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Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa: baseline results from a community-based trial, NIMH Project Accept (HPTN 043)

Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa: baseline results from a community-based trial, NIMH Project Accept (HPTN 043)
Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa: baseline results from a community-based trial, NIMH Project Accept (HPTN 043)
BACKGROUND:

Young people in South Africa are at high risk of HIV infection and yet may have more limited access to prevention and treatment services than others in the population. Testing facilitates the sharing of prevention messages but also enables the linkage to care and treatment of those who test positive and therefore has wider public health implications.

METHODS:

This baseline survey conducted in 2005 for a community randomized trial in rural KwaZulu-Natal explored factors associated with a history of ever, repeat and recent testing amongst sexually debuted men and women aged 18 to 32 years.

RESULTS:

Over 35% of this rural population ever tested for HIV, with men less likely to ever (unadjusted OR 0.26, 95% CI: 0.21-0.32) and repeatedly test than women (adjusted OR (aOR) 0.68, 95% CI: 0.48-0.97). Men aged 24-28 years (aOR 2.02, 95% CI: 1.10-3.71) and 29-32 years (aOR 2.69, 95% CI: 1.46-4.94) were more likely to ever test than those <20 years. Those who reported having discussed HIV with others had significantly greater odds of reporting ever (men's aOR 2.83, 95% CI: 1.63-4.89; women's aOR 3.36, 95% CI: 2.50-4.53), recent (irrespective of sex, aOR 2.87, 95% CI: 2.02-4.09) and repeat testing (aOR 2.02, 95% CI: 1.28-3.19).

CONCLUSION:

These findings highlight the need for novel youth- and men-friendly testing services and emphasises the importance of discussions about HIV in the home and community to encourage testing.
HIV testing, rural, South Africa, young people
1471-2458
Knight, Lucia
2066c4cc-d996-4bd3-b28b-b26d258237fc
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
van Rooyen, Heidi
19159681-0f8c-42da-8c8b-3001d4ada200
Humphries, Hilton
4c1f3a08-8048-4918-99ef-34d708c84b74
van Heerden, Alastair
3dfc0653-c179-4f40-9d66-47bc11046f19
Richter, Linda
6f980560-60c1-4686-8aca-a7c313d8856d
Knight, Lucia
2066c4cc-d996-4bd3-b28b-b26d258237fc
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
van Rooyen, Heidi
19159681-0f8c-42da-8c8b-3001d4ada200
Humphries, Hilton
4c1f3a08-8048-4918-99ef-34d708c84b74
van Heerden, Alastair
3dfc0653-c179-4f40-9d66-47bc11046f19
Richter, Linda
6f980560-60c1-4686-8aca-a7c313d8856d

Knight, Lucia, McGrath, Nuala, van Rooyen, Heidi, Humphries, Hilton, van Heerden, Alastair and Richter, Linda (2014) Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa: baseline results from a community-based trial, NIMH Project Accept (HPTN 043). BMC Public Health, 14 (1164). (doi:10.1186/1471-2458-14-1164). (PMID:25392204)

Record type: Article

Abstract

BACKGROUND:

Young people in South Africa are at high risk of HIV infection and yet may have more limited access to prevention and treatment services than others in the population. Testing facilitates the sharing of prevention messages but also enables the linkage to care and treatment of those who test positive and therefore has wider public health implications.

METHODS:

This baseline survey conducted in 2005 for a community randomized trial in rural KwaZulu-Natal explored factors associated with a history of ever, repeat and recent testing amongst sexually debuted men and women aged 18 to 32 years.

RESULTS:

Over 35% of this rural population ever tested for HIV, with men less likely to ever (unadjusted OR 0.26, 95% CI: 0.21-0.32) and repeatedly test than women (adjusted OR (aOR) 0.68, 95% CI: 0.48-0.97). Men aged 24-28 years (aOR 2.02, 95% CI: 1.10-3.71) and 29-32 years (aOR 2.69, 95% CI: 1.46-4.94) were more likely to ever test than those <20 years. Those who reported having discussed HIV with others had significantly greater odds of reporting ever (men's aOR 2.83, 95% CI: 1.63-4.89; women's aOR 3.36, 95% CI: 2.50-4.53), recent (irrespective of sex, aOR 2.87, 95% CI: 2.02-4.09) and repeat testing (aOR 2.02, 95% CI: 1.28-3.19).

CONCLUSION:

These findings highlight the need for novel youth- and men-friendly testing services and emphasises the importance of discussions about HIV in the home and community to encourage testing.

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More information

Published date: 13 November 2014
Keywords: HIV testing, rural, South Africa, young people
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 372993
URI: https://eprints.soton.ac.uk/id/eprint/372993
ISSN: 1471-2458
PURE UUID: c2b8d2c8-83d6-4751-ae83-273e55f8feb1
ORCID for Nuala McGrath: ORCID iD orcid.org/0000-0002-1039-0159

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Date deposited: 06 Jan 2015 09:11
Last modified: 08 Oct 2019 00:36

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