Awareness of HIV status, prevention knowledge and condom use among people living with HIV in Mozambique.

E Kainne Dokubo,Nely Honwana,Francisco Mbofana,Peter W Young,Joyce J Neal,John Aberle-Grasse,Ray W Shiraishi

doi:10.1371/journal.pone.0106760

E Kainne Dokubo, Nely Honwana + Show 5 more

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https://doi.org/10.1371/journal.pone.0106760

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ObjectiveTo determine factors associated with HIV status unawareness and assess HIV prevention knowledge and condom use among people living with HIV/AIDS (PLHIV) in Mozambique.DesignCross-sectional household-based nationally representative AIDS Indicator Survey.MethodsAnalyses focused on HIV-infected adults and were weighted for the complex sampling design. We identified PLHIV who had never been tested for HIV or received their test results prior to this survey. Logistic regression was used to assess factors associated with HIV status unawareness.ResultsOf persons with positive HIV test results (N = 1182), 61% (95% confidence interval [CI] 57–65%) were unaware of their serostatus. Men had twice the odds of being unaware of their serostatus compared with women [adjusted odds ratio (aOR) 2.05, CI 1.40–2.98]. PLHIV in the poorest wealth quintile were most likely to be unaware of their serostatus (aOR 3.15, CI 1.09–9.12) compared to those in the middle wealth quintile. Most PLHIV (83%, CI 79–87%) reported not using a condom during their last sexual intercourse, and PLHIV who reported not using a condom during their last sexual intercourse were more likely to be unaware of their serostatus (aOR 2.32, CI 1.57–3.43) than those who used a condom.ConclusionsKnowledge of HIV-positive status is associated with more frequent condom use in Mozambique. However, most HIV-infected persons are unaware of their serostatus, with men and persons in the poorest wealth quintile being more likely to be unaware. These findings support calls for expanded HIV testing, especially among groups less likely to be aware of their HIV status and key populations at higher risk for infection.

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To achieve the vision of an AIDS-free generation, with no new HIV infections and no AIDS-related deaths [1], effective HIV prevention efforts are needed globally
Awareness of HIV status Among people living with HIV (PLHIV) identified in the survey, 673 (61%, 95% confidence intervals (CI) 57–65%) were unaware of their HIV infection, i.e. they reported that they had never previously been tested for HIV or were tested but never received their test result
After adjusting for age, wealth index and condom use, men were still more likely to be unaware of their serostatus with an adjusted odds ratio of 2.05

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Introduction

To achieve the vision of an AIDS-free generation, with no new HIV infections and no AIDS-related deaths [1], effective HIV prevention efforts are needed globally. One of the goals of the Joint United Nations Programme on HIV/AIDS (UNAIDS) is to have 15 million people living with HIV (PLHIV), who are eligible for treatment, on antiretroviral therapy (ART) by 2015 [2]. A decrease in incidence has occurred in many low and middle-income countries [3,4], HIV continues to pose a challenge to public health, especially in sub-Saharan Africa – the region most affected by the epidemic.

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