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Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini.

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Title: Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini.
Authors: Olislagers, Quint, van Leth, Frank, Shabalala, Fortunate, Dlamini, Njabuliso, Simelane, Njabulo, Masilela, Nelisiwe, Gomez, Gabriela B., Pell, Christopher, Vernooij, Eva, Reis, Ria, Molemans, Marjan
Source: AIDS Care. Sep2023, Vol. 35 Issue 9, p1346-1353. 8p. 1 Diagram, 3 Charts.
Subjects: Diagnosis of HIV infections, Confidence intervals, Cross-sectional method, Medical screening, Health behavior, Descriptive statistics, Research funding, Logistic regression analysis, Odds ratio
Geographic Terms: Southern Africa
Abstract: Eswatini has a high HIV prevalence but has made progress towards improving HIV-status awareness, ART uptake and viral suppression. However, there is still a delay in ART initiation, which could partly be attributed to positive HIV-retesting. This study examines reasons for, and factors associated with, positive HIV-retesting among MaxART participants in Eswatini. Data from 601 participants is included in this cross-sectional study. Descriptive statistics and logistic regressions were used. Of the participants, 32.8% has ever retested after a previous positive result. Most participants who retested did this because they could not accept their results (61.9% of all retesters). Other main reasons are related to external influences, gender or the progression of their HIV infection (respectively 18.3%, 10.2%, and 6.1% of all retesters). Participants without a current partner and participants with less time since their first positive test have lower odds of retesting. To decrease retesting and reduce the delay in ART initiation resulting from it, efforts could be made on increasing the acceptance of positive HIV results. Providing more information on the process of testing and importance of early ART initiation, could be part of the solution. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini.
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  Data: <searchLink fieldCode="AR" term="%22Olislagers%2C+Quint%22">Olislagers, Quint</searchLink><br /><searchLink fieldCode="AR" term="%22van+Leth%2C+Frank%22">van Leth, Frank</searchLink><br /><searchLink fieldCode="AR" term="%22Shabalala%2C+Fortunate%22">Shabalala, Fortunate</searchLink><br /><searchLink fieldCode="AR" term="%22Dlamini%2C+Njabuliso%22">Dlamini, Njabuliso</searchLink><br /><searchLink fieldCode="AR" term="%22Simelane%2C+Njabulo%22">Simelane, Njabulo</searchLink><br /><searchLink fieldCode="AR" term="%22Masilela%2C+Nelisiwe%22">Masilela, Nelisiwe</searchLink><br /><searchLink fieldCode="AR" term="%22Gomez%2C+Gabriela+B%2E%22">Gomez, Gabriela B.</searchLink><br /><searchLink fieldCode="AR" term="%22Pell%2C+Christopher%22">Pell, Christopher</searchLink><br /><searchLink fieldCode="AR" term="%22Vernooij%2C+Eva%22">Vernooij, Eva</searchLink><br /><searchLink fieldCode="AR" term="%22Reis%2C+Ria%22">Reis, Ria</searchLink><br /><searchLink fieldCode="AR" term="%22Molemans%2C+Marjan%22">Molemans, Marjan</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Sep2023, Vol. 35 Issue 9, p1346-1353. 8p. 1 Diagram, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+HIV+infections%22">Diagnosis of HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Southern+Africa%22">Southern Africa</searchLink>
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  Data: Eswatini has a high HIV prevalence but has made progress towards improving HIV-status awareness, ART uptake and viral suppression. However, there is still a delay in ART initiation, which could partly be attributed to positive HIV-retesting. This study examines reasons for, and factors associated with, positive HIV-retesting among MaxART participants in Eswatini. Data from 601 participants is included in this cross-sectional study. Descriptive statistics and logistic regressions were used. Of the participants, 32.8% has ever retested after a previous positive result. Most participants who retested did this because they could not accept their results (61.9% of all retesters). Other main reasons are related to external influences, gender or the progression of their HIV infection (respectively 18.3%, 10.2%, and 6.1% of all retesters). Participants without a current partner and participants with less time since their first positive test have lower odds of retesting. To decrease retesting and reduce the delay in ART initiation resulting from it, efforts could be made on increasing the acceptance of positive HIV results. Providing more information on the process of testing and importance of early ART initiation, could be part of the solution. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/09540121.2022.2142930
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1346
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Medical screening
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      – SubjectFull: Health behavior
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research funding
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Southern Africa
        Type: general
    Titles:
      – TitleFull: Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini.
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              M: 09
              Text: Sep2023
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