Skip to main content
Top
Published in: BMC Public Health 1/2007

Open Access 01-12-2007 | Research article

Response rates for providing a blood specimen for HIV testing in a population-based survey of young adults in Zimbabwe

Authors: AD McNaghten, Joan M Herold, Hazel M Dube, Michael E St Louis

Published in: BMC Public Health | Issue 1/2007

Login to get access

Abstract

Background

To determine differences among persons who provided blood specimens for HIV testing compared with those who did not among those interviewed for the population-based Zimbabwe Young Adult Survey (YAS).

Methods

Chi-square analysis of weighted data to compare demographic and behavioral data of persons interviewed who provided specimens for anonymous testing with those who did not. Prevalence estimation to determine the impact if persons not providing specimens had higher prevalence rates than those who did.

Results

Comparing those who provided specimens with those who did not, there was no significant difference by age, residence, education, marital status, perceived risk, sexual experience or number of sex partners for women. A significant difference by sexual experience was found for men. Prevalence estimates did not change substantially when prevalence was assumed to be two times higher for persons not providing specimens.

Conclusion

When comparing persons who provided specimens for HIV testing with those who did not, few significant differences were found. If those who did not provide specimens had prevalence rates twice that of those who did, overall prevalence would not be substantially affected. Refusal to provide blood specimens does not appear to have contributed to an underestimation of HIV prevalence.
Appendix
Available only for authorised users
Literature
1.
go back to reference Buvé A, Lagarde E, Carael M, Rutenberg N, Ferry B, Glynn JR, et al: Interpreting Sexual Behaviour Data: validity issues in the multicentre study on factors determining the differential spread of HIV in four African cities. AIDS. 2001, 15 (Suppl 4): S117-126. 10.1097/00002030-200108004-00013.CrossRefPubMed Buvé A, Lagarde E, Carael M, Rutenberg N, Ferry B, Glynn JR, et al: Interpreting Sexual Behaviour Data: validity issues in the multicentre study on factors determining the differential spread of HIV in four African cities. AIDS. 2001, 15 (Suppl 4): S117-126. 10.1097/00002030-200108004-00013.CrossRefPubMed
2.
go back to reference Ministry of Health and Child Welfare: The Zimbabwe Young Adult Survey 2001–2002. Zimbabwe. 2004 Ministry of Health and Child Welfare: The Zimbabwe Young Adult Survey 2001–2002. Zimbabwe. 2004
3.
go back to reference Boerma JT, Ghys PD, Walker N: Estimates of HIV-1 prevalence from national population-based surveys as a new gold standard. Lancet. 2003, 362: 1929-31. 10.1016/S0140-6736(03)14967-7.CrossRefPubMed Boerma JT, Ghys PD, Walker N: Estimates of HIV-1 prevalence from national population-based surveys as a new gold standard. Lancet. 2003, 362: 1929-31. 10.1016/S0140-6736(03)14967-7.CrossRefPubMed
4.
go back to reference Garcia-Calleja JM, Gous E, Ghys PD: National population based HIV prevalence surveys in sub-Saharan Africa: results and implications for HIV and AIDS estimates. Sex Transm Infect. 2006, 82 (Suppl 3): iii64-70. 10.1136/sti.2006.019901.PubMedPubMedCentral Garcia-Calleja JM, Gous E, Ghys PD: National population based HIV prevalence surveys in sub-Saharan Africa: results and implications for HIV and AIDS estimates. Sex Transm Infect. 2006, 82 (Suppl 3): iii64-70. 10.1136/sti.2006.019901.PubMedPubMedCentral
5.
go back to reference Gregson S, Mason PR, Garnett GP, Zhuwau T, Nyamukapa CA, Anerson RM, et al: A rural HIV epidemic in Zimbabwe? Findings from a population-based survey. Int J STD AIDS. 2001, 12 (3): 189-196. 10.1258/0956462011917009.CrossRefPubMed Gregson S, Mason PR, Garnett GP, Zhuwau T, Nyamukapa CA, Anerson RM, et al: A rural HIV epidemic in Zimbabwe? Findings from a population-based survey. Int J STD AIDS. 2001, 12 (3): 189-196. 10.1258/0956462011917009.CrossRefPubMed
6.
go back to reference Lydie N, Robinson NJ, Ferry B, Akam E, De Loenzien M, Abega S, Study Group on Heterogeneity of HIV Epidemics in African Cities: Mobility, sexual behavior, and HIV infection in an urban population in Cameroon. J Acquir Immune Defic Syndr. 2004, 35 (1): 67-74. 10.1097/00126334-200401010-00010.CrossRefPubMed Lydie N, Robinson NJ, Ferry B, Akam E, De Loenzien M, Abega S, Study Group on Heterogeneity of HIV Epidemics in African Cities: Mobility, sexual behavior, and HIV infection in an urban population in Cameroon. J Acquir Immune Defic Syndr. 2004, 35 (1): 67-74. 10.1097/00126334-200401010-00010.CrossRefPubMed
7.
go back to reference Ministry of Health and Child Welfare: National Survey of HIV and Syphilis Prevalence Among Women Attending Antenatal Clinics in Zimbabwe, 2002. Zimbabwe. 2004 Ministry of Health and Child Welfare: National Survey of HIV and Syphilis Prevalence Among Women Attending Antenatal Clinics in Zimbabwe, 2002. Zimbabwe. 2004
8.
go back to reference Zaba B, Gregson S: Measuring the impact of HIV on fertility in Africa. AIDS. 1998, 12 (Suppl 1): S41-50.PubMed Zaba B, Gregson S: Measuring the impact of HIV on fertility in Africa. AIDS. 1998, 12 (Suppl 1): S41-50.PubMed
9.
go back to reference UNAIDS: Report on the UNAIDS Epidemiology Reference Group Meeting, Rome, October 8–10, 2000. Oxford. 2000 UNAIDS: Report on the UNAIDS Epidemiology Reference Group Meeting, Rome, October 8–10, 2000. Oxford. 2000
10.
go back to reference Gregson S, Garnett GP: Contrasting gender differentials in HIV-1 prevalence and associated mortality increase in eastern and southern Africa: artifact of data or natural course of epidemics?. AIDS. 2000, 14 (Suppl 3): S85-99.PubMed Gregson S, Garnett GP: Contrasting gender differentials in HIV-1 prevalence and associated mortality increase in eastern and southern Africa: artifact of data or natural course of epidemics?. AIDS. 2000, 14 (Suppl 3): S85-99.PubMed
11.
go back to reference Central Statistical Office [Zimbabwe] and Macro International Inc: Zimbabwe Demographic and Health Survey 1999. Calverton, Maryland. 2000 Central Statistical Office [Zimbabwe] and Macro International Inc: Zimbabwe Demographic and Health Survey 1999. Calverton, Maryland. 2000
Metadata
Title
Response rates for providing a blood specimen for HIV testing in a population-based survey of young adults in Zimbabwe
Authors
AD McNaghten
Joan M Herold
Hazel M Dube
Michael E St Louis
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2007
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-7-145

Other articles of this Issue 1/2007

BMC Public Health 1/2007 Go to the issue