Evidence map›Paper›PMID 40675749›Full record

ArticleBMJ global health2025

Social-ecological predictors of HIV testing among adult men: analysis of the 2022 Tanzania demographic and health survey data.

Christopher Hariri Mbotwa, Elihuruma Eliufoo Stephano, Linus Paul Rweyemamu

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Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Christopher Hariri MbotwaDepartment of Social Sciences, Mbeya College of Health and Allied Sciences, University of Dar es Salaam, Mbeya, Tanzania cmbotwa@udsm.ac.tz.ORCID http://orcid.org/0000-0003-2153-8646
Elihuruma Eliufoo StephanoDepartment of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania.ORCID http://orcid.org/0000-0001-9605-3577
Linus Paul RweyemamuDepartment of Biochemistry and Pharmacology, Mbeya College of Health and Allied Sciences, University of Dar es Salaam, Mbeya, Tanzania.ORCID http://orcid.org/0000-0002-8856-8789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe uptake of HIV testing among men in Tanzania remains suboptimal. This study aimed to identify social-ecological predictors of HIV testing among this demographic group in Tanzania.

methodsA cross-sectional analysis was conducted using data from the 2022 Tanzania Demographic and Health Survey. The study population included adult men aged 15-49 years. Data were weighted to account for the complex survey design. A modified Poisson regression model was used to examine predictors of recent HIV testing.

resultsA total of 5763 men, with a mean age of 28.6±10 years, were included in the analysis. The prevalence of ever having tested for HIV was 64.7%, while only 30.6% reported testing within the last 12 months. At the individual level, men aged 25-35 years (adjusted prevalence ratio (aPR) 1.23, 95% CI 1.03 to 1.47) and those aware of sexually transmitted infections (aPR 1.27, 95% CI 1.10 to 1.47) demonstrated a higher prevalence of recent HIV testing. Interpersonal factors associated with higher testing prevalence included being in a marital union and having multiple sexual partners. At the community level, geographical variation was evident: men in the Southern Highlands zone (aPR 1.18, 95% CI 1.01 to 1.39) had higher testing prevalence, while those in the Western zone (aPR 0.78, 95% CI 0.64 to 0.95) had lower prevalence. Societal factors, such as owning a mobile phone and having knowledge of HIV testing kits, were also linked to higher testing prevalence.

conclusionHIV testing among men in Tanzania remains suboptimal and is influenced by factors across individual, interpersonal, community and societal levels. Interventions that enhance awareness, improve access to testing services and create male-friendly healthcare environments are essential for achieving the 95-95-95 targets.

Indexed as

HIV InfectionsHIV TestingSocial EnvironmentAdolescentAdultCross-Sectional StudiesHealth SurveysHumansMaleMiddle AgedPrevalenceTanzaniaYoung AdultAIDSHealth Services AccessibilityHIVPublic HealthScreening

Identifiers

PMID40675749
PMCPMC12273182

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