Abstract
BackgroundHIV testing among men is paramount in the prevention, diagnosis, and treatment of HIV. There is limited literature in understanding the socio-economic and demographic factors associated with never having tested for HIV among sexually active men aged 15 – 54 across the four administrative regions of Uganda. The purpose of this study is to investigate the socio-economic and demographic factors associated with never having tested for HIV among sexually active men aged 15 – 54 across the four administrative regions in the country.MethodsThe study used a cross-sectional research design to examine factors associated with never having tested for HIV among 4,168 sexually active men (15 – 54 years) across four administrative regions of Uganda using data from 2016 Uganda Demographic and Health Survey (UDHS). Frequency distributions, Pearson chi-square tests, and multivariable logistic regression were used to establish the association between never having tested for HIV among sexually active men (15 – 54 years) and selected independent variables across regions.ResultsAbout 20% of sexually active men (15 – 54 years) never tested for HIV across regions of the country. The major correlates amidst variability of never testing for HIV among sexually active men across regions were; educational level and marital status. Age, religious status, wealth quintile, worked in the last 12 months, circumcised, and one sexual partner in the last 12 months were only correlates of never having tested for HIV among respondents in particular regions of the country.ConclusionFindings in the study suggest promotion of male education, and suggest further investigation into the relationship between HIV non-testing among sexually active men (15 – 54 years) and being married across regions of the country. The study also proposes appreciation of regional differences in the outcome of HIV non-testing and suggests that efforts be focused on addressing regional differences in order to attain high HIV testing among sexually active men (15 – 54 years) across regions of Uganda, and thus reduce HIV related morbidity and mortality.
Highlights
Human Immunodeficiency Virus (HIV) testing among men is paramount in the prevention, diagnosis, and treatment of HIV
Socio‐economic and demographic factors associated with never having tested for HIV among sexually active men aged (15 – 54 years) across regions in Uganda Results in Table 3 reveal the socio-economic and demographic factors associated with never having tested for HIV among sexually active men aged 15 – 54 across regions in Uganda, premised on adjusted multivariable logistic regression
Analysis across regions (Table 3), indicates significance in only central region, with respondents in central region who had one sexual partner were 0.55 times (OR = 0.55; CI = 0.31-0.98) less likely to have never tested for HIV compared with the sexually active men (15 – 54 years) who reported not to have had a sexual partner in the last 12 months
Summary
HIV testing among men is paramount in the prevention, diagnosis, and treatment of HIV. There is limited literature in understanding the socio-economic and demographic factors associated with never having tested for HIV among sexually active men aged 15 – 54 across the four administrative regions of Uganda. The purpose of this study is to investigate the socio-economic and demographic factors associated with never having tested for HIV among sexually active men aged 15 – 54 across the four administrative regions in the country. HIV/AIDS is a main cause of morbidity and mortality in sub-Saharan Africa [2, 3]. Men and women in the region are prone to contracting HIV, men are less likely to test for HIV, more likely to be diagnosed with advanced stages of the disease and more likely to be associated with HIV related deaths because of their poorer testing uptake and treatment [6,7,8,9,10,11,12]. Differences in HIV prevalence and proportion of never having tested for HIV among men in sub-Saharan Africa exist, even within countries [12, 19]
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