Uptake of HIV testing among aging adults in Agincourt, South Africa: perception of community, social network, and individual characteristics.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ajar-African Journal of Aids Research Pub Date : 2022-03-01 DOI:10.2989/16085906.2022.2034656
Ami R Moore, Anh Ta, Megan Lawson, Foster Amey
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Abstract

This cross-sectional study examined the impact of perception of community, social network and individual variables on the likelihood of voluntary HIV testing of people 40 years and older living in Agincourt, South Africa. The data came from Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in SA (HAALSI) Cohort from Agincourt. We applied three logistic regression models. Results showed that voluntary uptake of HIV testing was significantly associated with two network factors, namely friendships within the network and frequency of fighting in the network. At the community level, attachment to place was significantly associated with voluntary testing, while at the individual level, education, sexual behaviour, employment and age were significantly associated with the voluntary uptake of HIV testing. The implications of these findings are that age-appropriate interventions must be devised to sensitise older people in Agincourt about HIV risks. Also, leadership at the community level and in social networks must encourage members to consider voluntary testing for their own and community interests.

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南非阿金库尔老年人艾滋病毒检测的接受情况:对社区、社会网络和个人特征的认识。
这项横断面研究调查了社区、社会网络和个人变量对南非阿金库尔40岁及以上人群自愿进行艾滋病毒检测的可能性的影响。数据来自于《非洲的健康与老龄化:阿金库尔的一个深度社区SA (HAALSI)队列纵向研究》。我们采用了三种逻辑回归模型。结果表明,自愿接受艾滋病毒检测与两个网络因素显著相关,即网络内的友谊和网络中打架的频率。在社区层面,对地方的依恋与自愿检测显著相关,而在个人层面,教育、性行为、就业和年龄与自愿接受艾滋病毒检测显著相关。这些发现的含义是,必须设计适合年龄的干预措施,以使阿金库尔的老年人对艾滋病毒风险敏感。此外,社区一级和社交网络的领导必须鼓励成员考虑为自己和社区利益进行自愿检测。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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