Prevalence and correlates of HIV testing among Caribbean youth

Abstract

Little is known about the HIV testing behaviours among Caribbean youth. The purpose of this study was to determine the prevalence of and the factors associated with HIV testing in Caribbean youth. Data were used from population-based surveys in three Caribbean countries: Guyana, Haiti and the Dominican Republic. Chi-square tests and multiple logistic regression models were fitted to examine the associations between independent correlates and ever being tested of HIV. The proportion of youth reporting HIV testing ranged from 17% in Haiti to 48% in the Dominican Republic. Across all countries increased odds of ever being tested for HIV was associated with ever being married, having five or more lifetime partners, and knowing someone who was living with or had died from HIV. Male gender and rural residence were correlated with decreased odds of HIV testing. Low levels of HIV testing were observed among sexually experienced youth in three Caribbean countries. Men, younger and never married youth were less likely to be have been tested for HIV. Outreach and public health messages targeting these youth should be implemented. Programmes that assist youth in accurately assessing their risk behaviours are also required to improve HIV testing.