Determinants of HIV Counseling and Testing Uptake among Individuals in Long-Term Sexual Relationships in Uganda

Matovu, Joseph K. B.; Kabanda, Joseph; Bwanika, John Baptist; Bwayo, Denis; Asingwire, Narathius; Kyaddondo, David; Coutinho, Sheila M.

doi:10.2174/1570162x12666140530112421

Cited by 7 publications

(15 citation statements)

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“…The findings of the study are similar to studies conducted in Nigeria, Mozambique and eastern Uganda in which low rates of couple HIV testing were reported [ 43 – 47 ]. While studies conducted in Zambia, Kenya and Tanzania demonstrated increased CHCT uptake when using a home-based approaches [ 48 – 53 ], this approach has not been scaled up in Uganda.…”

Section: Discussionsupporting

confidence: 87%

“…Other studies have also established discussing CHCT with their partner, awareness of CHCT benefits and having time for CHCT as predictors of couple HIV testing. For example studies conducted in South Africa and Uganda established that sexual communication and prior CHCT discussion among partners was a strong predictor of taking an HIV test as a couple [ 43 , 54 ]. Similarly, CHCT studies in Thailand, USA, Cameroon, Dominican Republic, Georgia and India among pregnant mothers and their partners have found similar results [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

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Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural Uganda

2015

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BackgroundStudies have shown that couple HIV counseling and testing (CHCT) increased rates of sero-status disclosure and adoption of safer sexual behaviors with better linkage to treatment and care. However, current evidence suggests that new HIV infections are occurring among heterosexual couples in stable relationships where the majority of the individuals are not aware of their partner’s serostatus. This study examined the predictors of CHCT uptake among married or cohabiting couples of Bukomero sub-county Kiboga district in Uganda.MethodsThis cross-sectional correlational study was conducted among 323 individuals who were either married or cohabiting, aged 18–49 years. Participants were enrolled from randomly selected households in Bukomero sub-county. Data were collected using an interviewer-administered questionnaire on socio-demographics, self-rating on awareness of CHCT benefits, couple discussion about HIV testing and CHCT practices. Couples were compared between those who had reported to have tested as a couple and those who had not. Binary logistic regression was performed to determine the adjusted odds ratio [aOR] and 95 % confidence intervals [CI] for CHCT uptake and the other independent variables.ResultsOf the participants 288 (89.2 %) reported to have ever taken an HIV test only 99 (34.4 %) did so as a couple. The predictors of testing for HIV as a couple were discussing CHCT with the partner (adjusted odds ratio 4.95[aOR], 95 % confidence interval [CI]:1.99–12.98; p < 0.001), awareness of CHCT benefits (aOR 3.23; 95 % CI 1.78–5.87; p < 0.001) and having time to test as a couple (aOR 2.61; 95 % CI 1.22–5.61; p <0.05).ConclusionUptake of HIV counseling and testing among couples was low. Discussing CHCT with partner, awareness of CHCT benefits, and availability of time to test as a couple were predictive of CHCT uptake. Thus CHCT campaigns should emphasize communication and discussion of HIV counseling and testing among partners.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural Uganda

2015

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“…Only two articles published prior to 2000 were included [ 91 , 92 ]. Twenty articles described research conducted in sub-Saharan Africa [ 34 , 36 – 38 , 47 – 51 , 54 , 58 , 59 , 62 , 64 , 67 , 76 , 77 , 81 , 85 , 90 ]. Another 21 were conducted in North America [ 32 , 35 , 40 , 42 , 45 , 55 , 57 , 61 , 66 , 68 , 69 , 71 , 73 , 74 , 78 , 80 , 84 , 86 , 87 , 91 , 92 ], one in South America [ 93 ], and four in the Caribbean [ 33 , 82 , 83 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

Which Psychological Factors are Related to HIV Testing? A Quantitative Systematic Review of Global Studies

2015

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Deciding to test for HIV is necessary for receiving HIV treatment and care among those who are HIV-positive. This article presents a systematic review of quantitative studies on relationships between psychological (cognitive and affective) variables and HIV testing. Sixty two studies were included (fifty six cross sectional). Most measured lifetime testing. HIV knowledge, risk perception and stigma were the most commonly measured psychological variables. Meta-analysis was carried out on the relationships between HIV knowledge and testing, and HIV risk perception and testing. Both relationships were positive and significant, representing small effects (HIV knowledge, d = 0.22, 95 % CI 0.14–0.31, p < 0.001; HIV risk perception, OR 1.47, 95 % CI 1.26–1.67, p < 0.001). Other variables with a majority of studies showing a relationship with HIV testing included: perceived testing benefits, testing fear, perceived behavioural control/self-efficacy, knowledge of testing sites, prejudiced attitudes towards people living with HIV, and knowing someone with HIV. Research and practice implications are outlined.

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“…Several factors may be responsible for an individual’s decision to know his or her HIV status. Previous studies have shown that more educated adults are more likely to test for HIV than others [ 13 , 14 ]. Studies have also shown that HIV-related stigma may be a major deterrent in a person’s decision to seek HIV testing [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Correlates of HIV status awareness among older adults in Uganda: results from a nationally representative survey

Nabukenya

Matovu

2018

BMC Public Health

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BackgroundRecent evidence suggests that HIV prevalence is generally higher among older than younger persons. However, few studies have explored issues regarding HIV testing and awareness of HIV status among older persons. We explored the correlates of HIV status awareness among older adults (aged 45+ years) in Uganda.MethodsThis paper is based on secondary analysis of existing data on persons aged between 45 and 59 years from a nationally representative Uganda AIDS Indicator Survey which was conducted between February and September 2011. Records on the socio-demographics and HIV/AIDS-specific indicators for 2472 persons were extracted for analysis. Individuals were considered to be aware of their HIV status if they reported that they had tested and received their HIV test results within the past 12 months. Data analyses were done using the sample survey procedures to take into account the sampling structure of the data. Odds ratios were used to quantify the associations between receipt of HIV test results and potential factors.ResultsOf the 2472 respondents, 48% had ever tested and received their HIV test results while 23% tested and received their HIV results in the past 12 months or already knew that they are HIV positive. Individuals with the following characteristics had higher odds of being aware of their HIV status: being female (adjusted Odds Ratio (AOR) = 1.26; 95% CI: (1.04, 1.53), having high comprehensive knowledge of HIV/AIDS (AOR = 1.28; 95% CI: 1.04, 1.58), having attended secondary school education (AOR = 2.10; 95% CI: 1.47, 2.99) and engagement in high risk sexual behaviors (AOR = 1.53; 95% CI: (1.11, 2.10). A high level of stigma (holding at least three stigmatizing attitudes toward people living with HIV) was negatively correlated with awareness of HIV status (AOR =0.60; 95% CI: (0.45, 0.78).ConclusionLess than a quarter of older Ugandans are aware of their current HIV status. High levels of stigma and low comprehensive knowledge of HIV/AIDS remained critical barriers to HIV testing and awareness of HIV status. These findings suggest a need for innovative HIV testing strategies to increase HIV status awareness among older adults in Uganda.

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Determinants of HIV Counseling and Testing Uptake among Individuals in Long-Term Sexual Relationships in Uganda

Cited by 7 publications

References 0 publications

Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural Uganda

Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural Uganda

Which Psychological Factors are Related to HIV Testing? A Quantitative Systematic Review of Global Studies

Correlates of HIV status awareness among older adults in Uganda: results from a nationally representative survey

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