Unawareness of HIV infection among men aged 15–59 years in 13 sub-Saharan African countries: Findings from the Population-based HIV Impact Assessments, 2015–2019

West, CA; Chang, GC; Currie, DW; Bray, R; Kinchen, S; Behel, S; McCullough-Sanden, R; Low, A; Bissek, A; Shang, J; Ndongmo, CB; Dokubo, EK; Balachandra, S; Lobognon, LR; Dube, L; Nuwagaba-Biribonwoha, H; Li, M; Pasipamire, M; Getaneh, Y; Lulseged, S; Frehywot, E; Kingwara, L; Zielinski-Gutierrez, E; Tlhomola, M; Ramphalla, P; Kalua, T; Auld, AF; Williams, DN; Remera, E; Rwibasira, GN; Mugisha, V; Malamba, SS; Mushi, J; Jalloh, MF; Mgomella, GS; Kirungi, WL; Biraro, S; Awor, A; Barradas, DT; Mugurungi, O; Rogers, JH; Bronson, M; Bodika, SM; Ajiboye, A; Gaffga, N; Moore, C; Patel, HK; Voetsch, AC

doi:10.1097/QAI.0000000000002708

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Unawareness of HIV infection among men aged 15–59 years in 13 sub-Saharan African countries: Findings from the Population-based HIV Impact Assessments, 2015–2019

8 01 2021
By West, CA ; Chang, GC ; Currie, DW ; ...
http://dx.doi.org/10.1097/QAI.0000000000002708
Source: J Acquir Immune Defic Syndr. 87(Suppl 1):S97-S106

[PDF-472.48 KB]

English

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Details:

Alternative Title:

J Acquir Immune Defic Syndr
Personal Author:

West, CA ; Chang, GC ; Currie, DW ; Bray, R ; Kinchen, S ; ... More +

West, CA ; Chang, GC ; Currie, DW ; Bray, R ; Kinchen, S ; Behel, S ; McCullough-Sanden, R ; Low, A ; Bissek, A ; Shang, J ; Ndongmo, CB ; Dokubo, EK ; Balachandra, S ; Lobognon, LR ; Dube, L ; Nuwagaba-Biribonwoha, H ; Li, M ; Pasipamire, M ; Getaneh, Y ; Lulseged, S ; Frehywot, E ; Kingwara, L ; Zielinski-Gutierrez, E ; Tlhomola, M ; Ramphalla, P ; Kalua, T ; Auld, AF ; Williams, DN ; Remera, E ; Rwibasira, GN ; Mugisha, V ; Malamba, SS ; Mushi, J ; Jalloh, MF ; Mgomella, GS ; Kirungi, WL ; Biraro, S ; Awor, A ; Barradas, DT ; Mugurungi, O ; Rogers, JH ; Bronson, M ; Bodika, SM ; Ajiboye, A ; Gaffga, N ; Moore, C ; Patel, HK ; Voetsch, AC Less -
Description:

Background:

Identifying men living with HIV in sub-Saharan (SSA) Africa is critical to end the epidemic. We describe the underlying factors of unawareness among men 15–59 years of age who ever tested for HIV in 13 SSA countries.

Methods:

Using pooled data from nationally representative Population-based HIV Impact Assessments, we fit a log-binomial regression model to identify characteristics related to HIV positivity among HIV+ unaware and HIV negative men ever tested for HIV.

Results:

A total of 114,776 men interviewed and tested for HIV; 4.4% were HIV+. Of those, 33.7% were unaware of their HIV+ status, (range: 20.2%−58.7%, in Rwanda and Cote d’Ivoire respectively). Most unaware men reported they had ever received an HIV test (63.0%). Age, region, marital status, and education were significantly associated with HIV positivity. Men who had positive sexual partners (adjusted prevalence ratio [aPR]: 5.73; confidence interval [95% CI]: 4.13–7.95) or sexual partners with unknown HIV status (aPR: 2.32; 95% CI:1.89–2.84) were more likely to be HIV + unaware, as were men who tested more than 12 months compared to HIV negative men who tested within 12 months prior to the interview (aPR: 1.58; 95% CI:1.31–1.91). Tuberculosis diagnosis and not being circumcised were also associated with HIV positivity.

Conclusion:

Targeting subgroups of men at risk for infection who once tested negative could improve yield of testing programs. Interventions include, improving partner testing, frequency of testing, outreach and educational strategies, and availability of HIV testing where men are accessing routine health services.
Subjects:

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Adolescent Adult Africa South Of The Sahara Epidemiological Monitoring Health Knowledge, Attitudes, Practice Health Surveys HIV-1 HIV Infections Humans Male Middle Aged Young Adult
Keywords:

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Chlorination HIV Household Survey HIV Positivity HIV Testing HIV Unawareness Household Water Treatment JAIDS MLHIV PHIA PHIA Special Issue Safe Water Storage
Source:

J Acquir Immune Defic Syndr. 87(Suppl 1):S97-S106
Pubmed ID:

34166316
Pubmed Central ID:

PMC8711576
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U2G GH001226/GH/CGH CDC HHSUnited States/

CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U2G GH001226/GH/CGH CDC HHSUnited States/ Less -
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:47b71e7f43f0794f0c36ba956cbccf8bd554d4e27cbcf21be0bae66225d58e59
Download URL:

https://stacks.cdc.gov/view/cdc/112961/cdc_112961_DS1.pdf
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