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

Linda Richter¹  Alastair van Heerden²  Hilton Humphries³  Heidi van Rooyen³  Nuala McGrath⁵  Lucia Knight⁴ 

[1] DST-NRF Centre of Excellence in Human Development, University of the Witwatersrand, Johannesburg, South Africa;Developmental Pathways of Health Research Unit, Department of Paediatrics, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;HIV/AIDS STIs and TB Programme, Human Sciences Research Council, P.O Box 90, Msunduzi 3200, South Africa;School of Public Health, University of the Western Cape, P Bag X17, Bellville 7535, South Africa;Africa Centre for Health and Population Studies, University of KwaZulu-Natal, PO Box 198, Mtubatuba KZN 3935, South Africa

关键词: Young people;    South Africa;    Rural;    HIV testing;   

Others  :  1122979
DOI  :  10.1186/1471-2458-14-1164

 received in 2014-07-08, accepted in 2014-10-17,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Knight et al.;

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