HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data

Melash Belachew Asresie,1,* Getasew Tadesse Worku,2,* Yibeltal Alemu Bekele1,* 1Department of Reproductive Health and Population Studies, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 2Department of Health Economi...

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Main Authors: Asresie MB, Worku GT, Bekele YA
Format: Article
Language:English
Published: Dove Medical Press 2023-05-01
Series:HIV/AIDS: Research and Palliative Care
Subjects:
Online Access:https://www.dovepress.com/hiv-testing-uptake-among-ethiopian-rural-men-evidence-from-2016-ethiop-peer-reviewed-fulltext-article-HIV
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author Asresie MB
Worku GT
Bekele YA
author_facet Asresie MB
Worku GT
Bekele YA
author_sort Asresie MB
collection DOAJ
description Melash Belachew Asresie,1,* Getasew Tadesse Worku,2,* Yibeltal Alemu Bekele1,* 1Department of Reproductive Health and Population Studies, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 2Department of Health Economics and Health Service Management, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia*These authors contributed equally to this workCorrespondence: Melash Belachew Asresie, P.box:79, Tel +251920774471, Email kalleab1@gmail.comBackground: Human immunodeficiency virus (HIV) testing coverage among men remains low in Ethiopia; the problem of limited HIV testing coverage is worst in rural areas. Therefore, this study aims to identify factors associated with HIV testing uptake among rural men in Ethiopia.Methods: Data from 10,187 rural men was extracted from the 2016 Ethiopian Demography and Health Survey. All analyses were performed using the complex sample analysis procedure to account for the multistage sampling. Bivariable and multivariable regression analyses were performed to identify factors associated with HIV testing uptake. Statistical significance was defined as a 95% Confidence Interval (CI) with a p-value of less than 0.05.Results: Overall, only 40.3% of rural men have ever been tested for HIV. Being aged 31– 44 years (Adjusted Odds Ratio (AOR) =1.12, 95% CI [1.01– 1.42]), living in developed regions (AOR=1.43, 95% CI [1.09– 1.88]), engaging in non-agricultural activities (AOR = 1.27, 95% CI [1.05– 1.52]), being Muslim (AOR = 2.07; 95% CI [1.67– 2.67]), having comprehensive knowledge about HIV (AOR =1.31, 95% CI [1.12– 1.54]), being from a medium (AOR = 0.56, 95% CI [0.47– 0.93]) and rich (AOR = 0.80, 95% CI [0.56– 0.80]) households, attending primary (AOR = 0.21, 95% CI [0.16– 0.28]) and secondary (AOR = 0.35, 95% CI [0.25– 0.35]) school, having their first sexual experience at the age of 17 or younger (AOR = 0.26, 95% CI [0.19– 0.93]), having discriminatory attitudes towards HIV patients (AOR = 0.67, 95% CI: 0.47– 0.93) and having no health insurance coverage (AOR = 0.54, 95% CI [0.42– 0.69]) were significantly associated with HIV testing uptake.Conclusion: HIV testing uptake among rural men was low. Strengthening awareness programmes on HIV and HIV testing, integrating HIV testing with all other healthcare, strengthening partner accompany and HIV testing during pregnancy and delivery, and providing home-based HIV testing may increase HIV testing uptake.Keywords: HIV, testing, rural, men, determinants, Ethiopia
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spelling doaj.art-77082706b637479fb38f473d387e10ea2023-05-04T19:14:20ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732023-05-01Volume 1522523483474HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey DataAsresie MBWorku GTBekele YAMelash Belachew Asresie,1,* Getasew Tadesse Worku,2,* Yibeltal Alemu Bekele1,* 1Department of Reproductive Health and Population Studies, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 2Department of Health Economics and Health Service Management, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia*These authors contributed equally to this workCorrespondence: Melash Belachew Asresie, P.box:79, Tel +251920774471, Email kalleab1@gmail.comBackground: Human immunodeficiency virus (HIV) testing coverage among men remains low in Ethiopia; the problem of limited HIV testing coverage is worst in rural areas. Therefore, this study aims to identify factors associated with HIV testing uptake among rural men in Ethiopia.Methods: Data from 10,187 rural men was extracted from the 2016 Ethiopian Demography and Health Survey. All analyses were performed using the complex sample analysis procedure to account for the multistage sampling. Bivariable and multivariable regression analyses were performed to identify factors associated with HIV testing uptake. Statistical significance was defined as a 95% Confidence Interval (CI) with a p-value of less than 0.05.Results: Overall, only 40.3% of rural men have ever been tested for HIV. Being aged 31– 44 years (Adjusted Odds Ratio (AOR) =1.12, 95% CI [1.01– 1.42]), living in developed regions (AOR=1.43, 95% CI [1.09– 1.88]), engaging in non-agricultural activities (AOR = 1.27, 95% CI [1.05– 1.52]), being Muslim (AOR = 2.07; 95% CI [1.67– 2.67]), having comprehensive knowledge about HIV (AOR =1.31, 95% CI [1.12– 1.54]), being from a medium (AOR = 0.56, 95% CI [0.47– 0.93]) and rich (AOR = 0.80, 95% CI [0.56– 0.80]) households, attending primary (AOR = 0.21, 95% CI [0.16– 0.28]) and secondary (AOR = 0.35, 95% CI [0.25– 0.35]) school, having their first sexual experience at the age of 17 or younger (AOR = 0.26, 95% CI [0.19– 0.93]), having discriminatory attitudes towards HIV patients (AOR = 0.67, 95% CI: 0.47– 0.93) and having no health insurance coverage (AOR = 0.54, 95% CI [0.42– 0.69]) were significantly associated with HIV testing uptake.Conclusion: HIV testing uptake among rural men was low. Strengthening awareness programmes on HIV and HIV testing, integrating HIV testing with all other healthcare, strengthening partner accompany and HIV testing during pregnancy and delivery, and providing home-based HIV testing may increase HIV testing uptake.Keywords: HIV, testing, rural, men, determinants, Ethiopiahttps://www.dovepress.com/hiv-testing-uptake-among-ethiopian-rural-men-evidence-from-2016-ethiop-peer-reviewed-fulltext-article-HIVhivtestingruralmendeterminantsethiopia
spellingShingle Asresie MB
Worku GT
Bekele YA
HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data
HIV/AIDS: Research and Palliative Care
hiv
testing
rural
men
determinants
ethiopia
title HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data
title_full HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data
title_fullStr HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data
title_full_unstemmed HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data
title_short HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data
title_sort hiv testing uptake among ethiopian rural men evidence from 2016 ethiopian demography and health survey data
topic hiv
testing
rural
men
determinants
ethiopia
url https://www.dovepress.com/hiv-testing-uptake-among-ethiopian-rural-men-evidence-from-2016-ethiop-peer-reviewed-fulltext-article-HIV
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