ArticlePloS one2011
Expanding HIV testing efforts in concentrated epidemic settings: a population-based survey from rural Vietnam.
Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Factors affecting antenatal screening for HIV in Nepal: results from Nepal Demographic and Health Surveys 2016 and 2022.BMJ open · 2023Article
- Facilitators and barriers to status disclosure and partner testing of women living with HIV in Indonesia: a mixed methods study.Sexual and reproductive health matters · 2022Article
- The Dark Side of Female HIV Patient Care: Sexual and Reproductive Health Risks in Pre- and Post-Clinical Treatments.Journal of clinical medicine · 2018Article
- Factors Associated with Receiving Late HIV Testing Among Women Delivering at Hung Vuong Hospital, Ho Chi Minh City, Vietnam, 2014.AIDS and behavior · 2018Article
- Fertility Desire in Iranian Women with HIV: A Qualitative Study.Iranian journal of public health · 2015Article
- Predictors of HIV-test utilization in PMTCT among antenatal care attendees in government health centers: institution-based cross-sectional study using health belief model in Addis Ababa, Ethiopia, 2013.HIV/AIDS (Auckland, N.Z.) · 2015Article
- One size does not fit all: HIV testing preferences differ among high-risk groups in Northern Tanzania.AIDS care · 2015Article
- Structural barriers to timely initiation of antiretroviral treatment in Vietnam: findings from six outpatient clinics.PloS one · 2012Article
- Community patterns of stigma towards persons living with HIV: a population-based latent class analysis from rural Vietnam.BMC public health · 2011Article
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Authors and funding
6 authors.
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Abstract
backgroundTo improve HIV prevention and care programs, it is important to understand the uptake of HIV testing and to identify population segments in need of increased HIV testing. This is particularly crucial in countries with concentrated HIV epidemics, where HIV prevalence continues to rise in the general population. This study analyzes determinants of HIV testing in a rural Vietnamese population in order to identify potential access barriers and areas for promoting HIV testing services.
methodsA population-based cross-sectional survey of 1874 randomly sampled adults was linked to pregnancy, migration and economic cohort data from a demographic surveillance site (DSS). Multivariate logistic regression analysis was used to determine which factors were associated with having tested for HIV.
resultsThe age-adjusted prevalence of ever-testing for HIV was 7.6%; however 79% of those who reported feeling at-risk of contracting HIV had never tested. In multivariate analysis, younger age (aOR 1.85, 95% CI 1.14-3.01), higher economic status (aOR 3.4, 95% CI 2.21-5.22), and semi-urban residence (aOR 2.37, 95% CI 1.53-3.66) were associated with having been tested for HIV. HIV testing rates did not differ between women of reproductive age who had recently been pregnant and those who had not.
conclusionsWe found low testing uptake (6%) among pregnant women despite an existing prevention of mother-to-child HIV testing policy, and lower-than-expected testing among persons who felt that they were at-risk of HIV. Poverty and residence in a more geographically remote location were associated with less HIV testing. In addition to current HIV testing strategies focusing on high-risk groups, we recommend targeting HIV testing in concentrated HIV epidemic settings to focus on a scaled-up provision of antenatal testing. Additional recommendations include removing financial and geographic access barriers to client-initiated testing, and encouraging provider-initiated testing of those who believe that they are at-risk of HIV.
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