Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia

Asaye Tariku Alem,1 Malede Mequanent Sisay,2 Abiy Maru Alemayehu3 1Amhara National Regional Health Bureau, Central Gondar Zone Health Department, Public Health Emergency Management Office, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicin...

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Autores principales:	Alem AT, Sisay MM, Alemayehu AM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	youth vct utilization ethiopia hiv Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/d7a136385d9e424f9499922834b6d252
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spelling	oai:doaj.org-article:d7a136385d9e424f9499922834b6d2522021-12-02T15:27:00ZFactors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia1179-1373https://doaj.org/article/d7a136385d9e424f9499922834b6d2522020-11-01T00:00:00Zhttps://www.dovepress.com/factors-affecting-voluntary-hivaids-counseling-and-testing-service-uti-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Asaye Tariku Alem,1 Malede Mequanent Sisay,2 Abiy Maru Alemayehu3 1Amhara National Regional Health Bureau, Central Gondar Zone Health Department, Public Health Emergency Management Office, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences University of Gondar, Gondar, Ethiopia; 3Department of Optometry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Malede Mequanent Sisay Tel +251918520611Email maledecsa@gmail.comBackground: Voluntary counseling and testing (VCT) is a vital response to human immunodeficiency virus (HIV) infection among adolescents in sub-Saharan Africa. Determining the status of VCT services is important to link HIV care and antiretroviral therapy.Methods: An institutional cross-sectional study design was conducted among 841 young students at Gondar College of Teachers’ Education. A self-administered questionnaire was used to gather the data. Descriptive statistics were performed. Bivariate and multivariable binary logistic regressions were used to identify factors associated with the use of VCTs. The adjusted odds ratio (AOR) with 95% confidence was used to report statistical significance.Results: The majority (71%) were aware of VCT services. More than one-third (37.8%, 95% CI: 34.6– 41.2) participants had used VCT services. Having peer groups used VCT (AOR=2.04, 95% CI: 1.31– 3.20), having partner (AOR: =1.6, 95% CI: 1.04– 2.45), desiring to have VCT in the future (AOR=3.58, 95% CI: 1.98– 6.50), being aware of VCT (AOR= 1.98, 95% CI: 1.20– 3.34), knew infected/dead individuals with HIV/AIDS (AOR=1.67, 95% CI: 1.07– 2.61), know test sites (AOR=2.01, 95% CI: 1.29– 3.13) were positively associated, whereas being married (AOR=0.36, 95% CI: 0.20– 0.63) and fear of confidentiality (AOR=0.23, 95% CI: 0.10– 0.52) were major barriers to use.Conclusion: Low use of VCTs, which was far away from the 90:90:90 WHO goal, has been noted. The use of VCT services was associated with having peer groups that used VCT, having a partner, wanting to have VCT in the future, knowing the infected/dead individual with HIV/AIDS, fear of confidentiality of results, knowing the test sites, and having awareness of VCT. Efforts are needed to strengthen the health system that also needs to pay attention to education about HIV and VCT.Keywords: youth, VCT utilization, Ethiopia, HIVAlem ATSisay MMAlemayehu AMDove Medical Pressarticleyouthvct utilizationethiopiahivImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 667-673 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	youth vct utilization ethiopia hiv Immunologic diseases. Allergy RC581-607
spellingShingle	youth vct utilization ethiopia hiv Immunologic diseases. Allergy RC581-607 Alem AT Sisay MM Alemayehu AM Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia
description	Asaye Tariku Alem,1 Malede Mequanent Sisay,2 Abiy Maru Alemayehu3 1Amhara National Regional Health Bureau, Central Gondar Zone Health Department, Public Health Emergency Management Office, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences University of Gondar, Gondar, Ethiopia; 3Department of Optometry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Malede Mequanent Sisay Tel +251918520611Email maledecsa@gmail.comBackground: Voluntary counseling and testing (VCT) is a vital response to human immunodeficiency virus (HIV) infection among adolescents in sub-Saharan Africa. Determining the status of VCT services is important to link HIV care and antiretroviral therapy.Methods: An institutional cross-sectional study design was conducted among 841 young students at Gondar College of Teachers’ Education. A self-administered questionnaire was used to gather the data. Descriptive statistics were performed. Bivariate and multivariable binary logistic regressions were used to identify factors associated with the use of VCTs. The adjusted odds ratio (AOR) with 95% confidence was used to report statistical significance.Results: The majority (71%) were aware of VCT services. More than one-third (37.8%, 95% CI: 34.6– 41.2) participants had used VCT services. Having peer groups used VCT (AOR=2.04, 95% CI: 1.31– 3.20), having partner (AOR: =1.6, 95% CI: 1.04– 2.45), desiring to have VCT in the future (AOR=3.58, 95% CI: 1.98– 6.50), being aware of VCT (AOR= 1.98, 95% CI: 1.20– 3.34), knew infected/dead individuals with HIV/AIDS (AOR=1.67, 95% CI: 1.07– 2.61), know test sites (AOR=2.01, 95% CI: 1.29– 3.13) were positively associated, whereas being married (AOR=0.36, 95% CI: 0.20– 0.63) and fear of confidentiality (AOR=0.23, 95% CI: 0.10– 0.52) were major barriers to use.Conclusion: Low use of VCTs, which was far away from the 90:90:90 WHO goal, has been noted. The use of VCT services was associated with having peer groups that used VCT, having a partner, wanting to have VCT in the future, knowing the infected/dead individual with HIV/AIDS, fear of confidentiality of results, knowing the test sites, and having awareness of VCT. Efforts are needed to strengthen the health system that also needs to pay attention to education about HIV and VCT.Keywords: youth, VCT utilization, Ethiopia, HIV
format	article
author	Alem AT Sisay MM Alemayehu AM
author_facet	Alem AT Sisay MM Alemayehu AM
author_sort	Alem AT
title	Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia
title_short	Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia
title_full	Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia
title_fullStr	Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia
title_full_unstemmed	Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia
title_sort	factors affecting voluntary hiv/aids counseling and testing service utilization among youth in gondar city, northwest ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/d7a136385d9e424f9499922834b6d252
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Factors Affecting Voluntary HIV/AIDS Counseling and Testing Service Utilization Among Youth in Gondar City, Northwest Ethiopia

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