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Erschienen in: AIDS and Behavior 7/2013

01.09.2013 | Original Paper

Community Influences on Married Men’s Uptake of HIV Testing in Eight African Countries

verfasst von: Rob Stephenson, K. Miriam Elfstrom, Amy Winter

Erschienen in: AIDS and Behavior | Ausgabe 7/2013

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Abstract

Despite efforts to increase HIV testing in the African region, the proportion of men who report ever having been tested for HIV remains low. Research has focused on individual level determinants of women’s testing however little is known about factors associated with men’s testing behavior. This analysis investigates community influences on HIV testing among men ages 15–54, using Demographic and Health Survey (DHS) data from Chad, Ghana, Malawi, Nigeria, Tanzania, Uganda, Zambia, and Zimbabwe. Multilevel models were fitted in each country for the outcome of ever receiving an HIV test. After controlling for individual and household level factors, community level factors of demographics, economics, and behavior and knowledge remain significantly associated with HIV testing among men. The results of this analysis highlight the need to recognize the impact of community influences on men’s HIV test seeking behavior, and to harness these community factors in the design of programs aimed at encouraging the uptake of HIV testing among men in Africa.
Literatur
1.
Zurück zum Zitat WHO. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector, progress report 2009. Geneva, Switzerland: World Health Organization; 2009. WHO. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector, progress report 2009. Geneva, Switzerland: World Health Organization; 2009.
2.
Zurück zum Zitat Boxall EH, Smith N. Antenatal screening for HIV; are those who refuse testing at higher risk than those who accept testing? J Public Health (Oxf). 2004;26(3):285–7. Boxall EH, Smith N. Antenatal screening for HIV; are those who refuse testing at higher risk than those who accept testing? J Public Health (Oxf). 2004;26(3):285–7.
3.
Zurück zum Zitat Cartoux M, Meda N, Van de Perre P, Newell ML, de Vincenzi I, Dabis F. Acceptability of voluntary HIV testing by pregnant women in developing countries: an international survey. Ghent International Working Group on Mother-to-Child Transmission of HIV. AIDS. 1998;12(18):2489–93.PubMedCrossRef Cartoux M, Meda N, Van de Perre P, Newell ML, de Vincenzi I, Dabis F. Acceptability of voluntary HIV testing by pregnant women in developing countries: an international survey. Ghent International Working Group on Mother-to-Child Transmission of HIV. AIDS. 1998;12(18):2489–93.PubMedCrossRef
4.
Zurück zum Zitat Jereni BH, Muula AS. Availability of supplies and motivations for accessing voluntary HIV counseling and testing services in Blantyre, Malawi. BMC Health Serv Res. 2008;8:17.PubMedCrossRef Jereni BH, Muula AS. Availability of supplies and motivations for accessing voluntary HIV counseling and testing services in Blantyre, Malawi. BMC Health Serv Res. 2008;8:17.PubMedCrossRef
5.
Zurück zum Zitat Smith DJ. Modern marriage, men’s extramarital sex, and HIV risk in southeastern Nigeria. Am J Public Health. 2007;97(6):997–1005.PubMedCrossRef Smith DJ. Modern marriage, men’s extramarital sex, and HIV risk in southeastern Nigeria. Am J Public Health. 2007;97(6):997–1005.PubMedCrossRef
6.
Zurück zum Zitat Dunkle KL, Stephenson R, Karita E, Chomba E, Kayitenkore K, Vwalika C, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91.PubMedCrossRef Dunkle KL, Stephenson R, Karita E, Chomba E, Kayitenkore K, Vwalika C, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91.PubMedCrossRef
7.
Zurück zum Zitat Pulerwitz J, Izazola-Licea JA, Gortmaker SL. Extrarelational sex among Mexican men and their partners’ risk of HIV and other sexually transmitted diseases. Am J Public Health. 2001;91(10):1650–2.PubMedCrossRef Pulerwitz J, Izazola-Licea JA, Gortmaker SL. Extrarelational sex among Mexican men and their partners’ risk of HIV and other sexually transmitted diseases. Am J Public Health. 2001;91(10):1650–2.PubMedCrossRef
8.
Zurück zum Zitat Amaro H. Love, sex, and power. Considering women’s realities in HIV prevention. Am Psychol. 1995;50(6):437–47.PubMedCrossRef Amaro H. Love, sex, and power. Considering women’s realities in HIV prevention. Am Psychol. 1995;50(6):437–47.PubMedCrossRef
9.
Zurück zum Zitat Corbett EL, Dauya E, Matambo R, Cheung YB, Makamure B, Bassett MT, et al. Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe. PLoS Med. 2006;3(7):e238.PubMedCrossRef Corbett EL, Dauya E, Matambo R, Cheung YB, Makamure B, Bassett MT, et al. Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe. PLoS Med. 2006;3(7):e238.PubMedCrossRef
10.
Zurück zum Zitat Mugisha E, van Rensburg GH, Potgieter E. Factors influencing utilization of voluntary counseling and testing service in Kasenyi fishing community in Uganda. J Assoc Nurses AIDS Care. 2010;21(6):503–11. Mugisha E, van Rensburg GH, Potgieter E. Factors influencing utilization of voluntary counseling and testing service in Kasenyi fishing community in Uganda. J Assoc Nurses AIDS Care. 2010;21(6):503–11.
11.
Zurück zum Zitat Castle S. Doubting the existence of AIDS: a barrier to voluntary HIV testing and counselling in urban Mali. Health Policy Plan. 2003;18(2):146–55.PubMedCrossRef Castle S. Doubting the existence of AIDS: a barrier to voluntary HIV testing and counselling in urban Mali. Health Policy Plan. 2003;18(2):146–55.PubMedCrossRef
12.
Zurück zum Zitat Morin SF, Khumalo-Sakutukwa G, Charlebois ED, Routh J, Fritz K, Lane T, et al. Removing barriers to knowing HIV status: same-day mobile HIV testing in Zimbabwe. J Acquir Immune Defic Syndr. 2006;41(2):218–24.PubMedCrossRef Morin SF, Khumalo-Sakutukwa G, Charlebois ED, Routh J, Fritz K, Lane T, et al. Removing barriers to knowing HIV status: same-day mobile HIV testing in Zimbabwe. J Acquir Immune Defic Syndr. 2006;41(2):218–24.PubMedCrossRef
13.
Zurück zum Zitat Creek TL, Ntumy R, Seipone K, Smith M, Mogodi M, Smit M, et al. Successful introduction of routine opt-out HIV testing in antenatal care in Botswana. J Acquir Immune Defic Syndr. 2007;45(1):102–7.PubMedCrossRef Creek TL, Ntumy R, Seipone K, Smith M, Mogodi M, Smit M, et al. Successful introduction of routine opt-out HIV testing in antenatal care in Botswana. J Acquir Immune Defic Syndr. 2007;45(1):102–7.PubMedCrossRef
14.
Zurück zum Zitat Rennie S, Behets F. Desperately seeking targets: the ethics of routine HIV testing in low-income countries. Bull World Health Organ. 2006;84(1):52–7.PubMedCrossRef Rennie S, Behets F. Desperately seeking targets: the ethics of routine HIV testing in low-income countries. Bull World Health Organ. 2006;84(1):52–7.PubMedCrossRef
15.
Zurück zum Zitat Mbago MC. Socio-demographic correlates of desire for HIV testing in Tanzania. Sex Health. 2004;1(1):13–21.PubMedCrossRef Mbago MC. Socio-demographic correlates of desire for HIV testing in Tanzania. Sex Health. 2004;1(1):13–21.PubMedCrossRef
16.
Zurück zum Zitat Peltzer K, Matseke G, Mzolo T, Majaja M. Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey. BMC Public Health. 2009;9:174.PubMedCrossRef Peltzer K, Matseke G, Mzolo T, Majaja M. Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey. BMC Public Health. 2009;9:174.PubMedCrossRef
17.
Zurück zum Zitat Venkatesh KK, Madiba P, De Bruyn G, Lurie MN, Coates TJ, Gray GE. Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions. J Acquir Immune Defic Syndr. 2011;56(2):151–65.PubMedCrossRef Venkatesh KK, Madiba P, De Bruyn G, Lurie MN, Coates TJ, Gray GE. Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions. J Acquir Immune Defic Syndr. 2011;56(2):151–65.PubMedCrossRef
18.
Zurück zum Zitat Ayenew A, Leykun A, Colebunders R, Deribew A. Predictors of HIV testing among patients with tuberculosis in North West Ethiopia: a case-control study. PLoS ONE. 2010;5(3):e9702.PubMedCrossRef Ayenew A, Leykun A, Colebunders R, Deribew A. Predictors of HIV testing among patients with tuberculosis in North West Ethiopia: a case-control study. PLoS ONE. 2010;5(3):e9702.PubMedCrossRef
19.
Zurück zum Zitat Weiser SD, Heisler M, Leiter K. Percy-de Korte F, Tlou S, DeMonner S, et al. Routine HIV testing in Botswana: a population-based study on attitudes, practices, and human rights concerns. PLoS Med. 2006;3(7):e261.PubMedCrossRef Weiser SD, Heisler M, Leiter K. Percy-de Korte F, Tlou S, DeMonner S, et al. Routine HIV testing in Botswana: a population-based study on attitudes, practices, and human rights concerns. PLoS Med. 2006;3(7):e261.PubMedCrossRef
20.
Zurück zum Zitat Jewkes R, Dunkle K, Nduna M, Levin J, Jama N, Khuzwayo N, et al. Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV. Int J Epidemiol. 2006;35(6):1461–8.PubMedCrossRef Jewkes R, Dunkle K, Nduna M, Levin J, Jama N, Khuzwayo N, et al. Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV. Int J Epidemiol. 2006;35(6):1461–8.PubMedCrossRef
21.
Zurück zum Zitat Maman S, Mbwambo JK, Hogan NM, Weiss E, Kilonzo GP, Sweat MD. High rates and positive outcomes of HIV-serostatus disclosure to sexual partners: reasons for cautious optimism from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. AIDS Behav. 2003;7(4):373–82.PubMedCrossRef Maman S, Mbwambo JK, Hogan NM, Weiss E, Kilonzo GP, Sweat MD. High rates and positive outcomes of HIV-serostatus disclosure to sexual partners: reasons for cautious optimism from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. AIDS Behav. 2003;7(4):373–82.PubMedCrossRef
22.
Zurück zum Zitat Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sex Transm Infect. 2003;79(6):442–7.PubMedCrossRef Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sex Transm Infect. 2003;79(6):442–7.PubMedCrossRef
23.
Zurück zum Zitat Obermeyer CM, Osborn M. The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. Am J Public Health. 2007;97(10):1762–74.PubMedCrossRef Obermeyer CM, Osborn M. The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. Am J Public Health. 2007;97(10):1762–74.PubMedCrossRef
24.
Zurück zum Zitat Bwambale FM, Ssali SN, Byaruhanga S, Kalyango JN, Karamagi CA. Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health. 2008;8:263.PubMedCrossRef Bwambale FM, Ssali SN, Byaruhanga S, Kalyango JN, Karamagi CA. Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health. 2008;8:263.PubMedCrossRef
25.
Zurück zum Zitat Diez-Roux A. Investigating neighborhood and area effects on health. Am J Public Health. 2001;91(11):1783–9.PubMedCrossRef Diez-Roux A. Investigating neighborhood and area effects on health. Am J Public Health. 2001;91(11):1783–9.PubMedCrossRef
26.
Zurück zum Zitat Diez-Roux AV. Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health. 1998;88(2):216–22.PubMedCrossRef Diez-Roux AV. Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health. 1998;88(2):216–22.PubMedCrossRef
27.
Zurück zum Zitat Duncan C, Jones K, Moon G. Context, composition and heterogeneity: using multilevel models in health research. Soc Sci Med. 1998;46(1):97–117.PubMedCrossRef Duncan C, Jones K, Moon G. Context, composition and heterogeneity: using multilevel models in health research. Soc Sci Med. 1998;46(1):97–117.PubMedCrossRef
28.
Zurück zum Zitat DiPrete TA, Forristal JD. Multilevel models: methods and substance. Ann Rev Sociol. 1994;20:331–57.CrossRef DiPrete TA, Forristal JD. Multilevel models: methods and substance. Ann Rev Sociol. 1994;20:331–57.CrossRef
29.
Zurück zum Zitat Hutchinson PL, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa. AIDS Educ Prev. 2007;19(6):489–510.PubMedCrossRef Hutchinson PL, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa. AIDS Educ Prev. 2007;19(6):489–510.PubMedCrossRef
30.
Zurück zum Zitat Kranzer K, McGrath N, Saul J, Crampin AC, Jahn A, Malema S, et al. Individual, household and community factors associated with HIV test refusal in rural Malawi. Trop Med Int Health. 2008;13(11):1341–50.PubMedCrossRef Kranzer K, McGrath N, Saul J, Crampin AC, Jahn A, Malema S, et al. Individual, household and community factors associated with HIV test refusal in rural Malawi. Trop Med Int Health. 2008;13(11):1341–50.PubMedCrossRef
31.
Zurück zum Zitat Beaudoin CE. HIV prevention in sub-Saharan Africa: a multilevel analysis of message frames and their social determinants. Health Promot Int. 2007;22(3):198–206.PubMedCrossRef Beaudoin CE. HIV prevention in sub-Saharan Africa: a multilevel analysis of message frames and their social determinants. Health Promot Int. 2007;22(3):198–206.PubMedCrossRef
32.
Zurück zum Zitat Gabrysch S, Edwards T, Glynn JR. The role of context: neighbourhood characteristics strongly influence HIV risk in young women in Ndola, Zambia. Trop Med Int Health. 2008;13(2):162–70.PubMedCrossRef Gabrysch S, Edwards T, Glynn JR. The role of context: neighbourhood characteristics strongly influence HIV risk in young women in Ndola, Zambia. Trop Med Int Health. 2008;13(2):162–70.PubMedCrossRef
33.
Zurück zum Zitat Msisha WM, Kapiga SH, Earls FJ, Subramanian SV. Place matters: multilevel investigation of HIV distribution in Tanzania. AIDS. 2008;22(6):741–8.PubMedCrossRef Msisha WM, Kapiga SH, Earls FJ, Subramanian SV. Place matters: multilevel investigation of HIV distribution in Tanzania. AIDS. 2008;22(6):741–8.PubMedCrossRef
34.
Zurück zum Zitat Johns MM, Bauermeister JA, Zimmerman MA. Individual and neighborhood correlates of HIV testing among african american youth transitioning from adolescence into young adulthood. AIDS Educ Prev. 2010;22(6):509–22.PubMedCrossRef Johns MM, Bauermeister JA, Zimmerman MA. Individual and neighborhood correlates of HIV testing among african american youth transitioning from adolescence into young adulthood. AIDS Educ Prev. 2010;22(6):509–22.PubMedCrossRef
35.
Zurück zum Zitat Babalola S. Readiness for HIV testing among young people in northern Nigeria: the roles of social norm and perceived stigma. AIDS Behav. 2007;11(5):759–69.PubMedCrossRef Babalola S. Readiness for HIV testing among young people in northern Nigeria: the roles of social norm and perceived stigma. AIDS Behav. 2007;11(5):759–69.PubMedCrossRef
36.
Zurück zum Zitat Guo G, Zhao H. Multilevel modeling for binary data. Annual Review of Sociology. 2000;26:441–62.CrossRef Guo G, Zhao H. Multilevel modeling for binary data. Annual Review of Sociology. 2000;26:441–62.CrossRef
37.
Zurück zum Zitat Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001;55:111–22.PubMedCrossRef Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001;55:111–22.PubMedCrossRef
38.
Zurück zum Zitat Wyrod R. Masculinity and the persistence of AIDS stigma. Cult Health Sex. 2011;13(4):443–56.PubMedCrossRef Wyrod R. Masculinity and the persistence of AIDS stigma. Cult Health Sex. 2011;13(4):443–56.PubMedCrossRef
39.
Zurück zum Zitat Townsend L, Jewkes R, Mathews C, Johnston LG, Flisher AJ, Zembe Y, et al. HIV risk behaviours and their relationship to intimate partner violence (IPV) among men who have multiple female sexual partners in Cape Town, South Africa. AIDS Behav. 2011;15(1):132–41.PubMedCrossRef Townsend L, Jewkes R, Mathews C, Johnston LG, Flisher AJ, Zembe Y, et al. HIV risk behaviours and their relationship to intimate partner violence (IPV) among men who have multiple female sexual partners in Cape Town, South Africa. AIDS Behav. 2011;15(1):132–41.PubMedCrossRef
40.
Zurück zum Zitat Parkhurst JO. Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries. Bull World Health Organ. 2010;88(7):519–26.PubMedCrossRef Parkhurst JO. Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries. Bull World Health Organ. 2010;88(7):519–26.PubMedCrossRef
41.
Zurück zum Zitat Greig FE, Koopman C. Multilevel analysis of women’s empowerment and HIV prevention: quantitative survey. Results from a preliminary study in Botswana. AIDS Behav. 2003;7(2):195–208.PubMedCrossRef Greig FE, Koopman C. Multilevel analysis of women’s empowerment and HIV prevention: quantitative survey. Results from a preliminary study in Botswana. AIDS Behav. 2003;7(2):195–208.PubMedCrossRef
42.
Zurück zum Zitat Iyaniwura CA, Oloyede O. HIV testing among youths in a Nigerian local population. West Afr J Med. 2006;25(1):27–31. Iyaniwura CA, Oloyede O. HIV testing among youths in a Nigerian local population. West Afr J Med. 2006;25(1):27–31.
43.
Zurück zum Zitat Sarna A, Chersich M, Okal J, Luchters SM, Mandaliya KN, Rutenberg N, et al. Changes in sexual risk taking with antiretroviral treatment: influence of context and gender norms in Mombasa, Kenya. Cult Health Sex. 2009;11(8):783–97.PubMedCrossRef Sarna A, Chersich M, Okal J, Luchters SM, Mandaliya KN, Rutenberg N, et al. Changes in sexual risk taking with antiretroviral treatment: influence of context and gender norms in Mombasa, Kenya. Cult Health Sex. 2009;11(8):783–97.PubMedCrossRef
Metadaten
Titel
Community Influences on Married Men’s Uptake of HIV Testing in Eight African Countries
verfasst von
Rob Stephenson
K. Miriam Elfstrom
Amy Winter
Publikationsdatum
01.09.2013
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 7/2013
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0223-0

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