Sexual risk behavior and uptake of HIV counseling and testing among youth in Metropolitan Kumasi, Ghana

Razak Mohammed GYASI, Kabila ABASS

Research output: Journal PublicationsJournal Article (refereed)

2 Citations (Scopus)

Abstract

Research on HIV counselling and testing (HCT) has proliferated in Ghana but limited evidence exists about the uptake of HCT among a large population that has been shown to engage in HIV risk-related behavior in Metropolitan Kumasi. With retrospective cross-sectional data from a representative sample of sexually active young people, multivariate logistic regression models examine the variables associated with HCT uptake in Kumasi. Among 906 participants (male 51% and female 49%, with a mean age ±SD, 25 ± 6), 22% had utilized HCT in the last six months despite the higher knowledge of HCT (84%) mainly through mass media (65%) and health providers (27%). Besides, less than 20% of the sample intended to undergo HCT services. Multivariate logistic regression analysis showed that female gender (adjusted odds ratio [aOR] = 1.830; 95% CI: 1.280–47.831; p < 0.001), being single (aOR = 3.032; 95% CI: 1.413–6.485; p = 0.040), having sexual intercourse with irregular partner (aOR = 5.597; 95% CI: 1.776–17.638; p = 0.018), practiced unprotected sex (aOR = 2.614; 95% CI: 1.821–6.472; p = 0.002), having multiple sex partners (aOR = 2.902; 95% CI: 1.405–7.226; p < 0.001) and being aware of HCT services (OR = 3.488; 95% CI: 1.256–5.929; p < 0.005) were associated with HCT uptake. These findings are germane for health policy and planning interventions seeking to address the barriers to HCT uptake among youth who are at greater risk of HIV infection.

Original languageEnglish
Pages (from-to)127-145
Number of pages19
JournalJournal of HIV/AIDS and Social Services
Volume17
Issue number2
DOIs
Publication statusPublished - 3 Apr 2018

Fingerprint

Ghana
Risk-Taking
risk behavior
Sexual Behavior
Counseling
counseling
HIV
Odds Ratio
Logistic Models
logistics
health planning
Unsafe Sex
Mass Media
Health Planning
Sexual Partners
Coitus
mass media
health policy
Health Policy
regression analysis

Keywords

  • Ghana
  • HIV counseling and testing uptake
  • health policy
  • public health
  • risky sexual behavior
  • vulnerable group
  • youth

Cite this

@article{f63e56480f7c4e87b8f481c65bce5373,
title = "Sexual risk behavior and uptake of HIV counseling and testing among youth in Metropolitan Kumasi, Ghana",
abstract = "Research on HIV counselling and testing (HCT) has proliferated in Ghana but limited evidence exists about the uptake of HCT among a large population that has been shown to engage in HIV risk-related behavior in Metropolitan Kumasi. With retrospective cross-sectional data from a representative sample of sexually active young people, multivariate logistic regression models examine the variables associated with HCT uptake in Kumasi. Among 906 participants (male 51{\%} and female 49{\%}, with a mean age ±SD, 25 ± 6), 22{\%} had utilized HCT in the last six months despite the higher knowledge of HCT (84{\%}) mainly through mass media (65{\%}) and health providers (27{\%}). Besides, less than 20{\%} of the sample intended to undergo HCT services. Multivariate logistic regression analysis showed that female gender (adjusted odds ratio [aOR] = 1.830; 95{\%} CI: 1.280–47.831; p < 0.001), being single (aOR = 3.032; 95{\%} CI: 1.413–6.485; p = 0.040), having sexual intercourse with irregular partner (aOR = 5.597; 95{\%} CI: 1.776–17.638; p = 0.018), practiced unprotected sex (aOR = 2.614; 95{\%} CI: 1.821–6.472; p = 0.002), having multiple sex partners (aOR = 2.902; 95{\%} CI: 1.405–7.226; p < 0.001) and being aware of HCT services (OR = 3.488; 95{\%} CI: 1.256–5.929; p < 0.005) were associated with HCT uptake. These findings are germane for health policy and planning interventions seeking to address the barriers to HCT uptake among youth who are at greater risk of HIV infection.",
keywords = "Ghana, HIV counseling and testing uptake, health policy, public health, risky sexual behavior, vulnerable group, youth",
author = "GYASI, {Razak Mohammed} and Kabila ABASS",
year = "2018",
month = "4",
day = "3",
doi = "10.1080/15381501.2017.1407730",
language = "English",
volume = "17",
pages = "127--145",
journal = "Journal of HIV/AIDS and Social Services",
issn = "1538-1501",
publisher = "Routledge",
number = "2",

}

Sexual risk behavior and uptake of HIV counseling and testing among youth in Metropolitan Kumasi, Ghana. / GYASI, Razak Mohammed; ABASS, Kabila.

In: Journal of HIV/AIDS and Social Services, Vol. 17, No. 2, 03.04.2018, p. 127-145.

Research output: Journal PublicationsJournal Article (refereed)

TY - JOUR

T1 - Sexual risk behavior and uptake of HIV counseling and testing among youth in Metropolitan Kumasi, Ghana

AU - GYASI, Razak Mohammed

AU - ABASS, Kabila

PY - 2018/4/3

Y1 - 2018/4/3

N2 - Research on HIV counselling and testing (HCT) has proliferated in Ghana but limited evidence exists about the uptake of HCT among a large population that has been shown to engage in HIV risk-related behavior in Metropolitan Kumasi. With retrospective cross-sectional data from a representative sample of sexually active young people, multivariate logistic regression models examine the variables associated with HCT uptake in Kumasi. Among 906 participants (male 51% and female 49%, with a mean age ±SD, 25 ± 6), 22% had utilized HCT in the last six months despite the higher knowledge of HCT (84%) mainly through mass media (65%) and health providers (27%). Besides, less than 20% of the sample intended to undergo HCT services. Multivariate logistic regression analysis showed that female gender (adjusted odds ratio [aOR] = 1.830; 95% CI: 1.280–47.831; p < 0.001), being single (aOR = 3.032; 95% CI: 1.413–6.485; p = 0.040), having sexual intercourse with irregular partner (aOR = 5.597; 95% CI: 1.776–17.638; p = 0.018), practiced unprotected sex (aOR = 2.614; 95% CI: 1.821–6.472; p = 0.002), having multiple sex partners (aOR = 2.902; 95% CI: 1.405–7.226; p < 0.001) and being aware of HCT services (OR = 3.488; 95% CI: 1.256–5.929; p < 0.005) were associated with HCT uptake. These findings are germane for health policy and planning interventions seeking to address the barriers to HCT uptake among youth who are at greater risk of HIV infection.

AB - Research on HIV counselling and testing (HCT) has proliferated in Ghana but limited evidence exists about the uptake of HCT among a large population that has been shown to engage in HIV risk-related behavior in Metropolitan Kumasi. With retrospective cross-sectional data from a representative sample of sexually active young people, multivariate logistic regression models examine the variables associated with HCT uptake in Kumasi. Among 906 participants (male 51% and female 49%, with a mean age ±SD, 25 ± 6), 22% had utilized HCT in the last six months despite the higher knowledge of HCT (84%) mainly through mass media (65%) and health providers (27%). Besides, less than 20% of the sample intended to undergo HCT services. Multivariate logistic regression analysis showed that female gender (adjusted odds ratio [aOR] = 1.830; 95% CI: 1.280–47.831; p < 0.001), being single (aOR = 3.032; 95% CI: 1.413–6.485; p = 0.040), having sexual intercourse with irregular partner (aOR = 5.597; 95% CI: 1.776–17.638; p = 0.018), practiced unprotected sex (aOR = 2.614; 95% CI: 1.821–6.472; p = 0.002), having multiple sex partners (aOR = 2.902; 95% CI: 1.405–7.226; p < 0.001) and being aware of HCT services (OR = 3.488; 95% CI: 1.256–5.929; p < 0.005) were associated with HCT uptake. These findings are germane for health policy and planning interventions seeking to address the barriers to HCT uptake among youth who are at greater risk of HIV infection.

KW - Ghana

KW - HIV counseling and testing uptake

KW - health policy

KW - public health

KW - risky sexual behavior

KW - vulnerable group

KW - youth

UR - http://commons.ln.edu.hk/sw_master/6666

UR - http://www.scopus.com/inward/record.url?scp=85041131925&partnerID=8YFLogxK

U2 - 10.1080/15381501.2017.1407730

DO - 10.1080/15381501.2017.1407730

M3 - Journal Article (refereed)

VL - 17

SP - 127

EP - 145

JO - Journal of HIV/AIDS and Social Services

JF - Journal of HIV/AIDS and Social Services

SN - 1538-1501

IS - 2

ER -