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Socioeconomic determinants of HIV testing and counselling: A comparative study in four African countries

Identifieur interne : 001F13 ( Pmc/Corpus ); précédent : 001F12; suivant : 001F14

Socioeconomic determinants of HIV testing and counselling: A comparative study in four African countries

Auteurs : Carla Makhlouf Obermeyer ; Melissa Neuman ; Anita Hardon ; Alice Desclaux ; Rhoda Wanyenze ; Odette Kyzerbo ; Peter Cherutich ; Ireen Namakhoma

Source :

Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 2013.

RBID : PMC:3808878

Abstract

Objectives

Research indicates that individuals tested for HIV have higher socioeconomic status than those not tested, but less is known about how socioeconomic status is associated with modes of testing. We compared individuals tested through provider-initiated testing and counselling (PITC), those tested through voluntary counselling and testing (VCT), and those never tested.

Methods

Cross-sectional surveys were conducted at health facilities in Burkina Faso, Kenya, Malawi, and Uganda, as part of the MATCH (Multi-country African Testing and Counselling for HIV) study. 3,659 clients were asked about testing status, type of facility of most recent test, and socioeconomic status. Two outcome measures were analyzed: ever tested for HIV, and mode of testing. We compared VCT at standalone facilities and PITC, which includes Integrated facilities where testing is provided with medical care, and PMTCT (prevention of mother-to-child transmission) facilities. The determinants of ever testing and of using a particular mode of testing were analysed using modified Poisson regression and multinomial logistic analyses.

Results

Higher socioeconomic status was associated with the likelihood of testing at VCT rather than other facilities or not testing. There were no significant differences in socioeconomic characteristics between those tested through PITC (integrated and PMTCT facilities) and those not tested.

Conclusions

Provider-initiated modes of testing make testing accessible to individuals from lower socioeconomic groups to a greater extent than traditional VCT. Expanding testing through PMTCT reduces socioeconomic obstacles, especially for women. Continued efforts are needed to encourage testing and counselling among men and the less affluent.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808878

DOI: 10.1111/tmi.12155
PubMed: 23937702
PubMed Central: 3808878

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PMC:3808878

Le document en format XML

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<author><name sortKey="Obermeyer, Carla Makhlouf" sort="Obermeyer, Carla Makhlouf" uniqKey="Obermeyer C" first="Carla Makhlouf" last="Obermeyer">Carla Makhlouf Obermeyer</name>
<affiliation><nlm:aff id="A1">Faculty of Health Sciences, American University of Beirut, Lebanon</nlm:aff>
</affiliation>
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<author><name sortKey="Neuman, Melissa" sort="Neuman, Melissa" uniqKey="Neuman M" first="Melissa" last="Neuman">Melissa Neuman</name>
<affiliation><nlm:aff id="A2">Institute for Global Health, University College London, UK</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hardon, Anita" sort="Hardon, Anita" uniqKey="Hardon A" first="Anita" last="Hardon">Anita Hardon</name>
<affiliation><nlm:aff id="A3">University of Amsterdam, The Netherlands</nlm:aff>
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<author><name sortKey="Desclaux, Alice" sort="Desclaux, Alice" uniqKey="Desclaux A" first="Alice" last="Desclaux">Alice Desclaux</name>
<affiliation><nlm:aff id="A4">Institut de Recherches sur le Développement, Dakar, Senegal</nlm:aff>
</affiliation>
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<author><name sortKey="Wanyenze, Rhoda" sort="Wanyenze, Rhoda" uniqKey="Wanyenze R" first="Rhoda" last="Wanyenze">Rhoda Wanyenze</name>
<affiliation><nlm:aff id="A5">Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
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<author><name sortKey="Kyzerbo, Odette" sort="Kyzerbo, Odette" uniqKey="Kyzerbo O" first="Odette" last="Kyzerbo">Odette Kyzerbo</name>
<affiliation><nlm:aff id="A6">Programme d’Appui au Monde Associatif et Communautaire, Ouagadougou, Burkina Faso</nlm:aff>
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<author><name sortKey="Cherutich, Peter" sort="Cherutich, Peter" uniqKey="Cherutich P" first="Peter" last="Cherutich">Peter Cherutich</name>
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<author><name sortKey="Namakhoma, Ireen" sort="Namakhoma, Ireen" uniqKey="Namakhoma I" first="Ireen" last="Namakhoma">Ireen Namakhoma</name>
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<author><name sortKey="Obermeyer, Carla Makhlouf" sort="Obermeyer, Carla Makhlouf" uniqKey="Obermeyer C" first="Carla Makhlouf" last="Obermeyer">Carla Makhlouf Obermeyer</name>
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<author><name sortKey="Neuman, Melissa" sort="Neuman, Melissa" uniqKey="Neuman M" first="Melissa" last="Neuman">Melissa Neuman</name>
<affiliation><nlm:aff id="A2">Institute for Global Health, University College London, UK</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hardon, Anita" sort="Hardon, Anita" uniqKey="Hardon A" first="Anita" last="Hardon">Anita Hardon</name>
<affiliation><nlm:aff id="A3">University of Amsterdam, The Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Desclaux, Alice" sort="Desclaux, Alice" uniqKey="Desclaux A" first="Alice" last="Desclaux">Alice Desclaux</name>
<affiliation><nlm:aff id="A4">Institut de Recherches sur le Développement, Dakar, Senegal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wanyenze, Rhoda" sort="Wanyenze, Rhoda" uniqKey="Wanyenze R" first="Rhoda" last="Wanyenze">Rhoda Wanyenze</name>
<affiliation><nlm:aff id="A5">Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kyzerbo, Odette" sort="Kyzerbo, Odette" uniqKey="Kyzerbo O" first="Odette" last="Kyzerbo">Odette Kyzerbo</name>
<affiliation><nlm:aff id="A6">Programme d’Appui au Monde Associatif et Communautaire, Ouagadougou, Burkina Faso</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Cherutich, Peter" sort="Cherutich, Peter" uniqKey="Cherutich P" first="Peter" last="Cherutich">Peter Cherutich</name>
<affiliation><nlm:aff id="A7">National AIDS Control Program, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Namakhoma, Ireen" sort="Namakhoma, Ireen" uniqKey="Namakhoma I" first="Ireen" last="Namakhoma">Ireen Namakhoma</name>
<affiliation><nlm:aff id="A8">Reach Trust, Lilongwe, Malawi</nlm:aff>
</affiliation>
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<series><title level="j">Tropical medicine & international health : TM & IH</title>
<idno type="ISSN">1360-2276</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">Research indicates that individuals tested for HIV have higher socioeconomic status than those not tested, but less is known about how socioeconomic status is associated with modes of testing. We compared individuals tested through provider-initiated testing and counselling (PITC), those tested through voluntary counselling and testing (VCT), and those never tested.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Cross-sectional surveys were conducted at health facilities in Burkina Faso, Kenya, Malawi, and Uganda, as part of the MATCH (Multi-country African Testing and Counselling for HIV) study. 3,659 clients were asked about testing status, type of facility of most recent test, and socioeconomic status. Two outcome measures were analyzed: ever tested for HIV, and mode of testing. We compared VCT at standalone facilities and PITC, which includes Integrated facilities where testing is provided with medical care, and PMTCT (prevention of mother-to-child transmission) facilities. The determinants of ever testing and of using a particular mode of testing were analysed using modified Poisson regression and multinomial logistic analyses.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Higher socioeconomic status was associated with the likelihood of testing at VCT rather than other facilities or not testing. There were no significant differences in socioeconomic characteristics between those tested through PITC (integrated and PMTCT facilities) and those not tested.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Provider-initiated modes of testing make testing accessible to individuals from lower socioeconomic groups to a greater extent than traditional VCT. Expanding testing through PMTCT reduces socioeconomic obstacles, especially for women. Continued efforts are needed to encourage testing and counselling among men and the less affluent.</p>
</sec>
</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>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">9610576</journal-id>
<journal-id journal-id-type="pubmed-jr-id">20323</journal-id>
<journal-id journal-id-type="nlm-ta">Trop Med Int Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Trop. Med. Int. Health</journal-id>
<journal-title-group><journal-title>Tropical medicine & international health : TM & IH</journal-title>
</journal-title-group>
<issn pub-type="ppub">1360-2276</issn>
<issn pub-type="epub">1365-3156</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23937702</article-id>
<article-id pub-id-type="pmc">3808878</article-id>
<article-id pub-id-type="doi">10.1111/tmi.12155</article-id>
<article-id pub-id-type="manuscript">NIHMS502441</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Socioeconomic determinants of HIV testing and counselling: A comparative study in four African countries</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Obermeyer</surname>
<given-names>Carla Makhlouf</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neuman</surname>
<given-names>Melissa</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hardon</surname>
<given-names>Anita</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Desclaux</surname>
<given-names>Alice</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wanyenze</surname>
<given-names>Rhoda</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kyzerbo</surname>
<given-names>Odette</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cherutich</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Namakhoma</surname>
<given-names>Ireen</given-names>
</name>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Faculty of Health Sciences, American University of Beirut, Lebanon</aff>
<aff id="A2"><label>2</label>
Institute for Global Health, University College London, UK</aff>
<aff id="A3"><label>3</label>
University of Amsterdam, The Netherlands</aff>
<aff id="A4"><label>4</label>
Institut de Recherches sur le Développement, Dakar, Senegal</aff>
<aff id="A5"><label>5</label>
Makerere University School of Public Health, Kampala, Uganda</aff>
<aff id="A6"><label>6</label>
Programme d’Appui au Monde Associatif et Communautaire, Ouagadougou, Burkina Faso</aff>
<aff id="A7"><label>7</label>
National AIDS Control Program, Nairobi, Kenya</aff>
<aff id="A8"><label>8</label>
Reach Trust, Lilongwe, Malawi</aff>
<author-notes><corresp id="FN1">Corresponding author: Carla Makhlouf Obermeyer, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Beirut, Lebanon. <email>cm39@aub.edu.lb</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>22</day>
<month>8</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>9</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>9</month>
<year>2014</year>
</pub-date>
<volume>18</volume>
<issue>9</issue>
<elocation-id>10.1111/tmi.12155</elocation-id>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">Research indicates that individuals tested for HIV have higher socioeconomic status than those not tested, but less is known about how socioeconomic status is associated with modes of testing. We compared individuals tested through provider-initiated testing and counselling (PITC), those tested through voluntary counselling and testing (VCT), and those never tested.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Cross-sectional surveys were conducted at health facilities in Burkina Faso, Kenya, Malawi, and Uganda, as part of the MATCH (Multi-country African Testing and Counselling for HIV) study. 3,659 clients were asked about testing status, type of facility of most recent test, and socioeconomic status. Two outcome measures were analyzed: ever tested for HIV, and mode of testing. We compared VCT at standalone facilities and PITC, which includes Integrated facilities where testing is provided with medical care, and PMTCT (prevention of mother-to-child transmission) facilities. The determinants of ever testing and of using a particular mode of testing were analysed using modified Poisson regression and multinomial logistic analyses.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Higher socioeconomic status was associated with the likelihood of testing at VCT rather than other facilities or not testing. There were no significant differences in socioeconomic characteristics between those tested through PITC (integrated and PMTCT facilities) and those not tested.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Provider-initiated modes of testing make testing accessible to individuals from lower socioeconomic groups to a greater extent than traditional VCT. Expanding testing through PMTCT reduces socioeconomic obstacles, especially for women. Continued efforts are needed to encourage testing and counselling among men and the less affluent.</p>
</sec>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>testing</kwd>
<kwd>sub-Saharan Africa</kwd>
<kwd>socioeconomic</kwd>
<kwd>access</kwd>
<kwd>VCT</kwd>
<kwd>PITC</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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Socioeconomic determinants of HIV testing and counselling: A comparative study in four African countries

Socioeconomic determinants of HIV testing and counselling: A comparative study in four African countries

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Abstract

Links to Exploration step

Le document en format XML

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Pour générer des pages wiki