Trends in HIV testing and associated factors among men in South Africa: evidence from 2005, 2008 and 2012 national population-based household surveys
Trends in HIV testing and associated factors among men in South Africa: evidence from 2005, 2008 and 2012 national population-based household surveys
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DOI：
10.1016/j.puhe.2016.10.017
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发表时间：
2017-02-01
期刊：
影响因子：
5.2
通讯作者：
Simbayi, L.
中科院分区：
文献类型：
--
作者：
Makusha, T.;Mabaso, M.;Simbayi, L.
目的：在包括南非在内的撒哈拉以南非洲国家，男子接受人体免疫缺陷病毒（艾滋病毒）检测仍然是一项重大挑战。很少有研究探讨男性接受艾滋病毒检测的情况以及影响其检测行为的因素。本文利用2005年、2008年和2012年进行的全国艾滋病毒人口为基础的家庭调查，探讨了南非15岁及以上男性接受艾滋病毒检测的趋势和相关因素。研究设计：在三项全国代表性的家庭调查中使用了多阶段横断面设计。P趋势卡方统计用于分析艾滋病毒检测与人口统计学因素以及三次调查中艾滋病毒相关风险行为的变化。单变量和多变量logistic回归模型被用来评估之间的关联曾经检测艾滋病毒，人口因素和艾滋病毒相关的风险behaviors.Results：艾滋病毒检测的男性之间的摄取率为28%，2005年，43%，2008年和59%，2012年。在艾滋病毒检测中也观察到社会人口因素的趋势，但变量内存在差异。艾滋病毒检测率主要受选定人口特征的影响。减少艾滋病毒检测的可能性显着相关的男性年龄在15-24岁，黑非洲种族组，单身和失业，那些居住在城市非正式和农村非正式地区，以及那些男人谁曾经有sex.Conclusion：观察到的社会人口差异表明，一个有效的扩展策略，艾滋病毒检测需要优先考虑那些最不可能测试确定的目前的研究结果。(C)2016年皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: In Sub-Saharan African countries, including South Africa, uptake of human immunodeficiency virus (HIV) testing among men remains a major challenge. Few studies have explored HIV testing uptake among men and factors that influence their testing behaviours. This article explores trends in HIV testing uptake and associated factors among men aged 15 years and older in South Africa using national HIV population-based household surveys conducted in 2005, 2008 and 2012.Study design: A multistage cross-sectional design was used in the three nationally representative household-based surveys.Methods: P-trend Chi-squared statistic was used to analyze changes in HIV testing in relation to demographic factors, and HIV-related risk behaviours across the three surveys. Univariate and multivariate logistic regression models were used to assess the associations between ever testing for HIV, demographic factors and HIV-related risk behaviours.Results: HIV testing uptake among men was 28% in 2005, 43% in 2008 and 59% in 2012. A trend was also observed in HIV testing by sociodemographic factors, but differences existed within variables. HIV testing uptake was mainly influenced by the effects of selected population characteristics. Reduced likelihood of HIV testing was significantly associated with males aged 15-24 years, Black African race group, being single and unemployed, those residing in urban informal and rural informal areas, and those men who ever had sex.Conclusion: The observed sociodemographic differentials suggest that an effective expansion strategy for HIV testing needs to prioritize those most unlikely to test as identified by the current findings. (C) 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.