Socio-economic differences in the uptake of HIV testing and associated factors in South Africa

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dc.contributor.authorJooste, Sean
dc.contributor.authorMabaso, Musawenkosi
dc.contributor.authorTaylor, Myra
dc.contributor.authorNorth, Alicia
dc.contributor.authorShean, Yolande
dc.contributor.authorSimbayi, Leickness C.
dc.date.accessioned2021-10-06T12:25:14Z
dc.date.available2021-10-06T12:25:14Z
dc.date.issued2021-08-26
dc.date.updated2021-08-29T03:10:32Z
dc.description.abstractBackground Improved understanding of barriers to HIV testing is important for reaching the first of the UNAIDS 90–90-90 targets, which states that 90% of HIV positive individuals ought to know their HIV status. This study examined socio-economic status (SES) differences in HIV testing uptake and associated factors among youth and adults 15 years and older in South Africa. Methods This study used data from a national cross-sectional, population-based household survey conducted in 2017 using a multi-stage sampling design. A composite SES score was created using multiple correspondence analyses of household assets; households were classified into wealth quintiles and dichotomised into low SES/poorest (lowest 3 quintiles) and high SES/less-poor (highest 2 quintiles). Bivariate and multivariate logistic regression models were used to examine factors associated with the uptake of HIV testing in low and high SES households. Results HIV testing uptake was 73.8 and 76.7% among low and high SES households, respectively, both of which were below the first 90 targets. Among both low and high SES households, increased HIV testing uptake was significantly associated with females than males. The decreased likelihood was significantly associated with residing in rural formal areas than urban areas, those with no education or low levels of educational attainment and alcohol drinkers among low SES households. Whites and Indians/Asians had a decreased likelihood than Black Africans in high SES households. Conclusions HIV testing interventions should target males, residents in rural formal areas, those with no or low education and those that consume alcohol in low SES households, including Whites and Indians/Asians from high SES households in order to bridge socio-economic disparities in the uptake of HIV testing. This should entail expanding HIV testing beyond traditional centres for voluntary counselling and testing through outreach efforts, including mobile testing and home-based testing.en_US
dc.identifier.apacitationJooste, S., Mabaso, M., Taylor, M., North, A., Shean, Y., & Simbayi, Leickness C. (2021). Socio-economic differences in the uptake of HIV testing and associated factors in South Africa. <i>BMC Public Health</i>, 21(Article number: 1591), http://hdl.handle.net/11427/34100en_ZA
dc.identifier.chicagocitationJooste, Sean, Musawenkosi Mabaso, Myra Taylor, Alicia North, Yolande Shean, and Leickness C. Simbayi "Socio-economic differences in the uptake of HIV testing and associated factors in South Africa." <i>BMC Public Health</i> 21, Article number: 1591. (2021) http://hdl.handle.net/11427/34100en_ZA
dc.identifier.citationJooste, S., Mabaso, M., Taylor, M., North, A., Shean, Y. & Simbayi, Leickness C. 2021. Socio-economic differences in the uptake of HIV testing and associated factors in South Africa. <i>BMC Public Health.</i> 21(Article number: 1591) http://hdl.handle.net/11427/34100en_ZA
dc.identifier.ris TY - Journal Article AU - Jooste, Sean AU - Mabaso, Musawenkosi AU - Taylor, Myra AU - North, Alicia AU - Shean, Yolande AU - Simbayi, Leickness C. AB - Background Improved understanding of barriers to HIV testing is important for reaching the first of the UNAIDS 90–90-90 targets, which states that 90% of HIV positive individuals ought to know their HIV status. This study examined socio-economic status (SES) differences in HIV testing uptake and associated factors among youth and adults 15 years and older in South Africa. Methods This study used data from a national cross-sectional, population-based household survey conducted in 2017 using a multi-stage sampling design. A composite SES score was created using multiple correspondence analyses of household assets; households were classified into wealth quintiles and dichotomised into low SES/poorest (lowest 3 quintiles) and high SES/less-poor (highest 2 quintiles). Bivariate and multivariate logistic regression models were used to examine factors associated with the uptake of HIV testing in low and high SES households. Results HIV testing uptake was 73.8 and 76.7% among low and high SES households, respectively, both of which were below the first 90 targets. Among both low and high SES households, increased HIV testing uptake was significantly associated with females than males. The decreased likelihood was significantly associated with residing in rural formal areas than urban areas, those with no education or low levels of educational attainment and alcohol drinkers among low SES households. Whites and Indians/Asians had a decreased likelihood than Black Africans in high SES households. Conclusions HIV testing interventions should target males, residents in rural formal areas, those with no or low education and those that consume alcohol in low SES households, including Whites and Indians/Asians from high SES households in order to bridge socio-economic disparities in the uptake of HIV testing. This should entail expanding HIV testing beyond traditional centres for voluntary counselling and testing through outreach efforts, including mobile testing and home-based testing. DA - 2021-08-26 DB - OpenUCT DP - University of Cape Town IS - Article number: 1591 J1 - BMC Public Health KW - UNAIDS 90–90-90 targets KW - HIV testing KW - Socio-economic status KW - South Africa LK - https://open.uct.ac.za PY - 2021 T1 - Socio-economic differences in the uptake of HIV testing and associated factors in South Africa TI - Socio-economic differences in the uptake of HIV testing and associated factors in South Africa UR - http://hdl.handle.net/11427/34100 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12889-021-11583-1
dc.identifier.urihttp://hdl.handle.net/11427/34100
dc.identifier.vancouvercitationJooste S, Mabaso M, Taylor M, North A, Shean Y, Simbayi Leickness C. Socio-economic differences in the uptake of HIV testing and associated factors in South Africa. BMC Public Health. 2021;21(Article number: 1591) http://hdl.handle.net/11427/34100.en_ZA
dc.language.rfc3066en
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceBMC Public Healthen_US
dc.source.journalissueArticle number: 1591en_US
dc.source.journalvolume21en_US
dc.source.urihttps://bmcpublichealth.biomedcentral.com/
dc.subjectUNAIDS 90–90-90 targetsen_US
dc.subjectHIV testingen_US
dc.subjectSocio-economic statusen_US
dc.subjectSouth Africaen_US
dc.titleSocio-economic differences in the uptake of HIV testing and associated factors in South Africaen_US
dc.typeJournal Articleen_US
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