Factors Associated with Ever Being HIV-Tested in Zimbabwe: An Extended Analysis of the Zimbabwe Demographic and Health Survey (2010-2011)
Factors Associated with Ever Being HIV-Tested in Zimbabwe: An Extended Analysis of the Zimbabwe Demographic and Health Survey (2010-2011)
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DOI：
10.1371/journal.pone.0147828
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发表时间：
2016-01-25
期刊：
影响因子：
3.7
通讯作者：
Harries, Anthony David
中科院分区：
文献类型：
--
作者：
Takarinda, Kudakwashe Collin;Madyira, Lydia Kudakwashe;Harries, Anthony David
介绍津巴布韦有很高的人类免疫缺陷病毒（HIV）负担。因此，重要的是要扩大艾滋病毒检测和咨询（HTC）作为艾滋病毒预防，治疗和护理的门户。584名男性完成了面试-在2010- 2011年津巴布韦人口和健康调查期间，该组织发放了问卷，并提供了用于艾滋病毒检测的血液样本。与以往任何时候都被HIV检测相关的因素，使用多变量logistic regression. ResultsHIV检测是女性高于男性（61%比39%）。与HIV阴性者相比，HIV感染者更有可能接受检测，男性[校正比值比（AOR）= 1.53; 95%置信区间（CI）（1.27-1.84）]和女性[AOR = 1.42; 95% CI（1.20-1.69）]。然而，在这些艾滋病毒感染者中，只有55%和74%的人分别接受过检测。在女性中，产前检查（ANC）[AOR = 5.48，95%CI（4.08-7.36）]是接受检测的最重要预测因素，而男性的一项新发现是在过去12个月内报告性传播感染（STI）的人中接受检测的几率更高[AOR = 1.86，95%CI（1.262.74）]。在男性中，曾经接受过检测的几率随着年龄>= 20岁而增加，特别是45-49岁[AOR = 4.21; 95%CI（2.74-6.48）]，而女性在25-29岁之间接受检测的几率最高[AOR = 2.01; 95%CI（1.63-2.48）]。其他重要的因素，为两性教育水平的提高，更高的财富地位，目前/以前正在union.ConclusionsThere仍然是一个高比例的未确诊的艾滋病毒感染者，因此有必要创新的战略，旨在增加艾滋病毒检测，特别是对男性和低收入，低教育程度的人口。推广性传播感染服务可以成为对更多男性进行检测的重要途径，而产前护理仍然是孕妇进行艾滋病毒检测的一个重要选择。
IntroductionZimbabwe has a high human immunodeficiency virus (HIV) burden. It is therefore important to scale up HIV-testing and counseling (HTC) as a gateway to HIV prevention, treatment and care.ObjectiveTo determine factors associated with being HIV-tested among adult men and women in Zimbabwe.MethodsSecondary analysis was done using data from 7,313 women and 6,584 men who completed interviewer-administered questionnaires and provided blood specimens for HIV testing during the Zimbabwe Demographic and Health Survey (ZDHS) 2010-11. Factors associated with ever being HIV-tested were determined using multivariate logistic regression.ResultsHIV-testing was higher among women compared to men (61% versus 39%). HIV-infected respondents were more likely to be tested compared to those who were HIV-negative for both men [adjusted odds ratio (AOR) = 1.53; 95% confidence interval (CI) (1.27-1.84)] and women [AOR = 1.42; 95% CI (1.20-1.69)]. However, only 55% and 74% of these HIV-infected men and women respectively had ever been tested. Among women, visiting antenatal care (ANC) [AOR = 5.48, 95% CI (4.08-7.36)] was the most significant predictor of being tested whilst a novel finding for men was higher odds of testing among those reporting a sexually transmitted infection (STI) in the past 12 months [AOR = 1.86, 95% CI (1.262.74)]. Among men, the odds of ever being tested increased with age >= 20 years, particularly those 45-49 years [AOR = 4.21; 95% CI (2.74-6.48)] whilst for women testing was highest among those aged 25-29 years [AOR = 2.01; 95% CI (1.63-2.48)]. Other significant factors for both sexes were increasing education level, higher wealth status and currently/formerly being in union.ConclusionsThere remains a high proportion of undiagnosed HIV-infected persons and hence there is a need for innovative strategies aimed at increasing HIV-testing, particularly for men and in lower-income and lower-educated populations. Promotion of STI services can be an important gateway for testing more men whilst ANC still remains an important option for HIV-testing among pregnant women.