-based strategies could improve HIV testing among men whilst more access to testing in health settings should be available to women in these communities.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234896

DOI: 10.1186/s12939-014-0109-z
PubMed: 25398271
PubMed Central: 4234896

Affiliations:

Le document en format XML

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<term>Adult</term>
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<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Ghana</term>
<term>HIV Infections (diagnosis)</term>
<term>HIV Infections (psychology)</term>
<term>Humans</term>
<term>Male</term>
<term>Mass Screening (statistics & numerical data)</term>
<term>Middle Aged</term>
<term>Patient Acceptance of Health Care (statistics & numerical data)</term>
<term>Perception</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Dépistage systématique ()</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Infections à VIH (diagnostic)</term>
<term>Infections à VIH (psychologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Perception</term>
<term>Population urbaine ()</term>
<term>Risque</term>
<term>Études transversales</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à VIH</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term>
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<term>Patient Acceptance of Health Care</term>
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<term>Adult</term>
<term>Attitude to Health</term>
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<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>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Dépistage systématique</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Perception</term>
<term>Population urbaine</term>
<term>Risque</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>Understanding sex differences in willingness to test and testing experience could aid the design of focus interventions to enhance uptake and engagement with care, treatment and support services. This study determined differences in perceived risk of acquiring HIV, willingness to test and HIV testing experience in an urban fishing community.</p>
</sec>
<sec><title>Methods</title>
<p>A cross-sectional community survey was conducted in 2013 among men and women in two fishing communities (Chorkor and James Town) in Accra. In all, 554 subjects (≥18 years) were involved, 264 in Chorkor and 290 in James Town. Data on <italic>demographic characteristics</italic>
, <italic>perceived risk for HIV and willingness to test for HIV</italic>
 and <italic>testing experience</italic>
 were collected with a structured questionnaire. Descriptive statistics and Chi square test were used for the analysis at 95% significant level, using SPSS version 21.</p>
</sec>
<sec><title>Results</title>
<p>Of 554 subjects, 329 (59.4%) were females, and median age was 32 years. Overall, only 91(40.4%) men and 118(35.9%) women perceived themselves to be at risk of acquiring HIV. A significant proportion of women were willing to test for HIV compared to men (86.3% vs. 80.0%, <italic>P</italic>
 = 0.048). Women were more likely to have ever tested for HIV compared to men (42.2% vs. 28.6%, <italic>P</italic>
 = 0.001) and more women had tested within 12 months prior to survey than men (49.6% vs. 40.6%, <italic>P</italic>
 = 0.230). Of the number who had tested for HIV infection, a higher proportion of men tested voluntarily 42(65.6%), while a higher proportion of women tested as part of healthcare service received 96(69.1%); (<italic>P</italic>
 = 0.001; indicating women vs. men).</p>
</sec>
<sec><title>Conclusion</title>
<p>Sex differences in risk perception and willingness to test need more focused public education and behaviour change communication strategies to achieve high coverage. Community-based strategies could improve HIV testing among men whilst more access to testing in health settings should be available to women in these communities.</p>
</sec>
</div>
</front>
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<biblStruct><analytic><author><name sortKey="Bwambale, Fm" uniqKey="Bwambale F">FM Bwambale</name>
</author>
<author><name sortKey="Ssali, Sn" uniqKey="Ssali S">SN Ssali</name>
</author>
<author><name sortKey="Byaruhanga, S" uniqKey="Byaruhanga S">S Byaruhanga</name>
</author>
<author><name sortKey="Kalyango, Jn" uniqKey="Kalyango J">JN Kalyango</name>
</author>
<author><name sortKey="Karamagi, C" uniqKey="Karamagi C">C Karamagi</name>
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</analytic>
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<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Valdiserri, Ro" uniqKey="Valdiserri R">RO Valdiserri</name>
</author>
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</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Ghana</li>
<li>États-Unis</li>
</country>
<region><li>Rhode Island</li>
<li>Région du Grand Accra</li>
</region>
<settlement><li>Accra</li>
<li>Legon (Ghana)</li>
</settlement>
<orgName><li>Université du Ghana</li>
</orgName>
</list>
<tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E" last="Yawson">Alfred E. Yawson</name>
</region>
<name sortKey="Adjei, Andrew A" sort="Adjei, Andrew A" uniqKey="Adjei A" first="Andrew A" last="Adjei">Andrew A. Adjei</name>
<name sortKey="Aluze Ele, Simon" sort="Aluze Ele, Simon" uniqKey="Aluze Ele S" first="Simon" last="Aluze-Ele">Simon Aluze-Ele</name>
<name sortKey="Appiah, Labi K" sort="Appiah, Labi K" uniqKey="Appiah L" first="Labi K" last="Appiah">Labi K. Appiah</name>
<name sortKey="Bonsu, George" sort="Bonsu, George" uniqKey="Bonsu G" first="George" last="Bonsu">George Bonsu</name>
<name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name>
<name sortKey="Lawson, Aaron L" sort="Lawson, Aaron L" uniqKey="Lawson A" first="Aaron L" last="Lawson">Aaron L. Lawson</name>
<name sortKey="Owusu Amanhyia, Nana Ak" sort="Owusu Amanhyia, Nana Ak" uniqKey="Owusu Amanhyia N" first="Nana Ak" last="Owusu Amanhyia">Nana Ak Owusu Amanhyia</name>
<name sortKey="Yawson, Anita O" sort="Yawson, Anita O" uniqKey="Yawson A" first="Anita O" last="Yawson">Anita O. Yawson</name>
</country>
<country name="États-Unis"><region name="Rhode Island"><name sortKey="Beckwith, Curt" sort="Beckwith, Curt" uniqKey="Beckwith C" first="Curt" last="Beckwith">Curt Beckwith</name>
</region>
<name sortKey="Flanigan, Timothy" sort="Flanigan, Timothy" uniqKey="Flanigan T" first="Timothy" last="Flanigan">Timothy Flanigan</name>
<name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name>
</country>
</tree>
</affiliations>
</record>

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Le SIDA au Ghana (serveur d'exploration)

Sex differences in perceived risk and testing experience of HIV in an urban fishing setting in Ghana

Sex differences in perceived risk and testing experience of HIV in an urban fishing setting in Ghana

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