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. 2011 Feb 1;56(2):151-65.
doi: 10.1097/QAI.0b013e318202c82c.

Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions

Kartik K Venkatesh  1 , Precious Madiba, Guy De Bruyn, Mark N Lurie, Thomas J Coates, Glenda E Gray
Affiliations

Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions

Kartik K Venkatesh et al. J Acquir Immune Defic Syndr. .

Abstract

Background: With increasing calls for linking HIV-infected individuals to treatment and care via expanded testing, we examined sociodemographic and behavioral characteristics associated with HIV testing among men and women in Soweto, South Africa.

Methods: 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 to October 2007. Multivariable logistic regression models, stratified by sex, assessed factors associated with HIV testing and then repeated testing.

Results: 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, and repeated testing. Men who had ≥ 12 years of education and who were of high socioeconomic status, and women who were married, who were of low socioeconomic 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.

Conclusions: 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.

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Figures

Figure 1
Figure 1
Distribution of participants
See this image and copyright information in PMC

References

    1. Dodd P, Garnett GP, Hallett TB. Examining the promise of HIV elimination by ‘test and treat’ in hyperendemic settings. AIDS. 2010;24(5):729–735. - PMC - PubMed
    1. Granich R, Crowley S, Vitoria M, Lo YR, Souteyrand Y, Dye C, Gilks C, Guerma T, De Cock KM, Williams B. Highly active antiretroviral treatment for the prevention of HIV transmission. Journal of the International AIDS Society. 2010;12(13):1. - PMC - PubMed
    1. Shorter M, Ostermann J, Crump JA, Tribble AC, Itemba DK, Mgonja A, Mtalo A, Bartlett JA, Shao JF, Schimana W, Thielman NM. Characteristics of HIV voluntary counseling and testing clients before and during care and treatment scale-up in Moshi, Tanzania. Journal of Acquired Immune Deficiency Syndrome. 2009;52(5):648–654. - PMC - PubMed
    1. Obermeyer C, Osborn M. The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. American Journal of Public Health. 2007;97(10):1762–1774. - PMC - PubMed
    1. The Voluntary HIV-1 Counseling and Testing Efficacy Study Group. Efficacy of voluntary HIV-1 counseling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomized trial. The Lancet. 2000;356:103–112. - PubMed

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