Knowledge, Attitudes, and Practices of Voluntary HIV Counseling and Testing among Rural Migrants in Shanghai, China

He, Na; Jin-ling, Zhang; Yao, Jinjian; Tian, Xiuhong; Jiang, Qingwu; Detels, Roger

doi:10.1521/aeap.2009.21.6.570

Cited by 37 publications

(43 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite its controversies, the new polices have led to higher rates of HIV testing, especially in at-risk populations [17]. HIV testing in general populations, including migrant workers and market vendors remained very low (2.3-6%) [18][19][20]. Similar to those reported in international literature, HIV testing in the general population was associated with older age, higher level of education, and perceived higher risks of HIV infection [8,21].…”

Section: Introductionmentioning

confidence: 70%

HIV Testing Behaviors Among Female Sex Workers in Southwest China

Hong

Zhang

et al. 2011

AIDS Behav

View full text Add to dashboard Cite

Despite the recognized importance of HIV testing in prevention, care and treatment, HIV testing remains low in China. Millions of female sex workers (FSW) play a critical role in China's escalating HIV epidemic. Limited data are available regarding HIV testing behavior among this at-risk population. This study, based on a cross-sectional survey of 1,022 FSW recruited from communities in Southwest China, attempted to address the literature gap. Our data revealed that 48% of FSW ever took HIV testing; older age, less education, working in higher-income commercial sex venues and better HIV knowledge were associated with HIV testing. Those who never took HIV testing were more likely to engage in high-risk behaviors including inconsistent condom use with clients and stable partners. A number of psychological and structural barriers to testing were also reported. We call for culturally appropriate interventions to reduce HIV risks and promote HIV testing for vulnerable FSW in China.

show abstract

Section: Introductionmentioning

confidence: 70%

HIV Testing Behaviors Among Female Sex Workers in Southwest China

Hong

Zhang

et al. 2011

AIDS Behav

View full text Add to dashboard Cite

show abstract

“…7,8,20,21,28 FSW-specific studies have also found that some FSWs avoid testing because of fear that VCT utilization will publicize the nature of their work. 10 Perhaps in part because of these types of stigma, FSWs from other parts of or outside of Yunnan were more likely to follow-up in comparison to those from Gejiu and Kaiyuan, who might face higher risks of being “outted” in closer proximity to their hometowns.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With HIV Testing History and HIV-Test Result Follow-up Among Female Sex Workers in Two Cities in Yunnan, China

Brown²,

Ding³

et al. 2011

Sexually Transmitted Diseases

View full text Add to dashboard Cite

Background The majority of people living with HIV/AIDS in China are unaware of their serostatus, and increasing the utilization of HIV testing may help to control the epidemic. Methods This longitudinal study was conducted among female sex workers (FSWs) in 2 cities in Yunnan Province, China. Participants were surveyed in face-to-face interviews and tested for HIV and STDs. Factors associated with HIV-testing history and HIV-test follow-up were analyzed. Results Of the 1642 study participants, 291 (17.7%) had been previously tested and 868 (52.9%) returned for post-test follow-up. Factors associated with having a previous HIV test included attending the Kaiyuan study (aOR: 4.9, 95% CI: 2.3–10.1), ≥9 years of schooling (aOR: 10.9, 95% CI: 2.6–45.5), <5 clients in the recent week (aOR: 1.7, 95% CI: 1.2–2.3), having a regular sexual partner (aOR: 1.9, 95% CI: 1.4–2.5), illegal drug use history (aOR: 2.2, 95% CI: 1.5–3.1), pelvic pain in the past 12 months (aOR: 1.9, 95% CI: 1.1–3.6), HIV-seropositivity (aOR: 1.8, 95% CI: 1.2–2.8), and high perception of HIV risk (aOR: 1.5, 95% CI: 1.1–2.2). FSWs who had ≥9 years of schooling (aOR: 1.4, 95% CI: 1.1–1.9), had <5 clients in the recent week (aOR: 1.3, 95% CI: 1.1–1.6), or were from another province (aOR: 1.9, 95% CI: 1.4–2.5) or city (aOR: 1.4, 95% CI: 1.1–1.8) were more likely to follow-up. Conclusions The low HIV-testing history and follow-up rates found in this is study is a significant public health problem as many high-risk individuals are not aware of their serostatus. Immediate action needs to be taken to increase the utilization of HIV testing services and notify people of their HIV status.

show abstract

“…1 However, over half of those living with HIV do not know their serostatus 1 and low levels of HIV test uptake have been noted among many Chinese with increased sexual risk. 2 In response to the need to scale up routine HIV testing in China, the government established free HIV VCT testing sites and piloted HIV provider-initiated testing and counseling (PITC). 3 But VCT sites have not been successful in expanding HIV test uptake, averaging two tests per day per site.…”

Section: Introductionmentioning

confidence: 99%

Prior HIV Testing Among STD Patients in Guangdong Province, China

Tucker

Yang

et al. 2012

Sexually Transmitted Diseases

View full text Add to dashboard Cite

Background Expanding HIV testing is important among individuals at increased risk for sexual HIV transmission in China, but little is known about prior HIV testing experiences among sexually transmitted disease (STD) patients. Methods This cross-sectional study of 1792 outpatients from six public sexually transmitted disease (STD) clinics in Guangdong Province recorded detailed information about ever having been tested for HIV infection in addition to socio-demographic variables, health seeking, clinical STD history, and HIV stigma using a validated survey instrument. Results 456 (25.4%) of the STD patients in this sample had ever been tested for HIV infection. STD patients who were male, had higher income, more education, were at City A and City C, received STD services at public facilities, had used intravenous drugs, and had a history of an STD were more likely to ever receive an HIV test in multivariate analysis. Low perceived HIV risk was the most common reason for not receiving an HIV test. Only 7.7% of the sample reported fear of discrimination or loss of face as influencing their lack of HIV testing. Conclusion Incomplete prior HIV screening among STD patients in China suggests the need for broadening HIV testing opportunities at STD clinics and similar clinical settings attended by those with increased sexual risk.

show abstract

Knowledge, Attitudes, and Practices of Voluntary HIV Counseling and Testing among Rural Migrants in Shanghai, China

Cited by 37 publications

References 31 publications

HIV Testing Behaviors Among Female Sex Workers in Southwest China

HIV Testing Behaviors Among Female Sex Workers in Southwest China

Factors Associated With HIV Testing History and HIV-Test Result Follow-up Among Female Sex Workers in Two Cities in Yunnan, China

Prior HIV Testing Among STD Patients in Guangdong Province, China

Contact Info

Product

Resources

About