Department of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda.
Demography and Population Studies Programme, Schools of Social Sciences and Public Health, University of the Witwatersrand, Witwatersrand, South Africa.
BMC Public Health. 2020 Jan 31;20(1):144. doi: 10.1186/s12889-020-8193-z.
There is limited research on HIV testing among older persons in Uganda. The aim of this study was to investigate the socio-demographic determinants of recent HIV testing among older persons in selected rural districts in Uganda.
A cross-sectional survey of 649 older men and women age 50 years and older, from central (Masaka district) and western (Hoima district) Uganda was conducted. Frequency distributions, chi-square tests and multivariable logistic regressions were used to examine the association between recent HIV testing and selected explanatory variables.
Nearly six in ten (58%) of older persons had primary education. About 60% of the respondents were in union and 13% of them had two or more spouses. Half of the older people (51%) had sex in the last twelve months. A quarter (25%) of older persons gave or received gifts in exchange for sex in their lifetime. Nearly a third (29%) reported sexually transmitted infections in the last 12 months. Prevalence of lifetime HIV testing was 82% and recent (last 12 months) HIV testing was 53%. HIV testing in the last 12 months was associated with age (OR = 0.50; 95% CI: 0.31-0.79), self-reported sexually transmitted infections (OR = 1.59; 95% CI: 1.00-2.30), male circumcision (OR = 1.71; 95% CI: 1.0-2.93), and sexual activity in the last 12 months (OR = 2.89; 95% CI: 1.83-4.57).
Recent HIV testing among older persons was associated with younger age, self-reported STIs, male circumcision, and sexual activity among older persons in rural Uganda. HIV testing interventions need to target older persons who are 70 years and older, who were less likely to test.
在乌干达，针对老年人的 HIV 检测研究有限。本研究旨在探讨乌干达选定农村地区老年人最近进行 HIV 检测的社会人口学决定因素。
对来自乌干达中部（马萨卡区）和西部（霍伊马区）的 649 名 50 岁及以上的老年男性和女性进行了横断面调查。使用频率分布、卡方检验和多变量逻辑回归来检查最近的 HIV 检测与选定解释变量之间的关联。
近十分之六（58%）的老年人接受过小学教育。大约 60%的受访者处于婚姻关系中，其中 13%的人有两个或更多配偶。一半的老年人（51%）在过去 12 个月中有过性行为。四分之一（25%）的老年人在一生中曾以性换取礼物。近三分之一（29%）的老年人报告在过去 12 个月中患有性传播感染。终生 HIV 检测率为 82%，最近（过去 12 个月）HIV 检测率为 53%。过去 12 个月进行 HIV 检测与年龄（OR=0.50；95%CI：0.31-0.79）、自我报告的性传播感染（OR=1.59；95%CI：1.00-2.30）、男性包皮环切术（OR=1.71；95%CI：1.0-2.93）和过去 12 个月的性行为（OR=2.89；95%CI：1.83-4.57）有关。
在乌干达农村，最近对老年人进行 HIV 检测与年龄较小、自我报告的性传播感染、男性包皮环切术以及老年人的性行为有关。HIV 检测干预措施需要针对那些不太可能进行检测的 70 岁及以上的老年人。
