Prevalence and correlates of HIV testing among Caribbean youth

Division of Social Statistics, School of Social Sciences, University of Southampton, Southampton, UK.
International Journal of STD & AIDS (Impact Factor: 1.05). 12/2011; 22(12):722-6. DOI: 10.1258/ijsa.2011.011088
Source: PubMed


Little is known about the HIV testing behaviours among Caribbean youth. The purpose of this study was to determine the prevalence of and the factors associated with HIV testing in Caribbean youth. Data were used from population-based surveys in three Caribbean countries: Guyana, Haiti and the Dominican Republic. Chi-square tests and multiple logistic regression models were fitted to examine the associations between independent correlates and ever being tested of HIV. The proportion of youth reporting HIV testing ranged from 17% in Haiti to 48% in the Dominican Republic. Across all countries increased odds of ever being tested for HIV was associated with ever being married, having five or more lifetime partners, and knowing someone who was living with or had died from HIV. Male gender and rural residence were correlated with decreased odds of HIV testing. Low levels of HIV testing were observed among sexually experienced youth in three Caribbean countries. Men, younger and never married youth were less likely to be have been tested for HIV. Outreach and public health messages targeting these youth should be implemented. Programmes that assist youth in accurately assessing their risk behaviours are also required to improve HIV testing.

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    ABSTRACT: The purpose of this study was to assess the prevalence of, and the factors associated with HIV testing and pre- and post-test counselling (PPTC) in Colombia. Cross-sectional data from the National Health Survey carried out during 2007 were analysed. Data were gathered from records of 29,760 individuals between the ages of 18 and 69 from the main regions of the country. Only 19.7% of the sample had taken an HIV test. Men, people with no education, those not affiliated with the health-care system, residents of rural areas and those aged older than 65 were less likely to have been tested for HIV; 42% of those tested did not receive pre-test counselling and 56.9% received no report of the results. Considering the low prevalence of HIV testing among the Colombian population, it is necessary to design and apply guidelines for HIV screening in all health-care settings and to conduct targeted testing in high-risk sub-populations. A national norm of PPTC in those who undergo HIV testing should be examined.
    Full-text · Article · Nov 2012 · International Journal of STD & AIDS