Determinants of testing for HIV among young people in Uganda. A nested, explanatory-sequential study

Bibliographic Data

ID19593513
AuthorsDennis Kalibbala (0000-0002-5003-0414, MUJHU Research Collaboration, corresponding author), Steven Kiwuwa Mpungu (Makerere University), Bashir Ssuna (0000-0002-2031-7377, Makerere University), Wani Muzeyi (0000-0002-6337-7636, Makerere University), Happiness Mberesero (0000-0001-9473-8193, Makerere University), Fred C Semitala (0000-0002-0624-7640, Makerere University), Anne Katahoire (0000-0003-3520-070X, Makerere University), Mari Armstrong‐Hough (0000-0001-6947-4528, New York University), Joan N Kalyango (0000-0001-5113-2909, Makerere University), Victor Musiime (0000-0001-7472-9054, Joint Clinical Research Centre)
EditorsEdina Amponsah-Dacosta (0000-0002-3913-0457)
Year2022
Volume2
Issue12
Pagese0000870
Publication date2022-12-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000870
PMID36962841
OpenAlexW4311621920
LanguageEN
Citations received4
References cited11

Awareness of HIV serostatus helps individuals calibrate behaviour or link to care. Globally, young people (15-24years) contribute over 30% of new HIV infections. Despite progress in enhancing access to HIV services, HIV testing among young people in Uganda is below target. We determined the prevalence and factors influencing HIV testing among young people in a peri-urban district with the highest proportion of young people. We conducted a nested explanatory sequential mixed-methods study from March to May 2019 in Wakiso district. We used stratified cluster random sampling to select 397 rural and 253 urban young people from eight parishes. We collected data using questionnaires and subsequently conducted in-depth interviews with 16 purposively selected survey participants. The prevalence of testing for HIV was 80.2%. Young people related their decisions about HIV testing to self-evaluation of their risk and perceived ability to manage the consequences of a positive result. Participants reported high levels of support for HIV testing from peers, partners, and family members. They perceived health facilities as confusing, distant, expensive, and staffed by judgmental, older health workers as barriers. They felt that mobile testing points solved some of these problems, but introduced less privacy and greater confidentiality concerns. The prevalence of HIV testing among young people in Wakiso district was low compared to the UNAIDS 2030 target but among the highest in sub-Saharan Africa. Community-based programs resolve many concerns about testing at health facilities. However, there is a need to make these programs more comfortable and private

Confidentiality · Environmental health · Family medicine · Public health · Serostatus · Viral load · Young adult · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Gerontology