Keith Muloongo1, Ndumiso Tshuma1, Lucy Chimoyi2, Geoffrey Setswe3, Bismark Sarfo4, Peter Nyasulu5. 1. Community AIDS Response, Norwood, Johannesburg, South Africa. 2. Wits Reproductive Health and HIV Research Institute (WHRI), Hillbrow, Johannesburg, South Africa. 3. HIV/AIDS, STI and TB (HAST) Research Program, Human Sciences Research Council Pretoria, South Africa. 4. Department of Epidemiology and Disease Control, School of Public Health, University of Ghana, Legon-Accra, Ghana. 5. School of Public Health, University of the Witwatersrand, Johannesburg, South Africa School of Health Sciences, Monash University, Ruimsig, Johannesburg, South Africa peter.nyasulu@monash.edu.
Abstract
BACKGROUND: The study aimed to determine factors contributing to the acceptability of home-based HIV counselling and testing (HBHCT) among commuters in Johannesburg inner city. METHODS: Simple random sampling was used to select participants in a venue based intercept survey at Noord Street taxi rank in Johannesburg central business district. A total of 1146 individuals were interviewed and logistic regression analysis assessed factors associated with HBHCT acceptability. RESULTS: HBHCT acceptability was 64%. Home testing was preferred as an alternative to testing at a health facility. High school education (adjusted odds ratio [aOR] 0.61, CI: 0.46-0.85), inner city residence aOR 0.70, CI: 0.52-0.94), previous HIV testing in the hospital (aOR 0.22, CI: 0.15-0.32) and at home (aOR 0.18, CI: 0.11-0.27) were significantly less likely associated with HBHCT acceptability. Being married (aOR 1.64, CI: 1.15-2.32), recent HIV testing (aOR 1.85, CI: 1.15-2.99) and having experienced negative health worker attitude (aOR 2.41, CI: 1.66-3.48) were significantly more likely associated with HBHCT acceptability. CONCLUSIONS: High acceptability of HBHCT among urban-based commuters plus factors that would deter HBHCT acceptability were identified. Further research to identify strategies to improve HBHCT acceptability among commuter populations is needed.
BACKGROUND: The study aimed to determine factors contributing to the acceptability of home-based HIV counselling and testing (HBHCT) among commuters in Johannesburg inner city. METHODS: Simple random sampling was used to select participants in a venue based intercept survey at Noord Street taxi rank in Johannesburg central business district. A total of 1146 individuals were interviewed and logistic regression analysis assessed factors associated with HBHCT acceptability. RESULTS: HBHCT acceptability was 64%. Home testing was preferred as an alternative to testing at a health facility. High school education (adjusted odds ratio [aOR] 0.61, CI: 0.46-0.85), inner city residence aOR 0.70, CI: 0.52-0.94), previous HIV testing in the hospital (aOR 0.22, CI: 0.15-0.32) and at home (aOR 0.18, CI: 0.11-0.27) were significantly less likely associated with HBHCT acceptability. Being married (aOR 1.64, CI: 1.15-2.32), recent HIV testing (aOR 1.85, CI: 1.15-2.99) and having experienced negative health worker attitude (aOR 2.41, CI: 1.66-3.48) were significantly more likely associated with HBHCT acceptability. CONCLUSIONS: High acceptability of HBHCT among urban-based commuters plus factors that would deter HBHCT acceptability were identified. Further research to identify strategies to improve HBHCT acceptability among commuter populations is needed.
Authors: Vlad Novitsky; Hermann Bussmann; Lillian Okui; Andrew Logan; Sikhulile Moyo; Erik van Widenfelt; Mompati Mmalane; Quanhong Lei; Molly P Holme; Joseph Makhema; Shahin Lockman; Victor Degruttola; M Essex Journal: J Int AIDS Soc Date: 2015-05-29 Impact factor: 5.396
Authors: Ndumiso Tshuma; Keith Muloongo; Geoffrey Setswe; Lucy Chimoyi; Bismark Sarfo; Dina Burger; Peter S Nyasulu Journal: HIV AIDS (Auckl) Date: 2014-12-30
Authors: Mélanie Plazy; Kamal El Farouki; Collins Iwuji; Nonhlanhla Okesola; Joanna Orne-Gliemann; Joseph Larmarange; France Lert; Marie-Louise Newell; François Dabis; Rosemary Dray-Spira Journal: J Int AIDS Soc Date: 2016-06-01 Impact factor: 5.396