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HIV screening in men and women in Senegal: Coverage and associated factors; analysis of the 2017 demographic and health survey

BMC Infectious Diseases Jan 08, 2020

Lakhe NA, et al. - As knowledge of HIV status is the gateway to antiretroviral treatment, researchers sought to determine the factors linked with HIV testing among sexually active women and men in Senegal. Performing secondary analysis of the 2017 Senegal Demographic and Health Survey data, they identified the undertaking of HIV testing by 61.1% (95%CI: 59.2–62.9) of women and 26.2% (95%CI: 24.2–28.3) of men at the last 12 months. This suggests a low prevalence of HIV testing in Senegal despite HIV being a public health threat. The multivariate analysis revealed independent association of the following factors with being tested for HIV among men: age groups 20–24 to 40–44 and age group 50–54; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of highly active antiretroviral therapy (HAART) during pregnancy; having 2 or more lifetime sex partners and owning a mobile phone. Following factors exhibited independent association with HIV testing among women: being in any age groups vs 15–19; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having any sexually transmitted diseases in last 12 months; fearing stigma; owning a mobile phone; and having any number of antenatal care visits, vs none. These findings suggest the necessity for innovative community-based strategies to address barriers and increase access to HIV testing in Senegal, especially for men and for the youngest and poorest populations.
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