Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini

Abstract Prior HIV testing and awareness of HIV-positive status were assessed among HIV-positive adults at 20 clinics in Eswatini. Of 2196 HIV-positive adults, 1183 (53.8%) reported no prior HIV testing, and 1948 (88.7%) were unaware of their HIV-positive status. Males [adjusted odds ratio, AOR, (95...

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Main Authors: Harriet Nuwagaba-Biribonwoha, Yingfeng Wu, Averie Baird Gachuhi, Margaret L. McNairy, Veli Madau, Mathew Lamb, Sikhathele Mazibuko, Zandile Mnisi, Sean Burke, Neena Philip, Ruben Sahabo, Wafaa M. El Sadr
Format: Article
Language:English
Published: BMC 2019-12-01
Series:AIDS Research and Therapy
Subjects:
Online Access:https://doi.org/10.1186/s12981-019-0254-y
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spelling doaj-4b9c5c39ce2543aaa8a5f4241198e3422020-12-06T12:30:32ZengBMCAIDS Research and Therapy1742-64052019-12-011611410.1186/s12981-019-0254-yLow rates of prior HIV testing among HIV-positive adults accessing outpatient services in EswatiniHarriet Nuwagaba-Biribonwoha0Yingfeng Wu1Averie Baird Gachuhi2Margaret L. McNairy3Veli Madau4Mathew Lamb5Sikhathele Mazibuko6Zandile Mnisi7Sean Burke8Neena Philip9Ruben Sahabo10Wafaa M. El Sadr11ICAP at Columbia University, Mailman School of Public HealthICAP at Columbia University, Mailman School of Public HealthICAP at Columbia University, Mailman School of Public HealthWeill Cornell Medical CollegeICAP at Columbia University, Mailman School of Public HealthDepartment of Epidemiology, Mailman School of Public HealthMinistry of HealthMinistry of HealthICAP at Columbia University, Mailman School of Public HealthICAP at Columbia University, Mailman School of Public HealthICAP at Columbia University, Mailman School of Public HealthDepartment of Epidemiology, Mailman School of Public HealthAbstract Prior HIV testing and awareness of HIV-positive status were assessed among HIV-positive adults at 20 clinics in Eswatini. Of 2196 HIV-positive adults, 1183 (53.8%) reported no prior HIV testing, and 1948 (88.7%) were unaware of their HIV-positive status. Males [adjusted odds ratio, AOR, (95% confidence interval): 0.7 (0.5–0.9)], youth 18–25 years [AOR 0.6 (0.4–0.95)], adults ≥ 50 years [AOR 0.5 (0.3–0.9)], those needing family support [AOR 0.6 (0.5–0.8)], and those living ≥ 45 min from clinic [AOR 0.5 (0.4–0.8)] were less likely to know their HIV-positive status. More HIV testing is needed to achieve 95-95-95 targets, with targeted strategies for those less likely to test for HIV.https://doi.org/10.1186/s12981-019-0254-yHIV testingAwareness of HIV statusFirst 90First 95Eswatini
collection DOAJ
language English
format Article
sources DOAJ
author Harriet Nuwagaba-Biribonwoha
Yingfeng Wu
Averie Baird Gachuhi
Margaret L. McNairy
Veli Madau
Mathew Lamb
Sikhathele Mazibuko
Zandile Mnisi
Sean Burke
Neena Philip
Ruben Sahabo
Wafaa M. El Sadr
spellingShingle Harriet Nuwagaba-Biribonwoha
Yingfeng Wu
Averie Baird Gachuhi
Margaret L. McNairy
Veli Madau
Mathew Lamb
Sikhathele Mazibuko
Zandile Mnisi
Sean Burke
Neena Philip
Ruben Sahabo
Wafaa M. El Sadr
Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini
AIDS Research and Therapy
HIV testing
Awareness of HIV status
First 90
First 95
Eswatini
author_facet Harriet Nuwagaba-Biribonwoha
Yingfeng Wu
Averie Baird Gachuhi
Margaret L. McNairy
Veli Madau
Mathew Lamb
Sikhathele Mazibuko
Zandile Mnisi
Sean Burke
Neena Philip
Ruben Sahabo
Wafaa M. El Sadr
author_sort Harriet Nuwagaba-Biribonwoha
title Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini
title_short Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini
title_full Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini
title_fullStr Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini
title_full_unstemmed Low rates of prior HIV testing among HIV-positive adults accessing outpatient services in Eswatini
title_sort low rates of prior hiv testing among hiv-positive adults accessing outpatient services in eswatini
publisher BMC
series AIDS Research and Therapy
issn 1742-6405
publishDate 2019-12-01
description Abstract Prior HIV testing and awareness of HIV-positive status were assessed among HIV-positive adults at 20 clinics in Eswatini. Of 2196 HIV-positive adults, 1183 (53.8%) reported no prior HIV testing, and 1948 (88.7%) were unaware of their HIV-positive status. Males [adjusted odds ratio, AOR, (95% confidence interval): 0.7 (0.5–0.9)], youth 18–25 years [AOR 0.6 (0.4–0.95)], adults ≥ 50 years [AOR 0.5 (0.3–0.9)], those needing family support [AOR 0.6 (0.5–0.8)], and those living ≥ 45 min from clinic [AOR 0.5 (0.4–0.8)] were less likely to know their HIV-positive status. More HIV testing is needed to achieve 95-95-95 targets, with targeted strategies for those less likely to test for HIV.
topic HIV testing
Awareness of HIV status
First 90
First 95
Eswatini
url https://doi.org/10.1186/s12981-019-0254-y
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