barriers to hiv testing in c？te divoire the role of individual characteristics and testing modalities艾滋病毒检测在c 壁垒科特迪瓦个人特征和测试模式的作用.pdfVIP

ˆ Barriers to HIV Testing in Cote d’Ivoire: The Role of Individual Characteristics and Testing Modalities ´ 1,2 3,4 3 1,2 1,2 Kevin Jean *, Xavier Anglaret , Raoul Moh , France Lert , Rosemary Dray-Spira 1 Epidemiology of Occupational and Social Determinants of Health – Center for Research in Epidemiology and Population Health, INSERM U1018, Villejuif, France, 2 UMRS ´ ˆ ´ 1018, Universite de Versailles Saint-Quentin, Villejuif, France, 3 PAC-CI Program, CHU de Treichville, Abidjan, Cote d’Ivoire, 4 INSERM U897, Universite Bordeaux Segalen, Bordeaux, France Abstract Background: Expanding HIV testing requires a better understanding of barriers to its uptake. We investigated barriers to HIV ˆ testing in Cote d’Ivoire, taking into account test circumstances (client vs. provider-initiated). ˆ Methods: We used data from the 2005 nationally representative Demographic and Health Survey conducted in Cote d’Ivoire. Socio-demographic characteristics, sexual behaviour and knowledge and attitudes toward HIV/AIDS associated with recent (,2 years) HIV testing were identified using gender-specific univariate and multivariate logistic regressions. Among women, differential effects of barriers to testing according to test circumstance (whether they have been offered for a prenatal test or not) were assessed t