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 cl...

Full description

Saved in:
Bibliographic Details
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:
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85020295491&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/59002
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-59002
record_format dspace
spelling th-cmuir.6653943832-590022018-09-05T04:40:05Z Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept 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 Medicine Psychology © 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). 2018-09-05T04:36:17Z 2018-09-05T04:36:17Z 2018-02-01 Journal 15733254 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/6653943832/59002
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
Psychology
spellingShingle Medicine
Psychology
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
Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept
description © 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).
format Journal
author 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
author_facet 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
author_sort N. Salazar-Austin
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 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85020295491&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/59002
_version_ 1681425170627035136