ArticlePloS one2013
HIV testing and tolerance to gender based violence: a cross-sectional study in Zambia.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Determinants of Voluntary Counseling and Testing Service Uptake Among Adult Sub-Saharan Africans: A Systematic Review and Meta-Analysis.Public health reviews · 2022Pooled it
- Facilitators and barriers for HIV-testing in Zambia: A systematic review of multi-level factors.PloS one · 2018Pooled it
- Trial
- Frequency of HIV-testing and factors associated with multiple lifetime HIV-testing among a rural population of Zambian men.BMC public health · 2015Trial
- Engaging men in women's empowerment: impact of a complex gender transformative intervention on household socio-economic and health outcomes in the eastern democratic republic of the Congo using a longitudinal survey.BMC public health · 2024Article
- Empowerment and utilization of HIV testing among partnered women in Zambia: Evidence from the Zambia demographic and health survey 2018.PLOS global public health · 2024Article
- Article
- HIV Testing Among Muslim Women in the United States: Results of a National Sample Study.Health equity · 2021Article
- Understanding the role of interpersonal violence in assisted partner notification for HIV: a mixed-methods study in refugee settlements in West Nile Uganda.Journal of global health · 2020Article
- Impact of a complex gender-transformative intervention on maternal and child health outcomes in the eastern Democratic Republic of Congo: protocol of a longitudinal parallel mixed-methods study.BMC public health · 2020Article
- HIV index partner testing services in urban Lusaka: a retrospective review of medical records.F1000Research · 2020Article
- Determinants of HIV testing among Filipino women: Results from the 2013 Philippine National Demographic and Health Survey.PloS one · 2020Article
- Sexual violence as a risk factor for family planning-related outcomes among young Burundian women.International journal of public health · 2018Article
- Outcomes and Experiences of Men and Women with Partner Notification for HIV Testing in Tanzania: Results from a Mixed Method Study.AIDS and behavior · 2018Article
- A Framework for Health Communication Across the HIV Treatment Continuum.Journal of acquired immune deficiency syndromes (1999) · 2017Review
- Trends and determinants of HIV/AIDS knowledge among women in Bangladesh.BMC public health · 2016Article
- Non-Uptake of HIV Testing in Children at Risk in Two Urban and Rural Settings in Zambia: A Mixed-Methods Study.PloS one · 2016Article
- Article
- Characteristics and Sexual Risk Behavior of Men Who Never Tested for HIV in Zambia.American journal of men's healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper explores the effect of social relations and gender-based conflicts on the uptake of HIV testing in the South and Central provinces of Zambia. We conducted a community-based cross-sectional study of 1716 randomly selected individuals. Associations were examined using mixed-effect multivariable logistic regression. A total of 264 men (64%) and 268 women (56%) had never tested for HIV. The strongest determinants for not being tested were disruptive couple relationships (OR = 2.48 95% CI = 1.00-6.19); tolerance to gender-based violence (OR = 2.10 95% CI = 1.05-4.32) and fear of social rejection (OR = 1.48 95% CI = 1.23-1.80). In the Zambian context, unequal power relationships within the couple and the community seem to play a pivotal role in the decision to test which until now have been largely underestimated. Policies, programs and interventions to rapidly increase HIV testing need to urgently address gender-power inequity in relationships and prevent gender-based violence to reduce the negative impact on the lives of couples and families.
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