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Title
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept. |
Full text
https://escholarship.org/uc/item/5bd6n487 |
Date
2018 |
Author(s)
Salazar-Austin, N; Kulich, M; Chingono, A; Chariyalertsak, S; Srithanaviboonchai, K; Gray, G; Richter, L; van Rooyen, H; Morin, S; Sweat, M; Mbwambo, J; Szekeres, G; Coates, T; Celentano, D; NIMH Project Accept (HPTN 043) Study Team |
Abstract
Youth represent a large proportion of new HIV infections worldwide, yet their utilization of HIV testing and counseling (HTC) remains low. Using the post-intervention, cross-sectional, population-based household survey done in 2011 as part of HPTN 043/NIMH Project Accept, a cluster-randomized trial of community mobilization and mobile HTC in South Africa (Soweto and KwaZulu Natal), Zimbabwe, Tanzania and Thailand, we evaluated age-related differences among socio-demographic and behavioral determinants of HTC in study participants by study arm, site, and gender. A multivariate logistic regression model was developed using complete individual data from 13,755 participants with recent HIV testing (prior 12months) as the outcome. Youth (18-24years) was not predictive of recent HTC, except for high-risk youth with multiple concurrent partners, who were less likely (aOR 0.75; 95% CI 0.61-0.92) to have recently been tested than youth reporting a single partner. Importantly, the intervention was successful in reaching men with site specific success ranging from aOR 1.27 (95% CI 1.05-1.53) in South Africa to aOR 2.30 in Thailand (95% CI 1.85-2.84). Finally, across a diverse range of settings, higher education (aOR 1.67; 95% CI 1.42, 1.96), higher socio-economic status (aOR 1.21; 95% CI 1.08-1.36), and marriage (aOR 1.55; 95% CI 1.37-1.75) were all predictive of recent HTC, which did not significantly vary across study arm, site, gender or age category (18-24 vs. 25-32years). |
Subject(s)
NIMH Project Accept (HPTN 043) Study Team; Humans; HIV Infections; Mass Screening; Cross-Sectional Studies; Counseling; Age Factors; Socioeconomic Factors; Adolescent; Adult; Sexual Partners; Patient Acceptance of Health Care; Tanzania; South Africa; Zimbabwe; Thailand; Female; Male; Young Adult; Determinants HTC; High-risk sexual behavior; Mobile HIV testing and counseling; Project accept; Youth; Public Health; Public Health and Health Services; Social Work |
Coverage
569 - 579 |
Publisher
eScholarship, University of California |
Type of publication
article |
Format
application/pdf |
Source
AIDS and behavior, vol 22, iss 2 |
Rights
public |
Identifier
qt5bd6n487 |
Repository
Berkeley - University of California
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Added to C-A: 2021-01-18;14:15:22 |
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