Community Influences on Married Men's Uptake of HIV Testing in Eight African Countries

• Type of Material: Article
• Authors: Robert Stephenson, Emory University; K. Miriam Elfstrom, Emory University; Amy Winter, Emory University
• Language: English
• Date: 2013-09-01
• Publisher: Springer (part of Springer Nature): Springer Open Choice Hybrid Journals
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2012 Springer Science+Business Media, LLC.
• Final Published Version (URL): http://dx.doi.org/10.1007/s10461-012-0223-0
• Title of Journal or Parent Work: AIDS and Behavior
• ISSN: 1090-7165
• Volume: 17
• Issue: 7
• Start Page: 2352
• End Page: 2366
• Grant/Funding Information: This research was funded by the National Institute of Child Health and Human Development, grant number 1R03HD053226-01A1.
• Keywords: SOUTH-AFRICA; DETERMINANTS; Social Sciences; CONTEXT; WOMEN; Male HIV testing; Science & Technology; Public, Environmental & Occupational Health; Social Sciences, Biomedical; Gender; Life Sciences & Biomedicine; PREVENTION; MULTILEVEL ANALYSIS; Biomedical Social Sciences; BOTSWANA; Community; RISK; Contextual influences; SEX; STIGMA
• Research Categories: Health Sciences, Public Health

Abstract

Despite efforts to increase HIV testing in the African region, the proportion of men who report ever having been tested for HIV remains low. Research has focused on individual level determinants of women's testing however little is known about factors associated with men's testing behavior. This analysis investigates community influences on HIV testing among men ages 15-54, using Demographic and Health Survey (DHS) data from Chad, Ghana, Malawi, Nigeria, Tanzania, Uganda, Zambia, and Zimbabwe. Multilevel models were fitted in each country for the outcome of ever receiving an HIV test. After controlling for individual and household level factors, community level factors of demographics, economics, and behavior and knowledge remain significantly associated with HIV testing among men. The results of this analysis highlight the need to recognize the impact of community influences on men's HIV test seeking behavior, and to harness these community factors in the design of programs aimed at encouraging the uptake of HIV testing among men in Africa.