combine@alvar.ug

Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda

Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda

Show simple record

dc.contributor.author Richard Muhindo
dc.contributor.author Barbara Castelnuovo
dc.contributor.author Andrew Mujugira
dc.contributor.author Nelson K. Sewankambo
dc.contributor.author Rosalind Parkes-Ratanshi
dc.contributor.author Juliet Kiguli
dc.contributor.author Nazarius Mbona Tumwesigye
dc.contributor.author Edith Nakku-Joloba
dc.date.accessioned 2021-01-11T13:51:39Z
dc.date.available 2021-01-11T13:51:39Z
dc.date.issued 2020
dc.identifier.uri https://combine.alvar.ug/handle/1/49389
dc.description.abstract Abstract; Background: Few studies have evaluated intentions to undergo periodic sexually transmitted infection (STI) and HIV testing among female sex workers (FSW) in Sub-Saharan Africa. We aimed to assess intention to seek periodic syphilis and HIV testing among FSW in Uganda. Methods: Between July and October 2018, we conducted a cross-sectional study among 441 FSW. Participants were recruited through peer referrals. Self-reported data on intention to take a syphilis test in the next 3 months and an HIV test in next 6 months were obtained using an interviewer-administered questionnaire. We used constructs of the Integrated Change Model to assess intentions, attitudes, norms, social influences and self-efficacy towards 3-monthly syphilis and 6-monthly HIV testing. Predictors of intention to seek testing were estimated using linear regression.Results: A total of 441 FSW were included in the analysis, and the median age was 26 years (interquartile range [IQR] 23–30). Most (66.9%) reported high intention to take an HIV test in the next 6 months, and 51.9% showed high intention to take a serological syphilis test in the next 3 months. In multivariable analysis, never testing for HIV was associated with low intention of testing (β=-0.15, p=0.001). Factors significantly associated with high intentions to test for HIV in the next 6 months were perceived influence of significant others (β=0.08, p=0.03), high self-efficacy (β=0.26, p=0.001) and high attitude scores (β=0.45, p=0.001). Similarly, high attitude (β=0.30, P=0.001) and descriptive norms (β=0.32, P=0.001) were associated with high intentions to test for syphilis in the next three months. Conclusion: These results suggest public health programs promoting routine HIV and syphilis testing should consider factors such as attitudes, descriptive norms, social influences, self-efficacy and past behaviours which inform intention to undergo STI testing.
dc.publisher Research Square
dc.title Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda
dc.type Preprint
dc.identifier.doi 10.21203/rs.3.rs-15682/v1
dc.identifier.mag 3083324448
dc.identifier.lens 003-048-102-786-49X
dc.subject.lens-fields Demography
dc.subject.lens-fields Syphilis testing
dc.subject.lens-fields Human immunodeficiency virus (HIV)
dc.subject.lens-fields Female sex
dc.subject.lens-fields Medicine


This record appears in the collections of the following institution(s)

Show simple record

Search Entire Database


Browse

My Account