Client Characteristics and Gender-Specific Correlates of Testing HIV Positive: A Comparison of Standalone Center Versus Mobile Outreach HIV Testing and Counseling in Botswana
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- 作者：Julia E. Hood (1) juliaehood@gmail.com
Duncan MacKellar (2)
Anne Spaulding (3)
Rob Nelson (1)
Boingotlo Mosiakgabo (4)
Bangwato Sikwa (4)
Innocentia Puso (4)
Jan Raats (5)
Peter Loeto (6)
Mary Grace Alwano (6)
Blessed Monyatsi (4) - 关键词：HIV testing – ; Botswana – ; Voluntary counseling and testing – ; Evaluation
- 刊名：AIDS and Behavior
- 出版年：2012
- 出版时间：October 2012
- 年：2012
- 卷：16
- 期：7
- 页码：1902-1916
- 全文大小：417.7 KB
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- ISSN：1573-3254
文摘
Using data from Botswana’s largest HIV testing and counseling (HTC) provider, Tebelopele, we evaluate populations served and gender-specific correlates of testing HIV-positive among clients of two programs: standalone centers and outreach testing. Client records from January to June 2007 (n = 47,890) were evaluated by HTC program and gender. Bivariate and multivariate analyses were performed to identify demographic, testing, and risk-behavior variables associated with testing HIV-positive. Compared to outreach testing, standalone centers served proportionally more clients who were young, well-educated, unmarried, and HIV-infected; outreach testing reached an older, less-educated population. Age, educational attainment, marital status, couples testing, testing because of illness or discordant relationship, and nonuse of condoms (among young clients only) were consistently associated with testing HIV-positive, by HTC program and gender. Our evaluation suggests that Tebelopele standalone and outreach HTC programs serve different populations, and identifies strategies to reduce HIV infection risk and to improve uptake of HTC by HIV-infected, undiagnosed Batswana.