Factors associated with HIV testing among men who have sex with men in Western Kenya: a cross-sectional study
| Autor: | John E. Sidle, Ann Mwangi, Sylvia Shangani, Davy Vanden Broeck, Ethan H. Mereish, Violet Naanyu, Andrew Obala, Don Operario, Heleen Vermandere |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Gerontology Social stigma Cross-sectional study Sexual Behavior Social Stigma HIV Infections Dermatology Logistic regression Article Odds Men who have sex with men 03 medical and health sciences 0302 clinical medicine Odds Ratio Humans Mass Screening Medicine Pharmacology (medical) 030212 general & internal medicine Homosexuality Male Socioeconomic status Mass screening 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases Odds ratio Kenya Cross-Sectional Studies Logistic Models Infectious Diseases 0305 other medical science business Attitude to Health Demography |
| Zdroj: | International Journal of STD & AIDS. 28:179-187 |
| ISSN: | 1758-1052 0956-4624 |
| DOI: | 10.1177/0956462416638967 |
| Popis: | HIV diagnosis is an important step in the HIV cascade of prevention and treatment. However, men who have sex with men in low- and middle-income countries have limited access to HIV care services. We examined factors associated with prior HIV testing among men who have sex with men in western Kenya. We recruited 95 men who have sex with men aged 18 years and older, and who reported at least one sexual contact with a man in the past 6 months; however, this analysis is restricted to 89 participants who completed questions on HIV testing. Logistic regression model was used to determine factors associated with HIV testing in the past one year. Results indicate that 23 (26%) had not been tested in the past 12 months. Bivariate analyses demonstrated that condomless anal sex (odds ratio = 3.29, 95% confidence interval = 1.18–9.17) and comfort with healthcare providers (odds ratio = 1.15, 95 % CI = 1.05–1.26) were associated with higher odds of HIV testing in the past 12 months. Experiencing social stigma was associated with lower odds of HIV testing in the last 12 months (odds ratio = 0.91, 95% confidence interval = 0.84–0.94). In multivariable models, social stigma remained significantly associated with lower odds of HIV testing in the last 12 months odds ratio = 0.90, 95% confidence interval = 0.82–0.99) after inclusion of sexual risk and individual level variables. Development of men who have sex with men–sensitive HIV-testing services, addressing stigma, and training healthcare workers to provide culturally sensitive services may assist in effectively engaging men who have sex with men in the HIV treatment cascade. |
| Databáze: | OpenAIRE |
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