Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural UgandaReportar como inadecuado




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BMC Public Health

, 15:1171

First Online: 24 November 2015Received: 18 February 2015Accepted: 18 November 2015DOI: 10.1186-s12889-015-2526-3

Cite this article as: Muhindo, R., Nakalega, A. & Nankumbi, J. BMC Public Health 2015 15: 1171. doi:10.1186-s12889-015-2526-3

Abstract

BackgroundStudies have shown that couple HIV counseling and testing CHCT increased rates of sero-status disclosure and adoption of safer sexual behaviors with better linkage to treatment and care. However, current evidence suggests that new HIV infections are occurring among heterosexual couples in stable relationships where the majority of the individuals are not aware of their partner’s serostatus. This study examined the predictors of CHCT uptake among married or cohabiting couples of Bukomero sub-county Kiboga district in Uganda.

MethodsThis cross-sectional correlational study was conducted among 323 individuals who were either married or cohabiting, aged 18–49 years. Participants were enrolled from randomly selected households in Bukomero sub-county. Data were collected using an interviewer-administered questionnaire on socio-demographics, self-rating on awareness of CHCT benefits, couple discussion about HIV testing and CHCT practices. Couples were compared between those who had reported to have tested as a couple and those who had not. Binary logistic regression was performed to determine the adjusted odds ratio aOR and 95 % confidence intervals CI for CHCT uptake and the other independent variables.

ResultsOf the participants 288 89.2 % reported to have ever taken an HIV test only 99 34.4 % did so as a couple. The predictors of testing for HIV as a couple were discussing CHCT with the partner adjusted odds ratio 4.95aOR, 95 % confidence interval CI:1.99–12.98; p < 0.001, awareness of CHCT benefits aOR 3.23; 95 % CI 1.78–5.87; p < 0.001 and having time to test as a couple aOR 2.61; 95 % CI 1.22–5.61; p <0.05.

ConclusionUptake of HIV counseling and testing among couples was low. Discussing CHCT with partner, awareness of CHCT benefits, and availability of time to test as a couple were predictive of CHCT uptake. Thus CHCT campaigns should emphasize communication and discussion of HIV counseling and testing among partners.

KeywordsPredictors Couple HIV Counseling and Testing Rural Uganda AbbreviationsAICAids Information Center

AIDSAcquired Immune Deficiency Syndrome

CHCTCouple HIV Counseling and Testing

CVCTCouple Voluntary Counseling and Testing

HCTHIV Counseling and Testing

HIVHuman Immunodeficiency Virus

MOHMinistry 0f Health

MSMMen who have sex with Men

PMTCTPrevention of Mother –to- Child Transmission

UAISUganda Aids Indicator Survey

UNAIDSThe Joint United Nations Programme on HIV-AIDS

UNGASSUnited Nations General Assembly Special Session on HIV-AIDS

VCTVoluntary Counseling and Testing

VHCTVoluntary HIV Counseling and Testing

WHOWorld Health Organization.

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Autor: Richard Muhindo - Annet Nakalega - Joyce Nankumbi

Fuente: https://link.springer.com/







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