Unawareness of HIV Infection Among Men Aged 15–59 Years in 13 Sub-Saharan African Countries: Findings From the Population-Based HIV Impact Assessments, 2015–2019

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dc.contributor.authorWest, Christine A.
dc.contributor.authorChang, Gregory C.
dc.contributor.authorCurrie, Dustin W.
dc.contributor.authorBray, Rachel
dc.contributor.authorBiribonwoha, Harriet Nuwagaba
dc.contributor.authorKingwara, Leonard
dc.contributor.authorRemera, Eric
dc.contributor.authorRwibasira, Gallican N.
dc.contributor.authorMugisha, Veronicah
dc.contributor.authorKirungi, Wilford L.
dc.contributor.authorBiraro, Sam
dc.contributor.authorMugurungi, Owen
dc.date.accessioned2022-03-21T17:49:23Z
dc.date.available2022-03-21T17:49:23Z
dc.date.issued2021
dc.description.abstractIdentifying men living with HIV in sub-Saharan Africa (SSA) is critical to end the epidemic. We describe the underlying factors of unawareness among men aged 15–59 years who ever tested for HIV in 13 SSA countries.Using pooled data from the nationally representative Population-based HIV Impact Assessments, we fit a log-binomial regression model to identify characteristics related to HIV positivity among HIV-positive unaware and HIV-negative men ever tested for HIV.A total of 114,776 men were interviewed and tested for HIV; 4.4% were HIV-positive. Of those, 33.7% were unaware of their HIV-positive status, (range: 20.2%–58.7%, in Rwanda and Cote d’Ivoire). Most unaware men reported they had ever received an HIV test (63.0%). Age, region, marital status, and education were significantly associated with HIV positivity. Men who had HIV-positive sexual partners (adjusted prevalence ratio [aPR]: 5.73; confidence interval [95% CI]: 4.13 to 7.95) or sexual partners with unknown HIV status (aPR: 2.32; 95% CI: 1.89 to 2.84) were more likely to be HIV-positive unaware, as were men who tested more than 12 months compared with HIV-negative men who tested within 12 months before the interview (aPR: 1.58; 95% CI: 1.31 to 1.91). Tuberculosis diagnosis and not being circumcised were also associated with HIV positivity.Targeting subgroups of men at risk for infection who once tested negative could improve yield of testing programs. Interventions include improving partner testing, frequency of testing, outreach and educational strategies, and availability of HIV testing where men are accessing routine health services.en_US
dc.identifier.citationWest, C. A., Chang, G. C., Currie, D. W., Bray, R., Kinchen, S., Behel, S., ... & Voetsch, A. C. (2021). Unawareness of HIV infection among men aged 15–59 years in 13 sub-Saharan African countries: findings from the population-based HIV impact assessments, 2015–2019. JAIDS Journal of Acquired Immune Deficiency Syndromes, 87, S97-S106.doi: 10.1097/QAI.0000000000002708en_US
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2882
dc.language.isoenen_US
dc.publisherJAIDS Journal of Acquired Immune Deficiency Syndromesen_US
dc.subjectPHIA, HIV household survey, HIV unawareness, HIV positivity, MLHIV, HIV testingen_US
dc.titleUnawareness of HIV Infection Among Men Aged 15–59 Years in 13 Sub-Saharan African Countries: Findings From the Population-Based HIV Impact Assessments, 2015–2019en_US
dc.typeArticleen_US
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