Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 7/2013

01-09-2013 | Original Paper

Community Influences on Married Men’s Uptake of HIV Testing in Eight African Countries

Authors: Rob Stephenson, K. Miriam Elfstrom, Amy Winter

Published in: AIDS and Behavior | Issue 7/2013

Login to get access

Abstract

Despite efforts to increase HIV testing in the African region, the proportion of men who report ever having been tested for HIV remains low. Research has focused on individual level determinants of women’s testing however little is known about factors associated with men’s testing behavior. This analysis investigates community influences on HIV testing among men ages 15–54, using Demographic and Health Survey (DHS) data from Chad, Ghana, Malawi, Nigeria, Tanzania, Uganda, Zambia, and Zimbabwe. Multilevel models were fitted in each country for the outcome of ever receiving an HIV test. After controlling for individual and household level factors, community level factors of demographics, economics, and behavior and knowledge remain significantly associated with HIV testing among men. The results of this analysis highlight the need to recognize the impact of community influences on men’s HIV test seeking behavior, and to harness these community factors in the design of programs aimed at encouraging the uptake of HIV testing among men in Africa.
Literature
1.
WHO. Towards universal access: scaling up priority HIV/AIDS interventions in the health sector, progress report 2009. Geneva, Switzerland: World Health Organization; 2009.
2.
Boxall EH, Smith N. Antenatal screening for HIV; are those who refuse testing at higher risk than those who accept testing? J Public Health (Oxf). 2004;26(3):285–7.
3.
Cartoux M, Meda N, Van de Perre P, Newell ML, de Vincenzi I, Dabis F. Acceptability of voluntary HIV testing by pregnant women in developing countries: an international survey. Ghent International Working Group on Mother-to-Child Transmission of HIV. AIDS. 1998;12(18):2489–93.PubMedCrossRef
4.
Jereni BH, Muula AS. Availability of supplies and motivations for accessing voluntary HIV counseling and testing services in Blantyre, Malawi. BMC Health Serv Res. 2008;8:17.PubMedCrossRef
5.
Smith DJ. Modern marriage, men’s extramarital sex, and HIV risk in southeastern Nigeria. Am J Public Health. 2007;97(6):997–1005.PubMedCrossRef
6.
Dunkle KL, Stephenson R, Karita E, Chomba E, Kayitenkore K, Vwalika C, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91.PubMedCrossRef
7.
Pulerwitz J, Izazola-Licea JA, Gortmaker SL. Extrarelational sex among Mexican men and their partners’ risk of HIV and other sexually transmitted diseases. Am J Public Health. 2001;91(10):1650–2.PubMedCrossRef
8.
Amaro H. Love, sex, and power. Considering women’s realities in HIV prevention. Am Psychol. 1995;50(6):437–47.PubMedCrossRef
9.
Corbett EL, Dauya E, Matambo R, Cheung YB, Makamure B, Bassett MT, et al. Uptake of workplace HIV counselling and testing: a cluster-randomised trial in Zimbabwe. PLoS Med. 2006;3(7):e238.PubMedCrossRef
10.
Mugisha E, van Rensburg GH, Potgieter E. Factors influencing utilization of voluntary counseling and testing service in Kasenyi fishing community in Uganda. J Assoc Nurses AIDS Care. 2010;21(6):503–11.
11.
Castle S. Doubting the existence of AIDS: a barrier to voluntary HIV testing and counselling in urban Mali. Health Policy Plan. 2003;18(2):146–55.PubMedCrossRef
12.
Morin SF, Khumalo-Sakutukwa G, Charlebois ED, Routh J, Fritz K, Lane T, et al. Removing barriers to knowing HIV status: same-day mobile HIV testing in Zimbabwe. J Acquir Immune Defic Syndr. 2006;41(2):218–24.PubMedCrossRef
13.
Creek TL, Ntumy R, Seipone K, Smith M, Mogodi M, Smit M, et al. Successful introduction of routine opt-out HIV testing in antenatal care in Botswana. J Acquir Immune Defic Syndr. 2007;45(1):102–7.PubMedCrossRef
14.
Rennie S, Behets F. Desperately seeking targets: the ethics of routine HIV testing in low-income countries. Bull World Health Organ. 2006;84(1):52–7.PubMedCrossRef
15.
Mbago MC. Socio-demographic correlates of desire for HIV testing in Tanzania. Sex Health. 2004;1(1):13–21.PubMedCrossRef
16.
Peltzer K, Matseke G, Mzolo T, Majaja M. Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey. BMC Public Health. 2009;9:174.PubMedCrossRef
17.
Venkatesh KK, Madiba P, De Bruyn G, Lurie MN, Coates TJ, Gray GE. Who gets tested for HIV in a South African urban township? Implications for test and treat and gender-based prevention interventions. J Acquir Immune Defic Syndr. 2011;56(2):151–65.PubMedCrossRef
18.
Ayenew A, Leykun A, Colebunders R, Deribew A. Predictors of HIV testing among patients with tuberculosis in North West Ethiopia: a case-control study. PLoS ONE. 2010;5(3):e9702.PubMedCrossRef
19.
Weiser SD, Heisler M, Leiter K. Percy-de Korte F, Tlou S, DeMonner S, et al. Routine HIV testing in Botswana: a population-based study on attitudes, practices, and human rights concerns. PLoS Med. 2006;3(7):e261.PubMedCrossRef
20.
Jewkes R, Dunkle K, Nduna M, Levin J, Jama N, Khuzwayo N, et al. Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV. Int J Epidemiol. 2006;35(6):1461–8.PubMedCrossRef
21.
Maman S, Mbwambo JK, Hogan NM, Weiss E, Kilonzo GP, Sweat MD. High rates and positive outcomes of HIV-serostatus disclosure to sexual partners: reasons for cautious optimism from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. AIDS Behav. 2003;7(4):373–82.PubMedCrossRef
22.
Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sex Transm Infect. 2003;79(6):442–7.PubMedCrossRef
23.
Obermeyer CM, Osborn M. The utilization of testing and counseling for HIV: a review of the social and behavioral evidence. Am J Public Health. 2007;97(10):1762–74.PubMedCrossRef
24.
Bwambale FM, Ssali SN, Byaruhanga S, Kalyango JN, Karamagi CA. Voluntary HIV counselling and testing among men in rural western Uganda: implications for HIV prevention. BMC Public Health. 2008;8:263.PubMedCrossRef
25.
Diez-Roux A. Investigating neighborhood and area effects on health. Am J Public Health. 2001;91(11):1783–9.PubMedCrossRef
26.
Diez-Roux AV. Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health. 1998;88(2):216–22.PubMedCrossRef
27.
Duncan C, Jones K, Moon G. Context, composition and heterogeneity: using multilevel models in health research. Soc Sci Med. 1998;46(1):97–117.PubMedCrossRef
28.
DiPrete TA, Forristal JD. Multilevel models: methods and substance. Ann Rev Sociol. 1994;20:331–57.CrossRef
29.
Hutchinson PL, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa. AIDS Educ Prev. 2007;19(6):489–510.PubMedCrossRef
30.
Kranzer K, McGrath N, Saul J, Crampin AC, Jahn A, Malema S, et al. Individual, household and community factors associated with HIV test refusal in rural Malawi. Trop Med Int Health. 2008;13(11):1341–50.PubMedCrossRef
31.
Beaudoin CE. HIV prevention in sub-Saharan Africa: a multilevel analysis of message frames and their social determinants. Health Promot Int. 2007;22(3):198–206.PubMedCrossRef
32.
Gabrysch S, Edwards T, Glynn JR. The role of context: neighbourhood characteristics strongly influence HIV risk in young women in Ndola, Zambia. Trop Med Int Health. 2008;13(2):162–70.PubMedCrossRef
33.
Msisha WM, Kapiga SH, Earls FJ, Subramanian SV. Place matters: multilevel investigation of HIV distribution in Tanzania. AIDS. 2008;22(6):741–8.PubMedCrossRef
34.
Johns MM, Bauermeister JA, Zimmerman MA. Individual and neighborhood correlates of HIV testing among african american youth transitioning from adolescence into young adulthood. AIDS Educ Prev. 2010;22(6):509–22.PubMedCrossRef
35.
Babalola S. Readiness for HIV testing among young people in northern Nigeria: the roles of social norm and perceived stigma. AIDS Behav. 2007;11(5):759–69.PubMedCrossRef
36.
Guo G, Zhao H. Multilevel modeling for binary data. Annual Review of Sociology. 2000;26:441–62.CrossRef
37.
Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001;55:111–22.PubMedCrossRef
38.
39.
Townsend L, Jewkes R, Mathews C, Johnston LG, Flisher AJ, Zembe Y, et al. HIV risk behaviours and their relationship to intimate partner violence (IPV) among men who have multiple female sexual partners in Cape Town, South Africa. AIDS Behav. 2011;15(1):132–41.PubMedCrossRef
40.
Parkhurst JO. Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries. Bull World Health Organ. 2010;88(7):519–26.PubMedCrossRef
41.
Greig FE, Koopman C. Multilevel analysis of women’s empowerment and HIV prevention: quantitative survey. Results from a preliminary study in Botswana. AIDS Behav. 2003;7(2):195–208.PubMedCrossRef
42.
Iyaniwura CA, Oloyede O. HIV testing among youths in a Nigerian local population. West Afr J Med. 2006;25(1):27–31.
43.
Sarna A, Chersich M, Okal J, Luchters SM, Mandaliya KN, Rutenberg N, et al. Changes in sexual risk taking with antiretroviral treatment: influence of context and gender norms in Mombasa, Kenya. Cult Health Sex. 2009;11(8):783–97.PubMedCrossRef
Metadata
Title
Community Influences on Married Men’s Uptake of HIV Testing in Eight African Countries
Authors
Rob Stephenson
K. Miriam Elfstrom
Amy Winter
Publication date
01-09-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0223-0

Other articles of this Issue 7/2013

AIDS and Behavior 7/2013 Go to the issue

Original Paper

Sexual Risk Behaviors among Club Drug Users in Shanghai, China: Prevalence and Correlates

Original Paper

HIV Prevalence and Risk Behaviours from Three Consecutive Surveys Among Men Who Have Multiple Female Sexual Partners in Cape Town

Original Paper

HIV Among Injection Drug Users and Their Intimate Partners in Almaty, Kazakhstan

Original Paper

Dual HIV Risk: Receptive Syringe Sharing and Unprotected Sex Among HIV-Negative Injection Drug Users in New York City

Original Research

From Coitus to Concurrency: Sexual Partnership Characteristics and Risk Behaviors of 15–19 Year Old Men Recruited from Urban Venues in Tanzania

Original Paper

A Study of Financial Incentives to Reduce Plasma HIV RNA Among Patients in Care
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits