Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept

• Main Authors: N. Salazar-Austin, M. Kulich, A. Chingono, S. Chariyalertsak, K. Srithanaviboonchai, G. Gray, L. Richter, H. van Rooyen, S. Morin, M. Sweat, J. Mbwambo, G. Szekeres, T. Coates, D. Celentano, Salim Abdool Karim, Janet Frohlich, Philip Joseph, Thulani Ngubani, Laurie Abler, Suzanne Maman, Audrey Pettifor, Christopher Bamanyisa, Lillianne Chovenye, G. P. Kilonzo, Nora Margaret Hogan, Florence P. Lema, Jessie K.K. Mbwambo, Khalifa M. Mrumbi, Chris Beyrer, Becky Genberg, Surinda Kawichai, Benjamin Link, Carla E. Zelaya, Adam W. Carrico, Sebastian Kevany, Gertrude Khumalo-Sakutukwa, Tim Lane, Joanne Mickalian, Simon Morfit, Stephen F. Morin, Wayne Steward, Chonlisa Chariyalertsak, Surasing Visrutaratna, Tendayi Jubenkanda, Memory Sendah, Tserayi Machinda, Oliver Murima, Andrew Timbe, Godfrey Woelk, Agnes Fiamma, Andrew M. Sadowski, Basant Singh, Marta I. Mulawa, Deborah Donnell, Susan H. Eshleman, Le Tanya Johnson-Lewis, Oliver Laeyendecker, Estelle Piwowar-Manning, Katherine Fritz, Amy Gregowski, Sakhile Mhlongo, Precious Modiba, Gavin Robertson, Harry Hausler, Zdenek Hlavka, Daniel Hlubinka, Nuala McGrath, James McIntyre
• Format: Journal
• Published: 2018
• Subjects: Medicine; Psychology
• Online Access: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85020295491&origin=inward; http://cmuir.cmu.ac.th/jspui/handle/6653943832/59002
• Institution: Chiang Mai University

© 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).