Prevalence of self-reported HIV testing and associated factors among adolescent girls and young women in South Africa: Results from a 2017 nationally representative population-based HIV survey

Musekiwa, Alfred; Bamogo, Assanatou; Shisana, Olive; Robsky, Katherine; Zuma, Khangelani; Zungu, Nompumelelo; Celentano, David D.

doi:10.1016/j.puhip.2021.100093

Cited by 8 publications

(16 citation statements)

References 14 publications

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“…The age group 20–24 has more information on sexual matters and is more likely to go for HIV testing than the 15–19-year-olds. This is in line with other previously published studies from Zambia, South Africa, and Tanzania [ 13 , 18 , 19 ]. The AGYW who lived with a man were more likely to test for HIV and this could be due to their possibly high sexual activities, hence they are at higher risk of HIV and other sexually transmitted diseases, for which they would visit the healthcare facilities and would also be allowed to test for HIV [ 20 ].…”

Section: Discussionsupporting

confidence: 94%

“…This could mainly be attributable to the wide access to HIV testing among pregnant women attending antenatal clinic (ANC) visits [ 16 ]. Several studies have also found this association [ 13 , 16 , 17 ]. It is important to test for HIV when pregnant as this allows for those who test HIV positive to be enrolled for interventions that prevent mother-to-child transmission of HIV and also to initiate ART.…”

Section: Discussionmentioning

confidence: 66%

“…This is not surprising as most HIV transmissions happen through sexual intercourse. This can also be tied to inconsistent condom use [ 13 ], which is associated with HIV testing. The fear that one may have acquired HIV after having unprotected sex can influence an individual to go for HIV testing.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have documented factors associated with HIV testing, such as gender, age, education level, pregnancy, geographical location, marital status, and the number of sexual partners [ 5 , 12 , 13 ]. Studies in several countries have found varied HIV testing rates among young women such as in Nigeria (12%), Uganda (26.5%), Kenya (27.7%), and Rwanda (40%) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with self-reported HIV testing among adolescent girls and young women in Rwanda: evidence from 2019/20 Rwanda Demographic and Health Survey

et al. 2022

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Background HIV/AIDS remains a major public health problem globally. The majority of people living with HIV are from Sub-Saharan Africa, particularly adolescent girls and young women (AGYW) aged 15-24 years. HIV testing is crucial as it is the gateway to HIV prevention, treatment, and care; therefore this study determined the prevalence and factors associated with self-reported HIV testing among AGYW in Rwanda. Methods We conducted secondary data analysis on the AGYW using data extracted from the nationally representative population-based 2019/2020 cross-sectional Rwanda Demographic and Health Survey (DHS). We described the characteristics of study participants and determined the prevalence of HIV testing and associated factors using the multivariable logistic regression model. We adjusted all our analyses for unequal sampling probabilities using survey weights. Results There were a total of 5,732 AGYW, with the majority (57%) aged 15-19 years, 83% were not living with a man, 80% were from rural areas, 29% were from the East region, and 20% had a history of pregnancy. Self-reported HIV testing prevalence was 55.4% (95%CI: 53.7 to 57.0%). The odds of ever having an HIV test were significantly higher for those aged 20-24 years (aOR 2.87, 95%CI: 2.44 to 3.37); with higher education (aOR 2.41, 95%CI:1.48 to 3.93); who were rich (aOR 2.06, 95%CI:1.57 to 2.70); with access to at least one media (aOR 1.64, 95%CI: 1.14 to 2.37); who had ever been pregnant (aOR 16.12, 95%CI: 9.60 to 27.07); who ever had sex (aOR 2.40, 95%CI: 1.96 to 2.95); and those who had comprehensive HIV knowledge (aOR 1.34, 95%CI: 1.17 to 1.54). Conclusions We report an unmet need for HIV testing among AGYW in Rwanda. We recommend a combination of strategies to optimize access to HIV testing services, especially among the 15-19 years adolescent girls, including facility-based testing, school and community outreach, awareness campaigns on HIV testing, and home-based testing through HIV self-testing.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with self-reported HIV testing among adolescent girls and young women in Rwanda: evidence from 2019/20 Rwanda Demographic and Health Survey

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“…Similarly, this study found that FSWs who were conducting routine health check-up at health facilities and those who had tested for STI in the last three months preceding the survey showed improved adherence to the testing guidelines. This confirms findings from previous studies, that health seeking behaviour influences decisions to regularly take HIV tests since the testing services are mostly provided in the hospitals (44, 45). WHO recommends that FSWs screen for STIs every three months (46).…”

Section: Discussionsupporting

confidence: 91%

Factors associated with adherence to HIV testing guidelines among HIV negative female sex workers in Kampala Uganda

Atuhaire

Shumba

Mapahla

et al. 2022

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Background Frequent HIV testing at intervals of every three to six months is recommended among HIV negative female sex workers as the first entry point to HIV prevention and treatment. In this study, we examined the extent to which HIV negative female sex workers adhere to the testing guidelines by measuring the frequency of testing in the last 12 months and identified associated factors among female sex workers in Kampala Uganda. Methods We conducted a cross-sectional study using structured questionnaires. Using equal probability selection method, 12 hotspots were selected, and 200 participants interviewed based on proportional allocation in each hotspot. We used descriptive statistics to describe female sex workers' characteristics, and multivariable logistic regression model to determine the factors associated with their adherence to the HIV testing guidelines. Adherence to the HIV testing guidelines was defined as having tested three or more times in the last 12 months. Factors with p-value ≤0.05 significance level were considered statistically significant. Results From the 200 study participants, 43% were aged 25-30 years, joined sex work between the ages of 18 to 24 years, 49% had attained primary and 41% secondary school respectively. 88% reported HIV testing status, of which 56% had tested three or more times in the 12 months preceding the survey. Attaining secondary education, was independently associated with adherence to the HIV testing guidelines (OR 1.86, 95% CI: 1.01 - 3.44, p=0.047). Those that had tested for STIs in the last three months (OR= 2.13, 95% CI: 0.95 - 4.74, p=0.065) and accessed HIV testing in a drop-in centre (OR= 5.90, 95% CI: 0.71 - 49.1, p=0.101) had higher odds of adhering to the HIV testing guidelines Conclusion This study found suboptimal adherence to the HIV testing guidelines among HIV negative female sex workers. Interventions such as HIV self-testing that improve access to, and frequency of HIV testing need to be taken to scale. There is need for rigorous behaviour change program evaluation to continually refine understanding of the message mix, to ensure simplified and easy to comprehend awareness messages are designed for female sex workers with no formal education.

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Factors associated with adherence to HIV testing guidelines among HIV-negative female sex workers in Kampala, Uganda

et al. 2022

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Prevalence of self-reported HIV testing and associated factors among adolescent girls and young women in South Africa: Results from a 2017 nationally representative population-based HIV survey

Cited by 8 publications

References 14 publications

Prevalence and factors associated with self-reported HIV testing among adolescent girls and young women in Rwanda: evidence from 2019/20 Rwanda Demographic and Health Survey

Prevalence and factors associated with self-reported HIV testing among adolescent girls and young women in Rwanda: evidence from 2019/20 Rwanda Demographic and Health Survey

Factors associated with adherence to HIV testing guidelines among HIV negative female sex workers in Kampala Uganda

Factors associated with adherence to HIV testing guidelines among HIV-negative female sex workers in Kampala, Uganda

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