Factors Associated with Utilisation of Couple HIV Counselling and Testing Among HIV-Positive Adults in Kyoga Fishing Community Uganda, May 2017: Cross Sectional Study

AIDS Behav. 2020 Oct;24(10):2935-2941. doi: 10.1007/s10461-020-02844-y.

Abstract

Couple HIV counseling and testing (CHCT) is key in preventing heterosexual HIV transmission and achievement of 90-90-90 UNAIDS treatment targets by 2020. We conducted secondary data analysis to assess utilization of CHCT and associated factors using logistic regression. 58/134 participants (49%) had ever utilized CHCT. Disclosure of individual HIV results to a partner [aOR = 16; 95% CI: (3.6-67)], residence for > 1 < 5 years [aOR = 0.04; 95% CI (0.005-0.33)], and none mobility [aOR = 3.6; 95% CI (1.1-12)] were significantly associated with CHCT. Age modified relationship between CHCT and disclosure (Likelihood-ratio test LR chi2 = 4.2 (p value = 0.041). Disclosure of individual HIV results with a partner and residence for more than 1 year improved utilization of CHCT; mobility reduced the odds of CHCT. Interventions should target prior discussion of individual HIV results among couples and mobile populations to increase CHCT.

Keywords: Couple; Fishing community; HIV counseling & testing.

MeSH terms

  • Adolescent
  • Adult
  • Counseling / methods
  • Counseling / statistics & numerical data*
  • Cross-Sectional Studies
  • Fear
  • Female
  • HIV Infections / diagnosis*
  • HIV Infections / epidemiology
  • HIV Infections / psychology*
  • HIV Infections / transmission
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility
  • Humans
  • Male
  • Mass Screening / methods
  • Mass Screening / psychology*
  • Middle Aged
  • Sexual Partners / psychology*
  • Social Stigma
  • Spouses / psychology*
  • Truth Disclosure
  • Uganda / epidemiology
  • Young Adult