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Factors associated with HIV testing among public sector clinic attendees in Johannesburg, South Africa.

AIDS and Behavior

Ambulatory Care Facilities, Counseling, Cross-Sectional Studies, Female, HIV Infections, diagnosis, prevention & control, psychology, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Hospitals, Public, Young Adult, Humans, Logistic Models, Male, Patient Acceptance of Health Care, statistics & numerical data, Public Sector, Sexual Partners, Socioeconomic Factors, South Africa, Adult

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      Uptake of VCT remains low in many sub-Saharan African countries. Men and women aged 15 and older were recruited from a family planning, STI, and VCT clinic in inner-city Johannesburg between 2004 and 2005 to take part in a cross-sectional survey on HIV testing (n = 198). Fourty-eight percent of participants reported previously testing for HIV and, of these, 86.9% reported disclosing their status to their sex partner. In multivariable analyses, individuals whose partners had been tested for HIV were more likely to have tested (AOR 2.92; 95% CI: 1.38-6.20). In addition, those who reported greater blame/shame attitudes towards people living with HIV/AIDS were less likely to have tested (AOR 0.35; 95% CI: 0.16-0.77) while those reporting more equitable attitudes towards people living with HIV/AIDS were more likely to have tested (AOR 2.87; 95% CI: 1.20-6.86). Promotion of and increased access to couples HIV testing should be made available within the South African context.

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