Client characteristics and HIV risk associated with repeat HIV testing among women in Ethiopia

Heather Bradley, Amy Ong Tsui, Aklilu Kidanu, Duff G Gillespie

Research output: Contribution to journalArticle

Abstract

In Ethiopia, the number of HIV tests administered doubled from 2007 to 2008. However, very little is known about the number of clients testing repeatedly in one year, or their motivations for doing so. We examine repeat HIV testing among 2,027 Ethiopian women attending eight VCT facilities in 2008. Multivariate logistic regression was used to examine associations between repeat HIV testing and demographic, behavioral, and psychosocial characteristics, as well as HIV status. Nearly 40% of clients had tested previously for HIV. Women with high sexual risk are nearly four times more likely than those with no sexual risk to have tested previously, but HIV prevalence was lower among repeat testers (6.5%) than first-time testers (8.5%). Moderate perceived vulnerability, or feeling powerless to prevent HIV infection, is associated with a 50% increased likelihood of being a repeat tester. High perceived behavioral risk is associated with a 40% reduction in the likelihood a woman is testing for at least the second time. Costs associated with repeat testing should be balanced against identification of new HIV cases and prevention benefits.

Original languageEnglish (US)
Pages (from-to)725-733
Number of pages9
JournalAIDS and Behavior
Volume15
Issue number4
DOIs
StatePublished - May 2011

Fingerprint

Ethiopia
HIV
HIV Infections
Motivation
Emotions
Logistic Models
Demography
Costs and Cost Analysis

Keywords

  • Ethiopia
  • Perceived risk
  • Repeat testing
  • Voluntary HIV counseling and testing

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Client characteristics and HIV risk associated with repeat HIV testing among women in Ethiopia. / Bradley, Heather; Tsui, Amy Ong; Kidanu, Aklilu; Gillespie, Duff G.

In: AIDS and Behavior, Vol. 15, No. 4, 05.2011, p. 725-733.

Research output: Contribution to journalArticle

@article{fb5be09cd3a14a778be552047d1f92cf,
title = "Client characteristics and HIV risk associated with repeat HIV testing among women in Ethiopia",
abstract = "In Ethiopia, the number of HIV tests administered doubled from 2007 to 2008. However, very little is known about the number of clients testing repeatedly in one year, or their motivations for doing so. We examine repeat HIV testing among 2,027 Ethiopian women attending eight VCT facilities in 2008. Multivariate logistic regression was used to examine associations between repeat HIV testing and demographic, behavioral, and psychosocial characteristics, as well as HIV status. Nearly 40{\%} of clients had tested previously for HIV. Women with high sexual risk are nearly four times more likely than those with no sexual risk to have tested previously, but HIV prevalence was lower among repeat testers (6.5{\%}) than first-time testers (8.5{\%}). Moderate perceived vulnerability, or feeling powerless to prevent HIV infection, is associated with a 50{\%} increased likelihood of being a repeat tester. High perceived behavioral risk is associated with a 40{\%} reduction in the likelihood a woman is testing for at least the second time. Costs associated with repeat testing should be balanced against identification of new HIV cases and prevention benefits.",
keywords = "Ethiopia, Perceived risk, Repeat testing, Voluntary HIV counseling and testing",
author = "Heather Bradley and Tsui, {Amy Ong} and Aklilu Kidanu and Gillespie, {Duff G}",
year = "2011",
month = "5",
doi = "10.1007/s10461-010-9765-1",
language = "English (US)",
volume = "15",
pages = "725--733",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Client characteristics and HIV risk associated with repeat HIV testing among women in Ethiopia

AU - Bradley, Heather

AU - Tsui, Amy Ong

AU - Kidanu, Aklilu

AU - Gillespie, Duff G

PY - 2011/5

Y1 - 2011/5

N2 - In Ethiopia, the number of HIV tests administered doubled from 2007 to 2008. However, very little is known about the number of clients testing repeatedly in one year, or their motivations for doing so. We examine repeat HIV testing among 2,027 Ethiopian women attending eight VCT facilities in 2008. Multivariate logistic regression was used to examine associations between repeat HIV testing and demographic, behavioral, and psychosocial characteristics, as well as HIV status. Nearly 40% of clients had tested previously for HIV. Women with high sexual risk are nearly four times more likely than those with no sexual risk to have tested previously, but HIV prevalence was lower among repeat testers (6.5%) than first-time testers (8.5%). Moderate perceived vulnerability, or feeling powerless to prevent HIV infection, is associated with a 50% increased likelihood of being a repeat tester. High perceived behavioral risk is associated with a 40% reduction in the likelihood a woman is testing for at least the second time. Costs associated with repeat testing should be balanced against identification of new HIV cases and prevention benefits.

AB - In Ethiopia, the number of HIV tests administered doubled from 2007 to 2008. However, very little is known about the number of clients testing repeatedly in one year, or their motivations for doing so. We examine repeat HIV testing among 2,027 Ethiopian women attending eight VCT facilities in 2008. Multivariate logistic regression was used to examine associations between repeat HIV testing and demographic, behavioral, and psychosocial characteristics, as well as HIV status. Nearly 40% of clients had tested previously for HIV. Women with high sexual risk are nearly four times more likely than those with no sexual risk to have tested previously, but HIV prevalence was lower among repeat testers (6.5%) than first-time testers (8.5%). Moderate perceived vulnerability, or feeling powerless to prevent HIV infection, is associated with a 50% increased likelihood of being a repeat tester. High perceived behavioral risk is associated with a 40% reduction in the likelihood a woman is testing for at least the second time. Costs associated with repeat testing should be balanced against identification of new HIV cases and prevention benefits.

KW - Ethiopia

KW - Perceived risk

KW - Repeat testing

KW - Voluntary HIV counseling and testing

UR - http://www.scopus.com/inward/record.url?scp=79959970379&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959970379&partnerID=8YFLogxK

U2 - 10.1007/s10461-010-9765-1

DO - 10.1007/s10461-010-9765-1

M3 - Article

VL - 15

SP - 725

EP - 733

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 4

ER -