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
