HIV-related knowledge, perceptions, attitudes, and utilisation of HIV counselling and testing: a venue-based intercept commuter population survey in the inner city of Johannesburg, South Africa
HIV-related knowledge, perceptions, attitudes, and utilisation of HIV counselling and testing: a venue-based intercept commuter population survey in the inner city of Johannesburg, South Africa
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DOI：
10.3402/gha.v8.26950
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发表时间：
2015-01-01
影响因子：
2.6
通讯作者：
Nyasulu, Peter S.
中科院分区：
文献类型：
--
作者：
Chimoyi, Lucy;Tshuma, Ndumiso;Nyasulu, Peter S.
背景资料：艾滋病毒咨询和检测（HCT）以及有关艾滋病毒的知识一直是全球预防和控制艾滋病毒/艾滋病的关键策略。在撒哈拉以南非洲，艾滋病毒知识和对艾滋病毒/艾滋病咨询服务的接受率仍然很低。本研究进行，以确定与HCT和艾滋病毒/艾滋病知识水平之间的通勤人群在Johannesburg，South Africa.Objective：要确定与HCT摄取之间的通勤population.Design的因素：一个简单的随机抽样方法被用来选择参与者在一个基于场地的拦截调查在约翰内斯堡中央商务区的出租车站。使用电子问卷收集数据。结果：共调查1,146人，其中女性579人（50.5%），年龄25岁以上780人（68.1%）。总体HCT知识较高（n = 951，83%），更多女性使用HCT设施。居住在卫生设施附近和远离卫生设施的受访者在艾滋病毒检测方面存在显著差异。略多于一半的受访者表示耻辱感是测试的障碍之一（n = 594，52%，p值= 0.001）。对于男性来说，与伴侣生活在一起（aOR：1.68，95%CI：1.02-2.78，p值：0.041）和拥有小学后教育与测试正相关（aOR：2.00，95% CI：1.15-3.47，p值：0.014），而羞辱和歧视降低了检测的可能性（aOR：0.40，95%CI：0.31-0.62，p值：< 0.001）。对于女性来说，有一个性伴侣（aOR：2.65，95%CI：1.19-5.90，p值：0.017）和对HIV检测的低感知益处（aOR：0.54，95%CI：0.30-0.96，p值：0.035）与HIV检测相关。需要有针对性别的健康教育和艾滋病毒干预方案，以改善获得艾滋病毒/艾滋病咨询服务的机会。一种有利的干预措施是采用家庭为基础的艾滋病毒/艾滋病检测方案。
Background: HIV counselling and testing (HCT) and knowledge about HIV have been key strategies utilised in the prevention and control of HIV/AIDS worldwide. HIV knowledge and uptake of HCT services in sub-Saharan Africa are still low. This study was conducted to determine factors associated with HCT and HIV/AIDS knowledge levels among a commuter population in Johannesburg, South Africa.Objective: To identify the factors associated with HCT uptake among the commuter population.Design: A simple random sampling method was used to select participants in a venue-based intercept survey at a taxi rank in the Johannesburg Central Business District. Data were collected using an electronic questionnaire. Logistic regression analysis assessed factors associated with HIV testing stratified by gender.Results: 1,146 respondents were interviewed, the maority (n = 579, 50.5%) were females and (n = 780, 68.1%) were over 25 years of age. Overall HCT knowledge was high (n = 951, 83%) with more females utilising HCT facilities. There was a significant difference in HIV testing for respondents living closer to and further away from health facilities. Slightly more than half of the respondents indicated stigma as one of the barriers for testing (n = 594, 52%, p-value = 0.001). For males, living with a partner (aOR: 1.68, 95% CI: 1.02-2.78, p-value: 0.041) and possessing a post-primary education were positively associated with testing (aOR: 2.00, 95% CI: 1.15-3.47, p-value: 0.014), whereas stigma and discrimination reduced the likelihood of testing (aOR: 0.40, 95% CI: 0.31-0.62, p-value: < 0.001). For females, having one sexual partner (aOR: 2.65, 95% CI: 1.19-5.90, p-value: 0.017) and a low perceived benefit for HIV testing (aOR: 0.54, 95% CI: 0.30-0.96, p-value: 0.035) were associated with HIV testing.Conclusion: The overall HIV/AIDS knowledge was generally high. Gender-specific health education and HIV intervention programmes are needed for improved access to HCT services. One favourable intervention would be the use of home-based HCT programmes.