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Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants

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Title: Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants
Authors: Kirakoya-Samadoulougou, F
Jean, K
Maheu-Giroux, M
Item Type: Journal Article
Abstract: Background: Previous studies highlighted a range of individual determinants associated with HIV testing but few assessed the role of contextual factors. The objective of this paper is to examine the influence of both individual and community-level determinants of HIV testing uptake in Burkina Faso. Methods: Using nationally representative cross-sectional data from the 2010 Demographic and Health Survey, the determinants of lifetime HIV testing were examined for sexually active women (n=14,656) and men (n=5,680) using modified Poisson regression models. Results: One third of women (36%; 95% Confidence Interval (CI): 33-37%) reported having ever been tested for HIV compared with a quarter for men (26%; 95% CI: 24–27%). For both genders, age, education, religious affiliation, household wealth, employment, media exposure, sexual behaviors, and HIV knowledge were associated with HIV testing. After adjustment, women living in communities where the following characteristics were higher than the median were more likely to report uptake of HIV testing: knowledge of where to access testing (Prevalence Ratio [PR]=1.41; 95%CI: 1.34-1.48), willing to buy food from an infected vendor (PR=2.06; 95% CI: 1.31-3.24), highest wealth quintiles (PR=1.18; 95% CI: 1.10-1.27), not working year-round (PR=0.90; 95% CI: 0.84-0.96), and high media exposure (PR=1.11; 95% CI: 1.03-1.19). Men living in communities where the proportion of respondents are more educated (PR=1.23; 95% CI: 1.07-1.41) than the median were more likely to be tested. Conclusions: This study shed light on potential mechanisms through which HIV testing could be increased in Burkina Faso. Both individual and contextual factors should be considered to design effective strategies for scaling-up HIV testing.
Issue Date: 22-May-2017
Date of Acceptance: 6-Jan-2017
URI: http://hdl.handle.net/10044/1/43824
DOI: https://dx.doi.org/10.1186/s12889-017-4417-2
ISSN: 1471-2458
Publisher: BioMed Central
Journal / Book Title: BMC Public Health
Volume: 17
Copyright Statement: © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
HIV/AIDS
Contextual determinants
Human immunodeficiency virus
Multilevel models
Voluntary counselling and testing
West Africa
POISSON REGRESSION APPROACH
SUB-SAHARAN AFRICA
SOUTH-AFRICA
PROJECT ACCEPT
HPTN 043
COUNTRIES
PREVENTION
INFECTION
IMPACT
INTERVENTIONS
Public Health
1117 Public Health And Health Services
Publication Status: Published
Article Number: 486
Appears in Collections:School of Public Health