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Title: Age-Related Differences in Socio-demographic and Behavioral Determinants of HIV Testing and Counseling in HPTN 043/NIMH Project Accept
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
Keywords: Medicine
Issue Date: 1-Feb-2018
Abstract: © 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).
ISSN: 15733254
Appears in Collections:CMUL: Journal Articles

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