HIV testing and self‐testing coverage among men and women in South Africa: an exploration of related factors

Awopegba, Oluwafemi Emmanuel; Ologunowa, Taiwo Olubunmi; Ajayi, Anthony Idowu

doi:10.1111/tmi.13514

Cited by 12 publications

(20 citation statements)

References 26 publications

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“…3 Based on the available studies, knowledge of HIVST in the general community ranges between 14.0% and 69.9%. 4,5,6,7,8 Its awareness is found to be greater amongst those with high socio-economic status, those with tertiary education and those at an increased risk of acquiring HIV. 4,5,6,7 Demographic and socio-economic factors influence knowledge or awareness of HIVST.…”

Section: Introductionmentioning

confidence: 99%

“…This varies by age group, sex, level of education, marital status, wealth status, place of residence and geographical region, exposure to media and HIV stigma. 4,5,6,7 Women, older individuals, those with lower educational achievement and low socio-economic status are groups who are less aware of HIVST. 4,5,6,7 The knowledge of HIVST is reportedly low amongst men and women in South Africa, with men being more aware than women.…”

Section: Introductionmentioning

confidence: 99%

“…4,5,6,7 Women, older individuals, those with lower educational achievement and low socio-economic status are groups who are less aware of HIVST. 4,5,6,7 The knowledge of HIVST is reportedly low amongst men and women in South Africa, with men being more aware than women. 4,9 A study that looked at HIV testing and selftesting coverage amongst men and women in South Africa indicated that awareness of self-testing was low (2.02%), and that a very few (2.90%) respondents had ever self-tested for HIV.…”

Section: Introductionmentioning

confidence: 99%

“…4,5,6,7 The knowledge of HIVST is reportedly low amongst men and women in South Africa, with men being more aware than women. 4,9 A study that looked at HIV testing and selftesting coverage amongst men and women in South Africa indicated that awareness of self-testing was low (2.02%), and that a very few (2.90%) respondents had ever self-tested for HIV. 4 The study also showed that highly educated individuals, those living in wealthy households, urban residence and those often exposed to media had a higher awareness of HIVST.…”

Section: Introductionmentioning

confidence: 99%

“…4,9 A study that looked at HIV testing and selftesting coverage amongst men and women in South Africa indicated that awareness of self-testing was low (2.02%), and that a very few (2.90%) respondents had ever self-tested for HIV. 4 The study also showed that highly educated individuals, those living in wealthy households, urban residence and those often exposed to media had a higher awareness of HIVST. 4 Although the main source of HIVST awareness amongst women in South Africa was media channels, 9 the lack of HIVST awareness or knowledge amongst this group may have resulted from gaps in HIVST education within primary health care facilities and deficiencies in clinical research.…”

Section: Introductionmentioning

confidence: 99%

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Association between socio-economic factors and HIV self-testing knowledge amongst South African women

Ekholuenetale

Nzoputam

Okonji

2022

South. Afr. j. HIV med.

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Background: Self-testing for HIV is an effective and alternative method of increasing HIV testing rates and a strategy for reaching populations that are underserved by HIV testing services. Nonetheless, many resource-constrained settings are yet to adopt HIV self-testing (HIVST) into their national HIV programmes.Objectives: This study aimed to examine the association between socio-economic factors and HIVST knowledge amongst South African women.Method: We used nationally representative data from the 2016 South African Demographic and Health Survey. A sample of 8182 women of reproductive age was analysed. The outcome variable was HIVST knowledge. This was measured dichotomously; know versus do not know about HIVST. The multivariable logistic model was used to examine the measures of association, with the level of significance set at P 0.05.Results: The prevalence rate of HIVST knowledge was found to be approximately 24.5% (95% confidence interval [CI]: 22.9–26.1) amongst South African women. Women with tertiary education were 3.93 times more likely to have HIVST knowledge, when compared with those with no formal education (odds ratio [OR]: 3.93; 95% CI: 1.37–11.26). Rural residents had a 33% reduction in HIVST knowledge when compared with those residing in urban areas (OR: 0.67; 95% CI: 0.51–0.89). The odds of interaction between the richer and richest women who have good knowledge of HIV infection were 1.88 and 2.24 times more likely to have HIVST knowledge, respectively, when compared with those from the poorest wealth household who have good knowledge of HIV infection.Conclusion: Based on the low level of HIVST knowledge, the findings emphasise the importance of developing effective HIVST educational campaigns. Moreover, programmes should be designed to address the unique needs of the socio-economically disadvantaged women.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Association between socio-economic factors and HIV self-testing knowledge amongst South African women

Ekholuenetale

Nzoputam

Okonji

2022

South. Afr. j. HIV med.

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Adverse childhood experiences and human immunodeficiency virus testing among adults with human immunodeficiency virus risk behaviours

Liu,

Guo,

Han

et al. 2023

Stress and Health

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Adverse childhood experiences (ACEs) have been associated with poor HIV testing in adulthood yet, they have not been extensively described in those at increased risk for HIV. Cross‐sectional analysis data (n = 204,231) on ACEs and HIV testing were obtained from the 2019–2020 Behavioural Risk Factor Surveillance Survey. Weighted logistic regression models were used to access the association of ACEs exposure, ACEs score, and ACEs type with HIV testing among adults with HIV risk behaviours, and stratified analysis was also performed to examine gender differences. The results indicated the overall rate of HIV testing was 38.8% and was higher among those with HIV risk behaviours (64.6%) than those without (37.2%). In populations with HIV risk behaviours, the negative association of HIV testing with ACEs exposure, ACEs score, and ACEs type was identified. Relative to those without ACEs, adults who were exposed to ACEs might decrease the rate of HIV testing, participants with ≥4 ACEs scores were less likely to have HIV testing, and childhood exposure to sexual abuse had the greatest impact on HIV testing. For both males and females, childhood exposure to ACEs was associated with lower odds of HIV testing and ACEs score ≥4 had the most robust associations with HIV testing. For males, those who experienced witnessed domestic violence had the lowest odds of HIV testing but the odds of engaging in HIV testing for females were the lowest among those who experienced childhood sexual abuse.

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Patterns of HIV Pre-exposure Prophylaxis use Among Adolescent Girls and Young Women Accessing Routine Sexual and Reproductive Health services in South Africa

Martin,

Cox,

Nongena

et al. 2023

Journal of Adolescent Health

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HIV testing and self‐testing coverage among men and women in South Africa: an exploration of related factors

Cited by 12 publications

References 26 publications

Association between socio-economic factors and HIV self-testing knowledge amongst South African women

Association between socio-economic factors and HIV self-testing knowledge amongst South African women

Adverse childhood experiences and human immunodeficiency virus testing among adults with human immunodeficiency virus risk behaviours

Patterns of HIV Pre-exposure Prophylaxis use Among Adolescent Girls and Young Women Accessing Routine Sexual and Reproductive Health services in South Africa

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