Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Individual, household and community factors associated with HIV test refusal in rural Malawi
Tropical Medicine and International Health, Volume 13, No. 11, Year 2008
Notification
URL copied to clipboard!
Description
Objective: To investigate individual, household and community factors associated with HIV test refusal in a counselling and testing programme offered at population level in rural Malawi. Methods: HIV counselling and testing was offered to individuals aged 18-59 at their homes. Individual variables were collected by interviews and physical examinations. Household variables were determined as part of a previous census. Multivariate models allowing for household and community clustering were used to assess associations between HIV test refusal and explanatory variables. Results: Of 2303 eligible adults, 2129 were found and 1443 agreed to HIV testing. Test refusal was less likely by those who were never married [adjusted odds ratio (aOR) 0.50 for men (95% CI 0.32; 0.80) and 0.44 (0.21; 0.91) for women] and by farmers [aOR 0.70 (0.52; 0.96) for men and 0.59 (0.40; 0.87) for women]. A 10% increase in cluster refusal rates increased the odds of refusal by 1.48 (1.32; 1.66) in men and 1.68 (1.32; 2.12) in women. Women counsellors increased the odds of refusal by 1.39 (1.00; 1.92) in men. Predictors of HIV test refusal in women were refusal of the husband as head of household [aOR 15.08 (9.39; 24.21)] and living close to the main road [aOR 6.07 (1.76; 20.98)]. Common reasons for refusal were fear of testing positive, previous HIV test, knowledge of HIV serostatus and the need for more time to think. Conclusion: Successful VCT strategies need to encourage couples counselling and should involve participation of men and communities. © 2008 Blackwell Publishing Ltd.
Authors & Co-Authors
Kranzer, Katharina A.
Unknown Affiliation
McGrath, Nuala M.
Unknown Affiliation
Saul, Jacky
Unknown Affiliation
Crampin, Amelia Catharine
Unknown Affiliation
Jahn, Andreas
Unknown Affiliation
Malema, Simon
Unknown Affiliation
Mulawa, Dominic
Unknown Affiliation
Fine, Paul E.M.
Unknown Affiliation
Zaba, Basia W.
Unknown Affiliation
Glynn, Judith R.
Unknown Affiliation
Statistics
Citations: 43
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1111/j.1365-3156.2008.02148.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Case-Control Study
Study Locations
Malawi
Participants Gender
Male
Female