Socio-demographic Factors Associated with Uptake of HIV Counseling and Testing (HCT) among Nigerian Youth

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clinics (branded STI clinics) [AOR 1.2(CI-0.9-1.5), p <0.05 re-
spectively] were more likely to take-up VT&CR. Higher educa-
tion status ( >12 grade) increased the likelihood of VT&CR
uptake [AOR 1.8(CI-1.2-2.7), p <0.05], while unorganized la-
borers and truck/transport workers were less likely to undergo
VT&CR [AOR 0.6(CI-0.5-0.7), p <0.05 AOR 0.7(CI-0.5-0.9)
p<0.0 respectively]. Higher education was linked with increased
likelihood of collecting results: grades 6-12 and grades >12 were
less likely to have ‘‘not-collected’’ test reports [AOR 0.4(CI-.2-
0.9), p <0.05 A OR 0.1(CI-0.5-0.7), p <0.05 respectively].
Conclusions: We highlight the overall low uptake of VT among
clients of FSW and that not all test-seekers are collecting reports.
Program focus to improve test-seeking as well as report col-
lection is warranted through IEC campaigns as they have posi-
tively influenced uptake of VT&CR. Specific interventions
among less educated, unorganized laborers and truckers would
help in improving VT and CR among clients.
P09.09
Socio-demographic Factors Associated with Uptake
of HIV Counseling and Testing (HCT)
among Nigerian Youth
Ayodeji Oginni
1
, Otibho Obianwu
2
, Sylvia Adebajo
2
1
Population Council, Abuja, Nigeria,
2
Population Council, HIV,
Abuja, Nigeria
Background: HCT is an important gateway for HIV prevention
interventions as it educates sero-negative individuals on HIV
preventive behaviours and enables seropositive individuals to
gain access to treatment, care and support services. We evalu-
ated the socio-demographic factors associated with HCT-uptake
among Nigerian youth aged 15–24.
Methods: Secondary data analysis was conducted on Nigeria’s
2012 National HIV/AIDS & Reproductive Health Survey data.
Multivariable log-binomial regression analysis was used to es-
timate adjusted prevalence ratio (APR) with 95% Confidence
intervals.
Results: Of the 10,091 youth, half were aged 15–19, 66.9% were
single, 65.7% were rural dwellers, 20.7% had no education, 46%
were students & 31.1% were employed. About 10.5% ever had
HCT & 3.5% tested positive in the survey. Multivariable anal-
ysis revealed that the aged 20–24 [APR =1.67(1.41-1.96)] were
more likely to have had HCT than the aged 15–19. HCT-uptake
increased with educational level [primary-APR =2.29(1.59-
3.32); secondary—APR =3.48(2.54-4.77) & higher-APR =
6.68(4.66-9.58)]. The non-Catholic [APR =1.60(1.36-1.89)]
and the Catholics [APR =1.85(1.51-2.26)] Christians were more
likely to have had HCT than the Muslims. Those having com-
prehensive knowledge of HIV [APR =2.09(1.83-2.39)] were
twice more likely to have had HCT. Students [APR =0.80(0.67-
0.94)] were less likely to have had HCT than the employed.
Those from poor-households [APR =0.63(0.51-0.77)] were less
likely to have had HCT than those from average-households.
Conclusions: HCT-uptake among young Nigerians is very low
despite the increased availability of free HCT services in the
country. The fact that being employed and having higher edu-
cational level and household wealth are associated with HCT-
uptake suggests that socio-economic barriers to HCT-uptake
persist among young people. The association with age may be
due to age of consent barriers faced by adolescents. More youth-
friendly interventions aimed at increasing HCT-uptake among
young Nigerians are urgently needed.
P09.10
HCT as a Point of Entry for HIV Prevention and
Treatment - Profile of Men and Women Presenting
at HCT Centers in Durban, South Africa
Jessica Lyn Phillip
1
, Renee Street
1
, Susie Hoffman
2
, Kelly
Blanchard
3
, Theresa Exner
4
, Elizabeth Kelvin
5
, Gita Ramjee
1,6
,
Joanne Mantell
2
1
HIV Prevention Research Unit, Medical Research Council,
Durban, South Africa,
2
HIV Center for Clinical and Behavioral
Studies and Columbia University, New York State Psychiatric
Institute, New York, NY, United States,
3
Ibis Reproductive
Health, Cambridge MA, USA and Johannesburg, South Africa,
Johannesburg, United Kingdom,
4
HIV Center for Clinical and
Behavioral Studies, New York State Psychiatric Institute, New
York, NY, United States,
5
CUNY School of Public Health at
Hunter College, New York, NY, United States,
6
London School
of Hygiene & Tropical Medicine, Department of Epidemiology
and Population Health, London, United Kingdom
Background: HIV Counselling and Testing is an important
component of HIV prevention and treatment. Early identifica-
tion of HIV-seropositive status will enable individuals to be
linked to HIV care and support. Pathways to Engagement in HIV
Care for Newly-Diagnosed South Africans was a prospective
cohort study that enrolled newly-diagnosed HIV positive indi-
viduals and followed them up for 8 months post diagnosis to
explore the barriers and facilitators of enrolling and staying in
care. To describe the socio-demographic profile of men and
women presenting at PHC clinics for HCT.
Methods: Between November 2010 and May 2012, we screened
2935 individuals from 3 public-sector primary health care clinics
in the Durban, South Africa. Women and men who presented for
HCT (as opposed to antenatal care) were sequentially approached
prior to testing and invited to participate in a screening interview.
Eligibility criteria were: 18 years or older, not cognitively im-
paired, not pregnant, not having previously been diagnosed
HIV +, willing to provide written informed consent, to have a
witness if illiterate, and to share test results with study staff.
Results: Of screened participants, 2746 met the eligibility cri-
teria. Level of education varied, with 38.4% participants having
completed Grade 12. Over 91% were unmarried, of which 79%
reported having a steady partner. Half of the participants
(53.4%) indicated that they were unemployed but were looking
for work. Only 16.5% reported being employed full time. Self-
motivation for HIV testing was reported by 70.4% of partici-
pants, with no difference by gender; 17.4% were motivated by
family/friend. However, few reported testing because they were
encouraged by the clinic staff. Prior testing was reported by
46%, including 57% of women and 33% of men.
Conclusions: Public health benefit would be for HCT programs
to tailor interventions for effective gender-based counselling.
HIV prevention education should take into account motivations
for HIV testing.
P09.11
The ‘‘Worried Well’’ Among Clients Attending
HIV/AIDS Counselling and Testing Services
at a Clinical Research Centre in SW Uganda
Richard Rwanyonga
1
, Andrew Abaasa
1
, Gershim Asiki
1
,
Benjamin Twefeho
1
, Ubaldo Bahemuka
1
, Emanuel Aling
1
,
Eugene Ruzagira
1
, Matthew A. Price
2
, Anatoli Kamali
1
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