Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia

B Hensen; J J Lewis; A Schaap; M Tembo; W Mutale; H A Weiss; J Hargreaves; H Ayles

doi:10.1007/s10461-014-0866-0

Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia

B Hensen, J J Lewis, A Schaap, M Tembo, W Mutale, H A Weiss, J Hargreaves, H Ayles

Sexual Health including HIV

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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Abstract

The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15-60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.

Original language	English
Journal	AIDS and Behavior
Volume	19
Issue number	3
Pages (from-to)	492-504
Number of pages	13
ISSN	1090-7165
DOIs	https://doi.org/10.1007/s10461-014-0866-0
Publication status	Published - 2015

Keywords

AIDS Serodiagnosis/methods
Adolescent
Adult
Cluster Analysis
Educational Status
HIV Infections/diagnosis
Home Care Services/organization & administration
Humans
Male
Mass Screening/methods
Middle Aged
Patient Acceptance of Health Care/psychology
Prevalence
Program Evaluation
Rural Health Services
Rural Population
Self Care/psychology
Socioeconomic Factors
Zambia/epidemiology

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10.1007/s10461-014-0866-0

2015aabe0492Final published version, 605 KBLicence: CC BY

Cite this

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title = "Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia",

abstract = "The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15-60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.",

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T1 - Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia

AU - Hensen, B

AU - Lewis, J J

AU - Schaap, A

AU - Tembo, M

AU - Mutale, W

AU - Weiss, H A

AU - Hargreaves, J

AU - Ayles, H

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N2 - The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15-60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.

AB - The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15-60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.

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KW - Adolescent

KW - Adult

KW - Cluster Analysis

KW - Educational Status

KW - HIV Infections/diagnosis

KW - Home Care Services/organization & administration

KW - Humans

KW - Male

KW - Mass Screening/methods

KW - Middle Aged

KW - Patient Acceptance of Health Care/psychology

KW - Prevalence

KW - Program Evaluation

KW - Rural Health Services

KW - Rural Population

KW - Self Care/psychology

KW - Socioeconomic Factors

KW - Zambia/epidemiology

U2 - 10.1007/s10461-014-0866-0

DO - 10.1007/s10461-014-0866-0

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SN - 1090-7165

VL - 19

SP - 492

EP - 504

JO - AIDS and Behavior

JF - AIDS and Behavior

IS - 3

ER -

Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia

Abstract

Keywords

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