Back to Search Start Over

Determinants of testing for HIV among young people in Uganda. A nested, explanatory-sequential study.

Authors :
Dennis Kalibbala
Steven Kiwuwa Mpungu
Bashir Ssuna
Wani Muzeyi
Happiness Mberesero
Fred C Semitala
Anne Katahoire
Mari Armstrong-Hough
Joan N Kalyango
Victor Musiime
Source :
PLOS Global Public Health, Vol 2, Iss 12, p e0000870 (2022)
Publication Year :
2022
Publisher :
Public Library of Science (PLoS), 2022.

Abstract

Awareness of HIV serostatus helps individuals calibrate behaviour or link to care. Globally, young people (15-24years) contribute over 30% of new HIV infections. Despite progress in enhancing access to HIV services, HIV testing among young people in Uganda is below target. We determined the prevalence and factors influencing HIV testing among young people in a peri-urban district with the highest proportion of young people. We conducted a nested explanatory sequential mixed-methods study from March to May 2019 in Wakiso district. We used stratified cluster random sampling to select 397 rural and 253 urban young people from eight parishes. We collected data using questionnaires and subsequently conducted in-depth interviews with 16 purposively selected survey participants. The prevalence of testing for HIV was 80.2%. Young people related their decisions about HIV testing to self-evaluation of their risk and perceived ability to manage the consequences of a positive result. Participants reported high levels of support for HIV testing from peers, partners, and family members. They perceived health facilities as confusing, distant, expensive, and staffed by judgmental, older health workers as barriers. They felt that mobile testing points solved some of these problems, but introduced less privacy and greater confidentiality concerns. The prevalence of HIV testing among young people in Wakiso district was low compared to the UNAIDS 2030 target but among the highest in sub-Saharan Africa. Community-based programs resolve many concerns about testing at health facilities. However, there is a need to make these programs more comfortable and private.

Details

Language :
English
ISSN :
27673375
Volume :
2
Issue :
12
Database :
Directory of Open Access Journals
Journal :
PLOS Global Public Health
Publication Type :
Academic Journal
Accession number :
edsdoj.b4c64a756c7745338bd38d041a3239ff
Document Type :
article
Full Text :
https://doi.org/10.1371/journal.pgph.0000870