Evidence map›Paper›PMID 23937702›Full record

ArticleTropical medicine & international health : TM & IH2013

Socio-economic determinants of HIV testing and counselling: a comparative study in four African countries.

Carla Makhlouf Obermeyer, Melissa Neuman, Anita Hardon, Alice Desclaux, Rhoda Wanyenze, Odette Ky-Zerbo, Peter Cherutich, Ireen Namakhoma

Abstract readComparative Study
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Knowledge of HIV and/or AIDS and HIV testing services among young men in South Africa.African journal of primary health care & family medicine · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Carla Makhlouf ObermeyerFaculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Melissa NeumanInstitute for Global Health, University College London, London, UK.
Anita HardonUniversity of Amsterdam, Amsterdam, The Netherlands.
Alice DesclauxInstitut de Recherches pour le Développement, Dakar, Senegal.
Rhoda WanyenzeMakerere University School of Public Health, Kampala, Uganda.
Odette Ky-ZerboProgramme d'Appui au Monde Associatif et Communautaire, Ouagadougou, Burkina Faso.
Peter CherutichNational AIDS Control Program, Nairobi, Kenya.
Ireen NamakhomaReach Trust, Lilongwe, Malawi.

Funding

Testing and Counseling for HIV: A Multi-Site StudyR01HD053268 · NICHD · WORLD HEALTH ORGANIZATION · PI OBERMEYER, CARLA M · 2006 to 2010
$2.2M
NICHD NIH HHS R01 HD053268
6 · The paper itself

Abstract

objectivesResearch indicates that individuals tested for HIV have higher socio-economic status than those not tested, but less is known about how socio-economic status is associated with modes of testing. We compared individuals tested through provider-initiated testing and counselling (PITC), those tested through voluntary counselling and testing (VCT) and those never tested.

methodsCross-sectional surveys were conducted at health facilities in Burkina Faso, Kenya, Malawi and Uganda, as part of the Multi-country African Testing and Counselling for HIV (MATCH) study. A total of 3659 clients were asked about testing status, type of facility of most recent test and socio-economic status. Two outcome measures were analysed: ever tested for HIV and mode of testing. We compared VCT at stand-alone facilities and PITC, which includes integrated facilities where testing is provided with medical care, and prevention of mother-to-child transmission (PMTCT) facilities. The determinants of ever testing and of using a particular mode of testing were analysed using modified Poisson regression and multinomial logistic analyses.

resultsHigher socio-economic status was associated with the likelihood of testing at VCT rather than other facilities or not testing. There were no significant differences in socio-economic characteristics between those tested through PITC (integrated and PMTCT facilities) and those not tested.

conclusionsProvider-initiated modes of testing make testing accessible to individuals from lower socio-economic groups to a greater extent than traditional VCT. Expanding testing through PMTCT reduces socio-economic obstacles, especially for women. Continued efforts are needed to encourage testing and counselling among men and the less affluent.

Indexed as

Social ClassAdolescentAdultAge DistributionAIDS SerodiagnosisBurkina FasoCross-Cultural ComparisonCross-Sectional StudiesEducational StatusFemaleHumansKenyaMalawiMaleMiddle AgedPatient Acceptance of Health CareaccessHIVprovider-initiated testing and counsellingsocio-economicsub-Saharan Africatestingvoluntary counselling and testing

Identifiers

PMID23937702
PMCPMC3808878

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.