Factors associated with HIV testing among men who have sex with men in Western Kenya: a cross-sectional study

Sylvia Shangani, Violet Naanyu, Ann Mwangi, Heleen Vermandere, Ethan Mereish, Andrew Obala, Davy Vanden Broeck, John Sidle, Don Operario

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

HIV diagnosis is an important step in the HIV cascade of prevention and treatment. However, men who have sex with men in low- and middle-income countries have limited access to HIV care services. We examined factors associated with prior HIV testing among men who have sex with men in western Kenya. We recruited 95 men who have sex with men aged 18 years and older, and who reported at least one sexual contact with a man in the past 6 months; however, this analysis is restricted to 89 participants who completed questions on HIV testing. Logistic regression model was used to determine factors associated with HIV testing in the past one year. Results indicate that 23 (26%) had not been tested in the past 12 months. Bivariate analyses demonstrated that condomless anal sex (odds ratio = 3.29, 95% confidence interval = 1.18–9.17) and comfort with healthcare providers (odds ratio = 1.15, 95 % CI = 1.05–1.26) were associated with higher odds of HIV testing in the past 12 months. Experiencing social stigma was associated with lower odds of HIV testing in the last 12 months (odds ratio = 0.91, 95% confidence interval = 0.84–0.94). In multivariable models, social stigma remained significantly associated with lower odds of HIV testing in the last 12 months odds ratio = 0.90, 95% confidence interval = 0.82–0.99) after inclusion of sexual risk and individual level variables. Development of men who have sex with men–sensitive HIV-testing services, addressing stigma, and training healthcare workers to provide culturally sensitive services may assist in effectively engaging men who have sex with men in the HIV treatment cascade.

Original languageEnglish (US)
Pages (from-to)179-187
Number of pages9
JournalInternational Journal of STD and AIDS
Volume28
Issue number2
DOIs
StatePublished - 2017

Fingerprint

Kenya
Cross-Sectional Studies
HIV
Odds Ratio
Social Stigma
Confidence Intervals
Logistic Models
Sex Ratio
Sexual Behavior
Health Personnel
Delivery of Health Care

Keywords

  • HIV testing
  • Kenya
  • men who have sex with men
  • stigma

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

Cite this

Factors associated with HIV testing among men who have sex with men in Western Kenya : a cross-sectional study. / Shangani, Sylvia; Naanyu, Violet; Mwangi, Ann; Vermandere, Heleen; Mereish, Ethan; Obala, Andrew; Vanden Broeck, Davy; Sidle, John; Operario, Don.

In: International Journal of STD and AIDS, Vol. 28, No. 2, 2017, p. 179-187.

Research output: Contribution to journalArticle

Shangani, S, Naanyu, V, Mwangi, A, Vermandere, H, Mereish, E, Obala, A, Vanden Broeck, D, Sidle, J & Operario, D 2017, 'Factors associated with HIV testing among men who have sex with men in Western Kenya: a cross-sectional study', International Journal of STD and AIDS, vol. 28, no. 2, pp. 179-187. https://doi.org/10.1177/0956462416638967
Shangani, Sylvia ; Naanyu, Violet ; Mwangi, Ann ; Vermandere, Heleen ; Mereish, Ethan ; Obala, Andrew ; Vanden Broeck, Davy ; Sidle, John ; Operario, Don. / Factors associated with HIV testing among men who have sex with men in Western Kenya : a cross-sectional study. In: International Journal of STD and AIDS. 2017 ; Vol. 28, No. 2. pp. 179-187.
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