Social-Cognitive Determinants of HIV Testing Among Tuberculosis Infected Patients in Kassala State, Sudan

Background: Use of HIV testing and counselling (HTC) services remains low among TB patients in Sudan. Identifying the social-cognitive (sub) determinants associated with HTC uptake is essential before developing interventions to promote uptake. This study aims to assess the sub-determinants of intention to use and actual behaviour of using HTC services among TB patients in Sudan and to ascertain the most relevant beliefs to inform future interventions. Methods: A cross-sectional study was carried out in five health facilities selected randomly in Kassala State. First, a small elicitation study ( N = 25) was conducted to inform the Reasoned Action Approach (RAA) based questionnaire. A total of 411 TB patients completed the survey questionnaire. Confidence Interval Based Estimation of Relevance analysis (CIBER) was employed to establish the sub-determinants' relevance. Result: The studied beliefs explained 38–52% of the variance in the intention and 20–35% in the behaviour variance. The beliefs that “Using HTC services increases my fear of being tested positive for HIV” and “Using HTC services increases my fear of losing my partner if I have a positive test result” were negatively associated with intentions and use of HTC services; and both were highly relevant for intervention. The belief “If I use HTC services, I would know my HIV status” was positively associated with intentions and use of HTC services. However, it was less relevant for intervention. Perceived susceptibility to HIV infection was not associated with intention and only weakly associated with use of HTC services. Its relevance was low for intervention. Conclusions: The study showed that the social-cognitive beliefs (sub-determinants) vary in their relationship with the intention and use of HTC services among TB patients; with variable relevance for intervention. Interventions to enhance the use of HTC services should address the most relevant beliefs to maximise the effectiveness of interventions. Further studies are needed to identify other relevant sub-determinants of HTC use behaviour

Cognition · Environmental health · Family medicine · Psychiatry · Psychological intervention · Social cognitive theory · Tuberculosis · Behavioral Health and Interventions · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Psychology · Social Psychology · Vaccine Coverage and Hesitancy

• A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa

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  Incluir item

• Efficacy of the Theory of Planned Behaviour

  Open Access•Christopher J Armitage, Mycah Conner et al.•British Journal of Social…•2001

  Incluir item

• The theory of planned behavior

  Open Access•Icek Ajzen•Organizational Behavior and Human…•1991

  Incluir item

• Knowing how effective an intervention, treatment, or manipulation is and increasing replication rates

  Open Access•Gjalt-Jorn Peters, Rik Crutzen•Psychology & Health•2021

  Incluir item

• The HIV testing experiences of adolescents in Ndola, Zambia

  Julie A Denison, Ann P Mccauley et al.•AIDS Care•2008

  Incluir item

• Factors influencing acceptability of voluntary counselling and HIV-testing among pregnant women in Northern Tanzania

  Marina Manuela De Paoli, Rachel Manongi et al.•AIDS Care•2004

  Incluir item

• HIV counselling and testing in rural Uganda

  Walter Kipp, G Kabagambe et al.•AIDS Care•2002

  Incluir item

• Doubting the existence of Aids

  Open Access•S Castle, Sarah Gray Castle•Health Policy and Planning•2003

  Incluir item

• Perceptions of Sudanese women of reproductive age toward HIV/Aids and services for Prevention of Mother-to-Child Transmission of HIV

  Open Access•Ibrahim Elsiddig Elsheikh, Rik Crutzen et al.•BMC Public Health•2015

  Incluir item

• Voluntary HIV counselling and testing among men in rural western Uganda

  Open Access•Francis Mulekya Bwambale, Sarah Ssali et al.•BMC Public Health•2008

  Incluir item

• Intention to voluntary HIV counseling and testing (VCT) among health professionals in Jimma zone, Ethiopia

  Open Access•Fira Abamecha, Ameyu Godesso et al.•BMC Public Health•2013

  Incluir item

• The Theory of Planned Behavior as a Predictor of HIV Testing Intention

  Olabode Ayodele•American Journal of Health Behavior•2017

  Incluir item

• Theory-based Behavior Change Interventions

  Open Access•Martin Fishbein, Icek Ajzen•Journal of Health Psychology•2005

  Incluir item

• Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence

  Thomas L Webb, Paschal Sheeran•Psychological Bulletin•2006

  Incluir item

• Predicting intended use of voluntary HIV counselling and testing services among Tanzanian teachers using the theory of planned behaviour

  Open Access•Deodatus Conatus Kakoko, Deodatus Kakoko et al.•Social Science & Medicine•2006

  Incluir item