HIV testing among men in Nigeria: a comparative analysis between young people and adults

Olakunde, Babayemi O; Adeyinka, Daniel A; Olawepo, John Olajide; Pharr, Jennifer R.

doi:10.1080/09540121.2019.1622642

Cited by 9 publications

(10 citation statements)

References 33 publications

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“…We found single men were almost half as likely to have tested for HIV compared to those with long-term partners. These results are comparable to those found in Malawi and Nigeria; which showed that being married increased the likelihood of getting tested for HIV among some men (Mandiwa & Namondwe, 2019;Olakunde et al, 2019). Other scholars have cautioned against the consideration of men as a homogenous group (Fleming et al, 2019).…”

Section: Discussionsupporting

confidence: 82%

“…Men may not be fully aware that their sexual behaviours are actually 'risk' factors to HIV infection, or they may not want to know their HIV status. Our findings are comparable to studies conducted in Nigeria and Zimbabwe, which demonstrated that men who do not use condoms are less likely to test for HIV (Gazimbi & Magadi, 2017;Olakunde et al, 2019). Prior studies have noted that gender norms are associated with multiple sexual risk behaviours, like unwillingness to use condoms and being tested for HIV among men (Leclerc-Madlala, 2008), and fear of stigma (Shand et al, 2014;Siu et al, 2014).…”

Section: Discussionsupporting

confidence: 82%

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HIV non-testing, perpetration of violence against women, and sexual risk-behaviour: A cross-sectional analysis of South African peri-urban township men

Rwafa-Ponela

McBride

Rebombo

et al. 2021

Global Public Health

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Despite HIV testing having improved globally, men remain disproportionately less likely to test for HIV. While violence against women (VAW) and HIV risk have a strong association among women, few studies explore men around VAW perpetration, risky-sexual behaviour, and HIV testing. Males aged 18-42 years were recruited from a peri-urban settlement near Johannesburg, South Africa. Data were from an endline of a trial. We used logistic regression to assess odds of non-HIV testing using STATA 13. At endline, 1508 men participated in the study. Of these nearly one-third (31.6%, n = 475) had not tested for HIV in the past year. HIV non-testing was significantly lower among men who were single, older, did not complete high school and were less food secure. VAW perpetration retained a significant association with HIV non-testing after controlling for socio-demographics (AOR = 0.73, 95%CI = 0.58-0.93). In multivariate models, HIV non-testing was also associated with inconsistent condom use (AOR = 0.64, 95%CI = 0.48-0.85), problem drinking (AOR = 0.72, 95%CI = 0.55-0.94) and reporting of all four risky sexual behaviours (AOR = 0.70, 95%CI = 0.49-1.01). Data suggests that one-third of men who never test for HIV in this setting may represent a high-risk group. Future campaigns could consider behaviour change around non-violence, relationship quality, and gender norms alongside HIV testing.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

HIV non-testing, perpetration of violence against women, and sexual risk-behaviour: A cross-sectional analysis of South African peri-urban township men

Rwafa-Ponela

McBride

Rebombo

et al. 2021

Global Public Health

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“…The uptake of HIV testing in the identified clusters was generally consistent with the risk of being infected by HIV, with more persons being tested for HIV when HIV prevalence was high. Adolescents (<20 years) were tested much less frequently than adults [19][20][21]. The low HIV testing uptake among adolescents is concerning, because the proportion of young people (15-24) among all AIDS-related deaths in Malawi increased from 3.1% to 11.5% between 2004 and 2018 [1].…”

Section: Discussionmentioning

confidence: 99%

Identifying groups of people with similar sociobehavioural characteristics in Malawi to inform HIV interventions: a Latent Class Analysis

Merzouki

Styles

Estill

et al. 2019

Preprint

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Background: Within many sub-Saharan African countries including Malawi, HIV prevalence varies widely between regions. This variability may be related to the distribution of population groups with specific sociobehavioural characteristics that influence the transmission of HIV and the uptake of prevention. In this study, we intended to identify groups of people in Malawi with similar risk profiles. Methods: We used data from the Demographic and Health Survey in Malawi from 2016, and stratified the analysis by sex. We considered demographic, socio-behavioural and HIV-related variables. Using Latent Class Analysis (LCA), we identified clusters of people sharing common sociobehavioural characteristics. The optimal number of clusters was selected based on the Bayesian information criterion. We compared the proportions of individuals belonging to the different clusters across the three regions and 28 districts of Malawi. Results: We found nine clusters of women and six clusters of men. Most women in the clusters with highest risk of being HIV infected were living in female-headed households and were formerly married or in a union. Among men, older men had the highest risk of being HIV infected, followed by young (20-25) single men. Generally, low HIV testing uptake correlated with lower risk of having HIV. However, rural adolescent girls had a low probability of being tested (48.7%) despite a relatively high HIV prevalence. Urban districts and Southern region had a higher percentage of high-prevalence and less tested clusters of individuals than other areas. Conclusions: LCA is an efficient method to find clusters of people sharing common HIV risk profiles, identify particularly vulnerable population groups, and plan targeted interventions focusing on these groups. Tailored support, prevention and HIV testing programmes should focus particularly on female household heads, adolescent girls living in rural areas, older married men, and young men who have never been married.

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“…Despite Southern Africa having the highest HIV prevalence rates in the world, there is little research that has focused on understanding a comprehensive regional picture of the role of education and other social and behavioural factors in influencing HIV risk behaviour, especially in sexually active men. Considering the high prevalence of HIV rates among men in the Southern part of Africa, comparatively to other sub-regions in the continent and elsewhere (Awopegba et al, 2021 ; Johnson et al, 2017 ; Olakunde et al, 2020a ), it is relevant that research aiming at investigating factors that predispose men to the risks of HIV infection should be of top priority in the region.…”

Section: Introductionmentioning

confidence: 99%

Examining differentials in HIV transmission risk behaviour and its associated factors among men in Southern African countries

Phiri

Lemba

Chomba

et al. 2022

Humanit Soc Sci Commun

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Sub-Saharan Africa (SSA), particularly Southern and East Africa, has the highest AIDS deaths and HIV-infected people in the world. Even though considerable effort has been made over the years to study HIV transmission risk behaviours of different population groups in SSA, there is little evidence of studies that have looked at pooled effects of associated HIV risk factors among men, particularly in Southern Africa. Thus, this study sought to fill this gap in knowledge by investigating the variations in HIV risk behaviours among men in the region. The study analysed cross-sectional data based on the most recent country Demographic and Health Survey (DHS) for six countries, namely Lesotho, Mozambique, Namibia, South Africa, Zambia and Zimbabwe. The study employed multivariate logistic regression models on a pooled dataset and individual country data to examine the relative risk of education and other factors on HIV risk behaviour indicators. It considered: (i) condom use during high risk-sex, (ii) multiple sexual partnerships, and (iii) HIV testing among men aged 15–59 years. Findings show that the proportion of men who engaged in HIV transmission risk behaviour was high in Southern Africa. Two-thirds of men reported non-use of a condom during last sex with most recent partners while 22% engaged in multiple sexual partnerships. The percentage of men who used condoms during sex with most recent partners ranged from 18% in Mozambique to 58% in Namibia. Age, residence, marital status and household wealth status were associated with HIV risk factors in the region. The study has established country variations in terms of how individual factors influence HIV transmission risk behaviour among men. Results show that the level of education was associated with increased use of condoms, only in Zambia and Mozambique. Delay in starting a sexual debut was associated with reduced odds of having multiple sexual partnerships in the region. Suggesting the need to strengthen comprehensive sexuality education among young men in school, to promote social behaviour change during adolescence age. The study presents important results to inform direct health policy, programme and government action to address HIV prevalence in the Southern region of Africa.

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HIV testing among men in Nigeria: a comparative analysis between young people and adults

Cited by 9 publications

References 33 publications

HIV non-testing, perpetration of violence against women, and sexual risk-behaviour: A cross-sectional analysis of South African peri-urban township men

HIV non-testing, perpetration of violence against women, and sexual risk-behaviour: A cross-sectional analysis of South African peri-urban township men

Identifying groups of people with similar sociobehavioural characteristics in Malawi to inform HIV interventions: a Latent Class Analysis

Examining differentials in HIV transmission risk behaviour and its associated factors among men in Southern African countries

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