Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept
© 2017 The Author(s) 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 clus...
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th-cmuir.6653943832-403782017-09-28T04:09:14Z Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept 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. Karim S. Frohlich J. Joseph P. Ngubani T. Richter L. van Rooyen H. Abler L. Maman S. Pettifor A. Bamanyisa C. Chovenye L. Kilonzo G. Hogan N. Lema F. Mbwambo J. Mrumbi K. Beyrer C. Celentano D. Genberg B. Kawichai S. Link B. Zelaya C. Carrico A. Kevany S. Khumalo-Sakutukwa G. Lane T. Mickalian J. Morfit S. Morin S. Steward W. Chariyalertsak C. Chariyalertsak S. Kawichai S. Srithanaviboonchai K. Visrutaratna S. Chingono A. Jubenkanda T. Sendah M. Machinda T. Murima O. Timbe A. Woelk G. Coates T. Fiamma A. Szekeres G. Curran K. Sadowski A. Sweat M. Singh B. Mulawa M. Donnell D. Eshleman S. Johnson-Lewis L. Laeyendecker O. Piwowar-Manning E. Fritz K. Gregowski A. Gray G. Mhlongo S. Modiba P. Robertson G. Hausler H. Hlavka Z. Hlubinka D. Kulich M. Laeyendecker O. McGrath N. McIntyre J. © 2017 The Author(s) 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). 2017-09-28T04:09:14Z 2017-09-28T04:09:14Z Journal 10907165 2-s2.0-85020295491 10.1007/s10461-017-1807-5 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85020295491&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/40378 |
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© 2017 The Author(s) 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). |
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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. Karim S. Frohlich J. Joseph P. Ngubani T. Richter L. van Rooyen H. Abler L. Maman S. Pettifor A. Bamanyisa C. Chovenye L. Kilonzo G. Hogan N. Lema F. Mbwambo J. Mrumbi K. Beyrer C. Celentano D. Genberg B. Kawichai S. Link B. Zelaya C. Carrico A. Kevany S. Khumalo-Sakutukwa G. Lane T. Mickalian J. Morfit S. Morin S. Steward W. Chariyalertsak C. Chariyalertsak S. Kawichai S. Srithanaviboonchai K. Visrutaratna S. Chingono A. Jubenkanda T. Sendah M. Machinda T. Murima O. Timbe A. Woelk G. Coates T. Fiamma A. Szekeres G. Curran K. Sadowski A. Sweat M. Singh B. Mulawa M. Donnell D. Eshleman S. Johnson-Lewis L. Laeyendecker O. Piwowar-Manning E. Fritz K. Gregowski A. Gray G. Mhlongo S. Modiba P. Robertson G. Hausler H. Hlavka Z. Hlubinka D. Kulich M. Laeyendecker O. McGrath N. McIntyre J. |
spellingShingle |
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. Karim S. Frohlich J. Joseph P. Ngubani T. Richter L. van Rooyen H. Abler L. Maman S. Pettifor A. Bamanyisa C. Chovenye L. Kilonzo G. Hogan N. Lema F. Mbwambo J. Mrumbi K. Beyrer C. Celentano D. Genberg B. Kawichai S. Link B. Zelaya C. Carrico A. Kevany S. Khumalo-Sakutukwa G. Lane T. Mickalian J. Morfit S. Morin S. Steward W. Chariyalertsak C. Chariyalertsak S. Kawichai S. Srithanaviboonchai K. Visrutaratna S. Chingono A. Jubenkanda T. Sendah M. Machinda T. Murima O. Timbe A. Woelk G. Coates T. Fiamma A. Szekeres G. Curran K. Sadowski A. Sweat M. Singh B. Mulawa M. Donnell D. Eshleman S. Johnson-Lewis L. Laeyendecker O. Piwowar-Manning E. Fritz K. Gregowski A. Gray G. Mhlongo S. Modiba P. Robertson G. Hausler H. Hlavka Z. Hlubinka D. Kulich M. Laeyendecker O. McGrath N. McIntyre J. Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept |
author_facet |
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. Karim S. Frohlich J. Joseph P. Ngubani T. Richter L. van Rooyen H. Abler L. Maman S. Pettifor A. Bamanyisa C. Chovenye L. Kilonzo G. Hogan N. Lema F. Mbwambo J. Mrumbi K. Beyrer C. Celentano D. Genberg B. Kawichai S. Link B. Zelaya C. Carrico A. Kevany S. Khumalo-Sakutukwa G. Lane T. Mickalian J. Morfit S. Morin S. Steward W. Chariyalertsak C. Chariyalertsak S. Kawichai S. Srithanaviboonchai K. Visrutaratna S. Chingono A. Jubenkanda T. Sendah M. Machinda T. Murima O. Timbe A. Woelk G. Coates T. Fiamma A. Szekeres G. Curran K. Sadowski A. Sweat M. Singh B. Mulawa M. Donnell D. Eshleman S. Johnson-Lewis L. Laeyendecker O. Piwowar-Manning E. Fritz K. Gregowski A. Gray G. Mhlongo S. Modiba P. Robertson G. Hausler H. Hlavka Z. Hlubinka D. Kulich M. Laeyendecker O. McGrath N. McIntyre J. |
author_sort |
Salazar-Austin N. |
title |
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept |
title_short |
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept |
title_full |
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept |
title_fullStr |
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept |
title_full_unstemmed |
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept |
title_sort |
age-related differences in socio-demographic and behavioral determinants of hiv testing and counseling in hptn 043/nimh project accept |
publishDate |
2017 |
url |
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85020295491&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/40378 |
_version_ |
1681421798703366144 |