Correlates of Undiagnosed HIV Infection and Retesting Among Voluntary HIV Testing Clients at Mildmay Clinic, Uganda

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Hakim, Avi J. ; Mukasa, Barbara ; Hundley, Lee ; Odiit, Mary ; Ogwal, Moses ; Sendagala, Samuel ; Karamagi, Yvonne ; Sande, Enos ; Hladik, Wolfgang
• Description:
  Increasing HIV diagnosis is important for combatting HIV. We invited individuals aged ≥ 13 years seeking voluntary HIV testing at Mildmay Clinic in Uganda to undertake a computer or audio-computer-assisted self-interview to facilitate post-test counseling. We evaluated first-visit data from 12,233 consenting individuals between January 2011 and October 2013. HIV prevalence was 39.0%. Of those with HIV, 37.2% already knew they were infected. Undiagnosed infection was associated with not being single, screening positive for depression (aOR 1.16, 95% CI 1.04-1.28), and screening for harmful drinking behavior (aOR 1.23, 95% CI 1.10-1.39). The odds of retesting subsequent to HIV diagnosis were lower for males (aOR 0.80, 95% CI 0.70-0.92) and those screening positive for harmful drinking behavior (aOR 0.77, 95% CI 0.66-0.88). Retesting was also associated with higher education and perceived social status below 'better off'. Our findings reiterate the value of population-based HIV surveys to provide estimates of testing coverage.
• Subjects:
  Adolescent Adult Ambulatory Care Facilities Article Counseling Cross-Sectional Studies Female HIV Infections HIV Retesting HIV Testing Humans Male Mass Screening Prevalence Self-interview Serologic Tests Surveys And Questionnaires Uganda Undiagnosed HIV

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• Source:
  AIDS Behav. 23(4):820-834
• Pubmed ID:
  30255386
• Pubmed Central ID:
  PMC6585440
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States ; U2G PS000971/PS/NCHHSTP CDC HHS/United States ; 5U2GPS000971/U.S. President's Emergency Plan for AIDS Relief/
• Volume:
  23
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1a9430c2c9a48b3679b177c03f29fbb8da06f9690ad6a66d5aaa860dfb3b5070
• Download URL:
  https://stacks.cdc.gov/view/cdc/79259/cdc_79259_DS1.pdf
• File Type:
  [PDF - 191.32 KB ]