Pattern and Correlates of Human Immunodeficiency Virus Testing among General Population in Nasarawa State, Nigeria: Findings from a Population-based Survey

Main Article Content

IA Bako
GI Tolough
J Anyanti

Abstract

Human Immunodeficiency Virus testing provides an entry point into the HIV care and treatment services, necessitating the UNAIDS strategic target of getting 90% of all people living with HIV to know their HIV status by 2020. This study was aimed at determining the prevalence and factors associated with HIV testing among the general population in Nasarawa State, Nigeria. The study was an analysis of a cross-sectional survey conducted among 903 randomly selected sample of the adult population in Nasarawa state, Nigeria. Prevalence of recent HIV testing and its association with respondents' Sociodemographic variables, risky sexual behaviours, drug and alcohol use, among other factors was determined using logistic regression analysis. The proportion of respondents who ever tested for HIV was 53%%, while 30.1% did the test in the previous one year. Logistic regression revealed that factors significantly associated with HIV testing in the previous one year secondary education and higher (AOR = 1.92, 95 % CI 1.35–2.72), knowing where HIV testing are done (AOR = 31.37, 95% CI: 9.98-99.79), comprehensive knowledge of HIV ( AOR: 1.72, 95%CI: 1.24 – 2.39) and  those with low HIV personal risk perception (AOR = 3.56, 95%CI : 1.49 – 8.31). HIV testing among the general population in Nasarawa State is relatively low. Higher education, knowing where HIV testing are done, comprehensive knowledge of HIV, low HIV personal risk perception were significantly associated with HIV testing.  Awareness campaigns on HIV and specifically on the importance of HIV testing in communities must be intensified.

Metrics

Metrics Loading ...

Article Details

How to Cite
1.
Bako I, Tolough G, Anyanti J. Pattern and Correlates of Human Immunodeficiency Virus Testing among General Population in Nasarawa State, Nigeria: Findings from a Population-based Survey. Wes J Med Biomed Sci [Internet]. 2020 Jun. 22 [cited 2024 May 9];1(1):96-103. Available from: https://wjmbs.com.ng/index.php/wjmbs/article/view/13
Section
Original Article

References

Federal Ministry of Health (FMoH). 2014 National HIV sero-prevalence sentinel survey among pregnant women attending antenatal clinics in Nigeria. Abuja, FMoH, 2015

Federal Ministry of Health [Nigeria]. National HIV & AIDS and Reproductive Health Survey, 2012 (NARHS Plus). Federal Ministry of Health, 2013, Abuja, Nigeria

FMOH/NACA. NAIIS Preliminary Findings, North Central Zone. The 2018 Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS), 2019.

Weinhadt LS, Carey MP, Johnson BT, and Bickham NL. Effects of HIV counseling and testing on sexual Risk Behaviour: A meta-analytic Review of published Research 1985 – 1997. American Journal of Public Health, 1999; 89 :1397 – 1405. DOI: https://doi.org/10.2105/AJPH.89.9.1397

UNAIDS. Global AIDS Monitoring 2018 Indicators for monitoring the 2016. United Nations Political Declaration on Ending AIDS, 2017.

Asaolu IO, Gunn JK, Centre KE, Koss MP, Iwelunma JI and Ehiri JE predictors of HIV testing among youth in sub-0sahara Africa; A cross – section study. Plus ONE October, 2016. Doi10:1371/Journal. Pones.0164 – 052 DOI: https://doi.org/10.1371/journal.pone.0164052

Yawson AE, Dako–Gyeke P., Addo SA, Dornoo BT and Addo NA. Utilization of HIV testing and counseling in Ghana: Implication for Universal Coverage. African Journal of Reproductive Health 2014; 18(1): 145 – 155.

Qiao S, Zhang Y, Li X, Menon JA Facilitators and barriers for HIV-testing in Zambia: A systematic review of multi-level factors. PLoS ONE 2018; 13(2): e0192327. https://doi.org/10.1371/ journal.pone.0192327 DOI: https://doi.org/10.1371/journal.pone.0192327

Onyeonoro UU, Emelumadu OF, Choku A, Kanu OO, Ebenebe UE, Onwukwe N, Uwakeme C and Ndukwe E. knowledge and utilization of HIV counseling testing services among students of a tertiary institution in Abia State, South East Nigeria. Journal of HIV and Human Reproduction 2014, 2(1):8 –14. DOI: https://doi.org/10.4103/2321-9157.135743

Renzi C, Zantedeschi E, Signorelli C and Osborn JF. Factors associated with HIV testing: results from an Italian General Population survey. Preventive Medicine 2001, 32(1): 40 – 48 DOI: https://doi.org/10.1006/pmed.2000.0778

Berkley – Pattar J, Moore EW, Hawes SM, Thompson CB and Bohri A. factors among an African American Church – Affiliated population. AIDS Educ. Prev. 2012 Apr; 24 (2): 148 – 162 DOI: https://doi.org/10.1521/aeap.2012.24.2.148

Le 'Pine A, Terris – Presholt F and Vickerman P. Determinants of HIV testing among Nigerian couples: a multilevel modeling approach. Health Policy and Planning, 2015; 30:579 – 592. Doi: 10. 1093/hespol/CZU036 DOI: https://doi.org/10.1093/heapol/czu036

Brima N, Burns F Fakoya I, Kargbo B, Conteh S and Copas A. factors associated with HIV prevalence and HIV testing in Sierra Leone; findings from 2008 Demographic Health Survey. Plos One 10 (10): e 0137055. https://doi.org/10.1371/journal.pone.0137055. (Accessed 23/01/2019) DOI: https://doi.org/10.1371/journal.pone.0137055

Bako IA, Salihu A, Okekearu I and Anyanti.J. Modeling of HIV Transmission in Nasarawa State, Nigeria: An Analysis of Distribution of New Infections. Journal of US-China Medical Science 14 (2017) 116-122 doi: 10.17265/15486648/2017.03.003

Nwachukwu CE, Odimegwu C. Regional patterns and correlates of HIV voluntary counselling and testing among youths in Nigeria. African journal of reproductive health. 2011;15(2).

Teklehaimanot HD, Teklehaimanot A, Yohannes M, Biratu D. Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: a cross sectional study. BMC Public Health. 2016;16(1):239. DOI: https://doi.org/10.1186/s12889-016-2918-z

Jospeh OK, Yusuf HO, Samuel OO, Abiodun AA. An Assessment of HIV Counselling and Testing (HCT) Service Utilization in Nigeria: A Binary Logistic Regression Approach. International Journal of HIV/AIDS Prevention, Education and Behavioural Science. 2019;5(1):26. DOI: https://doi.org/10.11648/j.ijhpebs.20190501.14

Greg A, Kingsley O, June S, Kayode A, Rosekate A. Mobile HIV Counselling and Testing (HCT) Outreach: A Model for Community based Approach to Increasing Uptake of HCT and Antiretroviral Therapy (ART) Services in Benue State Nigeria. Age.; 30 (214):50-7.

Wong V, Jenkins E, Ford N, Ingold H. To thine own test be true: HIV self‐testing and the global reach for the undiagnosed. Journal of the International AIDS Society. 2019 Mar;22(Suppl 1). DOI: https://doi.org/10.1002/jia2.25256

Evangeli M, Pady K, Wroe AL. Which psychological factors are related to HIV testing? A quantitative systematic review of global studies. AIDS and Behavior. 2016;20(4):880-918. DOI: https://doi.org/10.1007/s10461-015-1246-0

Mitchell S, Cockcroft A, Lamothe G, Andersson N. Equity in HIV testing: evidence from a cross-sectional study in ten Southern African countries. BMC International Health and Human Rights. 2010;10 (1):23. DOI: https://doi.org/10.1186/1472-698X-10-23

Peltzer K, Matseke G. Determinants of HIV testing among young people aged 18–24 years in South Africa. African Health Sciences. 2013;13(4):1012-20. DOI: https://doi.org/10.4314/ahs.v13i4.22

Aho J, Nguyen VK, Diakité SL, Sow A, Koushik A, Rashed S. High acceptability of HIV voluntary counselling and testing among female sex workers: impact of individual and social factors. HIV medicine, 2012;13(3):156-65.

Iliyasu Z, Abubakar IS, Kabir M, Aliyu MH. Knowledge of HIV/AIDS and attitude towards voluntary counseling and testing among adults. Journal of the National Medical Association. 2006;98 (12):1917.

Yahaya LA, Jimoh AA, Balogun OR. Factors hindering acceptance of HIV/AIDS Voluntary Counselling and Testing (VCT) among youths in Kwara State, Nigeria. Journal of AIDS and HIV Research. 2010;2 (7):138-43.

Clifton S, Nardone A., Field N, Mercer, CH, Tanton C, Macdowall W, Johnson AM and Sonnenberg P. HIV testing, risk perception, and behaviour in the British population. AIDS 2016, 30:943–951 DOI: https://doi.org/10.1097/QAD.0000000000001006

Leta TH, Sandøy IF, Fylkesnes K. Factors affecting voluntary HIV counselling and testing among men in Ethiopia: a cross-sectional survey. BMC Public Health. 2012; 12 (1):438. Maughan-Brown DOI: https://doi.org/10.1186/1471-2458-12-438

B and Atheendar S. Venkataramani, A.S. Accuracy and determinants of perceived HIV risk among young women in South Africa. BMC Public Health. 2018; 18: 42. doi: 10.1186/s12889-017-4593-0 DOI: https://doi.org/10.1186/s12889-017-4593-0

Warren EA, Paterson P, Schulz WS, Lees S, Eakle R, Stadler J, et al. Risk perception and the influence on uptake and use of biomedical prevention interventions for HIV in sub-Saharan Africa: A systematic literature review. PLoS ONE, 2018, 13 (6): e0198680. https://doi.org/10.1371/journal.pone.0198680. DOI: https://doi.org/10.1371/journal.pone.0198680