Evidence map›Paper›PMID 26808547›Full record

ArticlePloS one2016

Factors Associated with Ever Being HIV-Tested in Zimbabwe: An Extended Analysis of the Zimbabwe Demographic and Health Survey (2010-2011).

Kudakwashe Collin Takarinda, Lydia Kudakwashe Madyira, Mutsa Mhangara, Victor Makaza, Memory Maphosa-Mutsaka, Simbarashe Rusakaniko, Peter H Kilmarx, Tsitsi Mutasa-Apollo, Getrude Ncube, Anthony David Harries

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.8field-weighted citation impact, top 4% of its field
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

32 citing papers in PubMed, 59 citations in OpenAlex.

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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

10 authors at 4 institutions in 3 countries.

Kudakwashe Collin TakarindaAIDS and TB Department, Ministry of Health and Child Care, Harare, Zimbabwe.
Lydia Kudakwashe MadyiraAIDS and TB Department, Ministry of Health and Child Care, Harare, Zimbabwe.
Mutsa MhangaraAIDS and TB Department, Ministry of Health and Child Care, Harare, Zimbabwe.
Victor MakazaNational AIDS Council, Harare, Zimbabwe.
Memory Maphosa-MutsakaNational AIDS Council, Harare, Zimbabwe.
Simbarashe RusakanikoDepartment of Community Medicine, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Peter H KilmarxDivision of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Harare, Zimbabwe.
Tsitsi Mutasa-ApolloAIDS and TB Department, Ministry of Health and Child Care, Harare, Zimbabwe.
Getrude NcubeAIDS and TB Department, Ministry of Health and Child Care, Harare, Zimbabwe.
Anthony David HarriesInternational Union Against Tuberculosis and Lung Disease, Paris, France.
Ministry of Health and Child Welfare · ZWInternational Union Against Tuberculosis and Lung Disease · FRNational AIDS Council · ZWUniversity of Zimbabwe · ZW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionZimbabwe has a high human immunodeficiency virus (HIV) burden. It is therefore important to scale up HIV-testing and counseling (HTC) as a gateway to HIV prevention, treatment and care.

objectiveTo determine factors associated with being HIV-tested among adult men and women in Zimbabwe.

methodsSecondary analysis was done using data from 7,313 women and 6,584 men who completed interviewer-administered questionnaires and provided blood specimens for HIV testing during the Zimbabwe Demographic and Health Survey (ZDHS) 2010-11. Factors associated with ever being HIV-tested were determined using multivariate logistic regression.

resultsHIV-testing was higher among women compared to men (61% versus 39%). HIV-infected respondents were more likely to be tested compared to those who were HIV-negative for both men [adjusted odds ratio (AOR) = 1.53; 95% confidence interval (CI) (1.27-1.84)] and women [AOR = 1.42; 95% CI (1.20-1.69)]. However, only 55% and 74% of these HIV-infected men and women respectively had ever been tested. Among women, visiting antenatal care (ANC) [AOR = 5.48, 95% CI (4.08-7.36)] was the most significant predictor of being tested whilst a novel finding for men was higher odds of testing among those reporting a sexually transmitted infection (STI) in the past 12 months [AOR = 1.86, 95%CI (1.26-2.74)]. Among men, the odds of ever being tested increased with age ≥ 20 years, particularly those 45-49 years [AOR = 4.21; 95% CI (2.74-6.48)] whilst for women testing was highest among those aged 25-29 years [AOR = 2.01; 95% CI (1.63-2.48)]. Other significant factors for both sexes were increasing education level, higher wealth status and currently/formerly being in union.

conclusionsThere remains a high proportion of undiagnosed HIV-infected persons and hence there is a need for innovative strategies aimed at increasing HIV-testing, particularly for men and in lower-income and lower-educated populations. Promotion of STI services can be an important gateway for testing more men whilst ANC still remains an important option for HIV-testing among pregnant women.

Indexed as

Health SurveysAdolescentAdultAIDS SerodiagnosisFemaleHumansMaleMiddle AgedYoung AdultZimbabwe

Identifiers

PMID26808547
PMCPMC4726692
OpenAlexW2257224095

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Registered trials

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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.