HIV non-testing, perpetration of violence against women, and sexual risk-behaviour

A cross-sectional analysis of South African peri-urban township men

Bibliographic Data

ID15541307
AuthorsTeurai Rwafa-Ponela (0000-0002-3358-4327, University of the Witwatersrand, corresponding author), Ruari‐santiago Mcbride (0000-0001-8012-0675, University of the Witwatersrand), Dumisani Rebombo (Sonke Gender Justice), Nicola Christofides (0000-0002-3559-6401, Sonke Gender Justice), Abigail M Hatcher (0000-0002-4150-1405, University of the Witwatersrand)
Year2021
Volume17
Issue4
Pages512-525
Publication date2021-02-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2021.1876134
PMID33554758
OpenAlexW3129023977
LanguageEN
Citations received4
References cited59

Despite HIV testing having improved globally, men remain disproportionately less likely to test for HIV. While violence against women (VAW) and HIV risk have a strong association among women, few studies explore men around VAW perpetration, risky-sexual behaviour, and HIV testing. Males aged 18-42 years were recruited from a peri-urban settlement near Johannesburg, South Africa. Data were from an endline of a trial. We used logistic regression to assess odds of non-HIV testing using STATA 13. At endline, 1508 men participated in the study. Of these nearly one-third (31.6%, n = 475) had not tested for HIV in the past year. HIV non-testing was significantly lower among men who were single, older, did not complete high school and were less food secure. VAW perpetration retained a significant association with HIV non-testing after controlling for socio-demographics (AOR = 0.73, 95%CI = 0.58-0.93). In multivariate models, HIV non-testing was also associated with inconsistent condom use (AOR = 0.64, 95%CI = 0.48-0.85), problem drinking (AOR = 0.72, 95%CI = 0.55-0.94) and reporting of all four risky sexual behaviours (AOR = 0.70, 95%CI = 0.49-1.01). Data suggests that one-third of men who never test for HIV in this setting may represent a high-risk group. Future campaigns could consider behaviour change around non-violence, relationship quality, and gender norms alongside HIV testing

Condom · Cross-sectional study · Domestic violence · Environmental health · Family medicine · Hiv test · Human immunodeficiency virus (HIV · Injury prevention · Logistic regression · Odds · Odds ratio · Poison control · Population · Sexual violence · Adolescent Sexual and Reproductive Health · Demography · Intimate Partner and Family Violence · Medicine · Sex work and related issues · Gerontology

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