Factors Associated with Ever Being HIV-Tested in Zimbabwe: An Extended Analysis of the Zimbabwe Demographic and Health Survey (2010–2011)

Details

• Alternative Title:
  PLoS One
• Personal Author:
  Takarinda, Kudakwashe Collin ; Madyira, Lydia Kudakwashe ; Mhangara, Mutsa ; Makaza, Victor ; Maphosa-Mutsaka, Memory ; Rusakaniko, Simbarashe ; Kilmarx, Peter H. ; Mutasa-Apollo, Tsitsi ; Ncube, Getrude ; Harries, Anthony David
• Description:
  Introduction
  
  Zimbabwe has a high human immunodeficiency virus (HIV) burden. It is therefore important to scale up HIV-testing and counseling (HTC) as a gateway to HIV prevention, treatment and care.
  
  Objective
  
  To determine factors associated with being HIV-tested among adult men and women in Zimbabwe.
  
  Methods
  
  Secondary analysis was done using data from 7,313 women and 6,584 men who completed interviewer-administered questionnaires and provided blood specimens for HIV testing during the Zimbabwe Demographic and Health Survey (ZDHS) 2010–11. Factors associated with ever being HIV-tested were determined using multivariate logistic regression.
  
  Results
  
  HIV-testing was higher among women compared to men (61% versus 39%). HIV-infected respondents were more likely to be tested compared to those who were HIV-negative for both men [adjusted odds ratio (AOR) = 1.53; 95% confidence interval (CI) (1.27–1.84)] and women [AOR = 1.42; 95% CI (1.20–1.69)]. However, only 55% and 74% of these HIV-infected men and women respectively had ever been tested. Among women, visiting antenatal care (ANC) [AOR = 5.48, 95% CI (4.08–7.36)] was the most significant predictor of being tested whilst a novel finding for men was higher odds of testing among those reporting a sexually transmitted infection (STI) in the past 12 months [AOR = 1.86, 95%CI (1.26–2.74)]. Among men, the odds of ever being tested increased with age ≥20 years, particularly those 45–49 years [AOR = 4.21; 95% CI (2.74–6.48)] whilst for women testing was highest among those aged 25–29 years [AOR = 2.01; 95% CI (1.63–2.48)]. Other significant factors for both sexes were increasing education level, higher wealth status and currently/formerly being in union.
  
  Conclusions
  
  There remains a high proportion of undiagnosed HIV-infected persons and hence there is a need for innovative strategies aimed at increasing HIV-testing, particularly for men and in lower-income and lower-educated populations. Promotion of STI services can be an important gateway for testing more men whilst ANC still remains an important option for HIV-testing among pregnant women.
  
  
• Subjects:
  Adolescent Adult AIDS Serodiagnosis Female Health Surveys Humans Male Middle Aged Young Adult
• Source:
  PLoS One. 11(1).
• Pubmed ID:
  26808547
• Pubmed Central ID:
  PMC4726692
• Document Type:
  Journal Article
• Name as Subject:
  United States. President's Emergency Plan For AIDS Relief (PEPFAR)
• Place as Subject:
  Zimbabwe
• Volume:
  11
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:9c6df10dcbc3312fdfeef8dac475f54e364194ff0340ab37fc8b530ed64725b2f1d2917ff9c46a53b5a35981b8bc90e6322fbbcf8ceb27fbb536d0e05a8c3956
• Download URL:
  https://stacks.cdc.gov/view/cdc/38138/cdc_38138_DS1.pdf
• File Type:
  [PDF - 267.36 KB ]