Title

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

Document Type

Journal article

Source Publication

Journal of HIV/AIDS and Social Services

Publication Date

1-1-2018

Volume

Advance publication

First Page

1

Last Page

19

Publisher

Routledge

Keywords

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

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.

DOI

10.1080/15381501.2017.1407730

Print ISSN

15381501

E-ISSN

1538151X

Publisher Statement

Copyright © 2017 Taylor & Francis. Access to external full text or publisher's version may require subscription.

Full-text Version

Publisher’s Version

Language

English

Recommended Citation

Gyasi, R. M., & Abass, K. (2018). Sexual risk behavior and uptake of HIV counseling and testing among youth in Metropolitan Kumasi, Ghana. Journal of HIV/AIDS and Social Services, Advance publication, 1-19. doi: 10.1080/15381501.2017.1407730

Share

COinS