Age-related differences in socio-demographic and behavioral determinants of HIV testing and counseling in HPTN 043/NIMH Project Accept

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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
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
Item Type: Journal Article
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 12 months) as the outcome. Youth (18–24 years) 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. 25–32 years).
Publication Date: 6-Jun-2017
Date of Acceptance: 1-Jun-2017
URI: http://hdl.handle.net/10044/1/57603
DOI: https://dx.doi.org/10.1007/s10461-017-1807-5
ISSN: 1090-7165
Publisher: Springer Verlag
Start Page: 569
End Page: 579
Journal / Book Title: AIDS and Behavior
Volume: 22
Issue: 2
Copyright Statement: © The Author(s) 2017. 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.
Keywords: Science & Technology
Social Sciences
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Social Sciences, Biomedical
Biomedical Social Sciences
Mobile HIV testing and counseling
Youth
High-risk sexual behavior
Project accept
Determinants HTC
COMMUNITY-BASED INTERVENTION
SOUTH-AFRICAN YOUTH
SUB-SAHARAN AFRICA
RANDOMIZED-TRIAL
TANZANIA
KENYA
RISK
ADOLESCENTS
STRATEGIES
ATTITUDES
Science & Technology
Social Sciences
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Social Sciences, Biomedical
Biomedical Social Sciences
Mobile HIV testing and counseling
Youth
High-risk sexual behavior
Project accept
Determinants HTC
COMMUNITY-BASED INTERVENTION
SOUTH-AFRICAN YOUTH
SUB-SAHARAN AFRICA
RANDOMIZED-TRIAL
TANZANIA
KENYA
RISK
ADOLESCENTS
STRATEGIES
ATTITUDES
1117 Public Health And Health Services
Public Health
Publication Status: Published
Appears in Collections:Pure Mathematics
Mathematics
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