Individual- and Facility-Level Factors Associated with Facility Testing among Men in Malawi: Findings from a Representative Community Survey

Balakasi, Kelvin; Nichols, Brooke E; Mphande, Misheck; Stillson, Christian; Khan, Shaukat; Kalande, Pericles; Robson, Isabella; Sanena, Maria; Ngona, Khumbo; Oosterhout, Joep J. van; Doi, Naoko; Dovel, Kathryn

doi:10.3390/diagnostics11060950

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Finally, wealth status and HIV knowledge were associated with prior testing, but these variables were not associated with the acceptance of our test offer. Other studies have found similar results suggesting that individual-level characteristics that influence HIV test seeking are not necessarily the same as those influencing a man’s decision to accept testing [ 7 , 25 ].…”

Section: Discussionmentioning

confidence: 79%

Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania

Madut,

Manavalan,

Mtalo

et al. 2024

PLOS Glob Public Health

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Community-based HIV testing offers an alternative approach to encourage HIV testing among men in sub-Saharan Africa. In this study, we evaluated a community-based HIV testing strategy targeting male bar patrons in northern Tanzania to assess factors predictive of prior HIV testing and factors predictive of accepting a real-time HIV test offer. Participants completed a detailed survey and were offered HIV testing upon survey completion. Poisson regression was used to identify prevalence ratios for the association between potential predictors and prior HIV testing or real-time testing uptake. Of 359 participants analyzed, the median age was 41 (range 19–82) years, 257 (71.6%) reported a previous HIV test, and 321 (89.4%) accepted the real-time testing offer. Factors associated with previous testing for HIV (adjusted prevalence ratio [aPR], 95% CI) were wealth scores in the upper-middle quartile (1.25, 1.03–1.52) or upper quartile (1.35, 1.12–1.62) and HIV knowledge (1.04, 1.01–1.07). Factors that predicted real-time testing uptake were lower scores on the Gender-Equitable Men scale (0.99, 0.98–0.99), never testing for HIV (1.16, 1.03–1.31), and testing for HIV > 12 months prior (1.18, 1.06–1.31). We show that individual-level factors that influence the testing-seeking behaviors of men are not likely to impact their acceptance of an HIV offer.

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Section: Discussionmentioning

confidence: 79%

Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania

Madut,

Manavalan,

Mtalo

et al. 2024

PLOS Glob Public Health

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“…[6] Such facility visits could provide key entry points for key non-acute services, although such integrated care is poorly implemented to date. [8,9].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with men’s health facility attendance as clients and caregivers in Malawi: a community-representative survey

Thorp

Balakasi²,

Mphande³

et al. 2022

BMC Public Health

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Introduction Men have higher rates of morbidity and mortality across nearly all top ten causes of mortality worldwide. Much of this disparity is attributed to men’s lower utilization of routine health services; however, little is known about men’s general healthcare utilization in sub-Saharan Africa. Methods We analyze the responses of 1,116 men in a community-representative survey of men drawn from a multi-staged sample of residents of 36 villages in Malawi to identify factors associated with men’s facility attendance in the last 12 months, either for men’s own health (client visit) or to support the health care of someone else (caregiver visit). We conducted single-variable tests of association and multivariable logistic regression with random effects to account for clustering at the village level. Results Median age of participants was 34, 74% were married, and 82% attended a health facility in the last year (63% as client, 47% as caregiver). Neither gender norm beliefs nor socioeconomic factors were independently associated with attending a client visit. Only problems with quality of health services (adjusted odds ratio [aOR] 0.294, 95% confidence interval [CI] 0.10—0.823) and good health (aOR 0.668, 95% CI 0.462–0.967) were independently associated with client visit attendance. Stronger beliefs in gender norms were associated with caregiver visits (beliefs about acceptability of violence [aOR = 0.661, 95% CI 0.488–0.896], male sexual dominance [aOR = 0.703, 95% CI 0.505–0.978], and traditional women’s roles [aOR = 0.718, 95% CI 0.533–0.966]). Older age (aOR 0.542, 95% CI 0.401–0.731) and being married (aOR 2.380, 95% CI 1.196–4.737) were also independently associated with caregiver visits. Conclusion Quality of services offered at local health facilities and men’s health status were the only variables associated with client facility visits among men, while harmful gender norms, not being married, and being younger were negatively associated with caregiver visits.

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Individual- and Facility-Level Factors Associated with Facility Testing among Men in Malawi: Findings from a Representative Community Survey

Cited by 2 publications

References 24 publications

Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania

Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania

Factors associated with men’s health facility attendance as clients and caregivers in Malawi: a community-representative survey

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