Self-reported non-receipt of HIV test results: A silent barrier to HIV epidemic control in Mozambique
| العنوان: | Self-reported non-receipt of HIV test results: A silent barrier to HIV epidemic control in Mozambique |
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| المؤلفون: | James G. Carlucci, Wu Gong, Mohsin Sidat, Nilesh Bhatt, Troy D. Moon, Eduardo Samo Gudo, Didier Mugabe |
| المصدر: | PLoS ONE, Vol 14, Iss 10, p e0224102 (2019) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, RNA viruses, Health Knowledge, Attitudes, Practice, Epidemiology, Social Sciences, HIV Infections, Logistic regression, Pathology and Laboratory Medicine, Geographical Locations, 0302 clinical medicine, Immunodeficiency Viruses, Health care, Medicine and Health Sciences, Mass Screening, Psychology, Public and Occupational Health, 030212 general & internal medicine, Young adult, 10. No inequality, Mozambique, Geographic Areas, Language, education.field_of_study, Multidisciplinary, Geography, 4. Education, 1. No poverty, AIDS Serodiagnosis, HIV diagnosis and management, Middle Aged, Vaccination and Immunization, 3. Good health, Medical Microbiology, HIV epidemiology, Viral Pathogens, Viruses, Medicine, Female, Pathogens, 0305 other medical science, Research Article, Adult, medicine.medical_specialty, Adolescent, Science, Population, Immunology, HIV prevention, Antiretroviral Therapy, Microbiology, 03 medical and health sciences, Young Adult, Acquired immunodeficiency syndrome (AIDS), Antiviral Therapy, Retroviruses, medicine, Humans, education, Microbial Pathogens, Stereotyping, 030505 public health, business.industry, Diagnostic Tests, Routine, Public health, Lentivirus, Organisms, Cognitive Psychology, HIV, Biology and Life Sciences, Patient Acceptance of Health Care, medicine.disease, Diagnostic medicine, Rural Areas, Socioeconomic Factors, People and Places, Africa, Earth Sciences, Cognitive Science, Self Report, Preventive Medicine, Rural area, business, Malaria, Demography, Neuroscience |
| الوصف: | Introduction People living with HIV (PLHIV) and who are aware of their HIV status can access and benefit from antiretroviral therapy (ART) with subsequent individual and public health benefits; however, many PLHIV are unaware of their HIV status. We assessed the magnitude and determinants of self-reported non-receipt of HIV test results in adults aged 15–59 years old in Mozambique. Methods We performed a secondary analysis of data from the 2015 Mozambique Immunization indicators, Malaria and HIV/AIDS (IMASIDA 2015). Eligible adults (15–59 years) from each selected household were interviewed and data on sociodemographic characteristics, HIV knowledge, attitudes and behaviors, and HIV testing history were collected. Multivariable logistic regression assessed factors associated with self-reported non-receipt of HIV test results. Population representative estimates were calculated. Results 13,028 (90.8%) of 14,343 eligible participants were interviewed. A total of 6,654 (51.1%) respondents had previously been tested for HIV and were included in the analysis. Of these, 308 (4.6%; 95% CI: 3.70–5.77) self-reported not having received HIV test results. In the multivariable analysis, previous sexually transmitted infection (aOR: 2.76; 95% CI: 1.44–5.31), HIV stigmatizing attitudes (aOR: 1.96; 95% CI: 1.14–3.37), and lack of decision-making power towards health care seeking (aOR: 2.51; 95% CI: 1.39–4.52) were associated with non-receipt of HIV test results. Whereas, secondary or higher education (aOR: 0.25; 95% CI: 0.12–0.54), higher HIV knowledge (aOR: 0.47; 95% CI: 0.26–0.86), and age between 30–34 and 35–39 years old (aOR 0.47; 95% CI: 0.28–0.80; and aOR: 0.49; 95% CI: 0.27–0.90, respectively), were associated with receipt of HIV test results. Conclusions In this nationally representative survey, self-reported non-receipt of HIV test results was high and of public health relevance. These findings suggest adaptation of HIV counseling and testing programs emphasizing individualized approaches that target the youngest, least educated and the poorest individuals, especially those living in rural areas. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::04317089f4b6261faeba245e7618e261Test https://doaj.org/article/727cbe2ecdde4734ab48c8cccb8bb893Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....04317089f4b6261faeba245e7618e261 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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