Socio-demographic correlates of desire for HIV testing in Tanzania

Mbago, Maurice C.Y.

doi:10.1071/sh03010

Cited by 22 publications

(19 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The positive link between perceived risk for HIV and readiness for testing is consistent with what other studies in Africa and elsewhere have found (Downing et al, 2001;Fylkesnes & Siziya, 2004;Mbago, 2004). The data suggest that when people are conscious of their risk for HIV, they will be more likely to be willing to undergo HIV testing, thereby underscoring the need for increasing risk perception as a way of promoting VCT uptake.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Readiness for HIV Testing among Young People in Northern Nigeria: The Roles of Social Norm and Perceived Stigma

Babalola

2006

AIDS Behav

View full text Add to dashboard Cite

This study examined the predictors of readiness for HIV testing among young people in northern Nigeria, paying special attention to the role of stigma. Stigma is measured at two levels: individual and community (social norm). There are commonalities and differences in the correlates of readiness among men and women. For men and women, knowledge about HIV prevention, knowledge about a source for VCT, discussion about condom use for HIV prevention and perceived risk are strong predictors. Knowledge that an apparently healthy person can be HIV-infected is only significant for women. Perceived stigma is a significant predictor for both men and women although the specific dimension of note differs between the sexes. Social norm is strongly and directly associated with readiness among men but has no apparent influence among women. For both sexes, social norm appears to have strong mediating influence on the relationship between personal perceived stigma and readiness. The results strongly suggest that to eliminate HIV-related stigma, it is not enough to target individual cognitive processes; strategic efforts should target social structures in order to change negative social norms.

show abstract

Section: Discussionsupporting

confidence: 87%

“…Other studies in Africa and elsewhere have highlighted the importance of increasing knowledge about HIV prevention for the uptake of VCT (e.g. Adeneye, Mafe, Adeneye, Salami, & Adewole, 2004;Mbago, 2004).…”

Section: Discussionmentioning

confidence: 98%

Readiness for HIV Testing among Young People in Northern Nigeria: The Roles of Social Norm and Perceived Stigma

Babalola

2006

AIDS Behav

View full text Add to dashboard Cite

show abstract

“…Additionally, women and girls are more likely to present at formal health-care services than are men [14]. In addition to infrastructural level influences on individual's testing behavior, studies have also demonstrated that being married, higher levels of education, urban residence, and knowledge of HIV are significantly associated with receiving an HIV test [15–18]. Although some studies have addressed dyadic level factors associated with testing behavior and HIV status disclosure, these have been largely confined to associations between intimate partner violence and HIV status and testing behavior [19–21].…”

Section: Introductionmentioning

confidence: 99%

Community Influences on Married Men’s Uptake of HIV Testing in Eight African Countries

2012

View full text Add to dashboard Cite

Despite efforts to increase HIV testing in the African region, the proportion of men who report ever having been tested for HIV remains low. Research has focused on individual level determinants of women's testing however little is known about factors associated with men's testing behavior. This analysis investigates community influences on HIV testing among men ages 15–54, using Demographic and Health Survey (DHS) data from Chad, Ghana, Malawi, Nigeria, Tanzania, Uganda, Zambia, and Zimbabwe. Multilevel models were fitted in each country for the outcome of ever receiving an HIV test. After controlling for individual and household level factors, community level factors of demographics, economics, and behavior and knowledge remain significantly associated with HIV testing among men. The results of this analysis highlight the need to recognize the impact of community influences on men's HIV test seeking behavior, and to harness these community factors in the design of programs aimed at encouraging the uptake of HIV testing among men in Africa.

show abstract

“…Couple’s testing has the potential to improve use of HIV prevention interventions (Farquhar et al, 2004) and identify and treat discordant couples (Matovu, 2010). However, significant challenges to uptake of couples testing have been documented in sub-Saharan Africa (Bateganya, Abdulwadud, & Kiene, 2010; UNAIDS, 2009; UNAIDS & WHO, 2005), including Tanzania (Mbago, 2004; Tanzania Commission for AIDS, National Bureau of Statistics, & ORC Macro, 2005; United Republic of Tanzania Ministry of Health, 2009b). Factors associated with reluctance to get tested as a couple include male dominance in decision-making and women’s fear of negative outcomes, such as violence or divorce, in the event of a positive test result (Maman, Mbwambo, Hogan, Kilonzo, & Sweat, 2001; Mbago, 2004; United Republic of Tanzania Ministry of Health, 2009b; Wringe et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Perceived acceptability of home-based couples voluntary HIV counseling and testing in Northern Tanzania

et al. 2011

View full text Add to dashboard Cite

It is estimated that 5.6% of the Tanzanian population ages 15–49 are infected with HIV, but only 30% of adults have ever had an HIV test. Couples’ testing has proven to increase testing coverage and introduce HIV prevention, but barriers include access to testing services and unequal gender dynamics in relationships. Innovative approaches are needed to address barriers to couple’s testing and increase uptake of HIV testing. Using qualitative data collection methods, a formative study was conducted to assess the acceptability of a home-based couples counseling and testing (HBCCT) approach. Eligible study participants included married men and women, HIV-infected individuals, health care and home-based care providers, voluntary counseling and testing counselors, and community leaders. A total of 91 individuals participated in focus group discussions (FGDs) and in-depth interviews conducted between September 2009 and January 2010 in rural settings in Northern Tanzania. An HBCCT intervention appears to be broadly acceptable among participants. Benefits of HBCCT were identified in terms of access, confidentiality, and strengthening the relationship. Fears of negative consequences from knowing one’s HIV status, including stigma, blame, physical abuse, or divorce, remain a concern and a potential barrier to the successful provision of the intervention. Lessons for implementation highlighted the importance of appointments for home visits, building relationships of confidence and trust between counselors and clients, and assessing and responding to a couple’s readiness to undergo HIV testing. HBCCT should addresses HIV stigma, emphasize confidentiality, and improve communication skills for disclosure and decision-making among couples.

show abstract

Socio-demographic correlates of desire for HIV testing in Tanzania

Cited by 22 publications

References 5 publications

Readiness for HIV Testing among Young People in Northern Nigeria: The Roles of Social Norm and Perceived Stigma

Readiness for HIV Testing among Young People in Northern Nigeria: The Roles of Social Norm and Perceived Stigma

Community Influences on Married Men’s Uptake of HIV Testing in Eight African Countries

Perceived acceptability of home-based couples voluntary HIV counseling and testing in Northern Tanzania

Contact Info

Product

Resources

About