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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
HIV testing is associated with increased knowledge and reductions in sexual risk behaviours among men in Cape Town, South Africa
African Journal of AIDS Research, Volume 12, No. 4, Year 2013
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Description
HIV testing benefits those who test positive, allowing them to receive treatment, but the benefits for those who test negative remain controversial. We evaluated the impact of testing on HIV knowledge and sexual risk among men in South Africa. Men were recruited from townships outside Cape Town and completed a survey that assessed testing history, knowledge, and sexual behaviours. Among the 820 participants, 516 (63%) reported being tested (82% tested negative, 6% tested positive, and 12% unknown). Compared to those who had never been tested for HIV, men who tested for HIV were more knowledgeable about HIV transmission, but did not differ on sexual risk behaviour. Knowledge moderated the effect of testing on sexual risk such that men reported fewer sexual partners (incidence rate ratio (IRR) = 0.91, 95% CI = 0.84, 0.98) and fewer unprotected anal sex events (IRR = 0.81, 95% CI = 0.66, 1.00) if they had been tested for HIV and were knowledgeable about HIV transmission. For men testing HIV-negative, knowledge predicted fewer sexual risk behaviours. Previous HIV testing is associated with enhanced knowledge, which moderates sexual risk behaviour among South African men living in Cape Town. Results suggest that HIV testing may increase knowledge and lead to reductions in sexual risk even when results are negative. Copyright © NISC (Pty) Ltd.
Authors & Co-Authors
Scott-Sheldon, Lori A.J.
United States, Providence
Miriam Hospital
United States, Providence
The Warren Alpert Medical School
United States, Providence
Brown University
Carey, Michael P.
United States, Providence
Miriam Hospital
United States, Providence
The Warren Alpert Medical School
United States, Providence
Brown University
Carey, Kate Bergmann
United States, Providence
Brown University
Cain, Demetria N.
United States, Storrs
University of Connecticut
Simbayi, Leickness Chisamu
South Africa, Pretoria
Human Sciences Research Council of South Africa
South Africa, Cape Town
University of Cape Town
Mehlomakulu, Vuyelwa
South Africa, Pretoria
Human Sciences Research Council of South Africa
South Africa, Johannesburg
University of the Witwatersrand
Kalichman, Seth Charles
United States, Storrs
University of Connecticut
Statistics
Citations: 40
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.2989/16085906.2013.863219
ISSN:
16085906
e-ISSN:
17279445
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
South Africa
Participants Gender
Male