Seidu Abdul-Aziz
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.
Front Public Health. 2020 Sep 15;8:512. doi: 10.3389/fpubh.2020.00512. eCollection 2020.
Globally, HIV testing and counseling is considered a key cost-effective component of HIV prevention and treatment. This study sought to use Anderson's model of health service utilization to assess the uptake of HIV testing services by sexually active men in Ghana. Data were from the 2014 Ghana Demographic and Health Survey. Both bivariate and multivariate analysis were conducted. The multivariate analysis results are presented as Adjusted Odds ratios (AORs) with 95% confidence intervals (CI). Statistical significance was declared at < 0.05. A total of 3,052 sexually active men aged 15-59 were included in the analysis. Of these, 25.4% tested for their HIV status. Men aged 30-39 (AOR = 2.715, CI = 1.458, 5.054), those with higher level of education (AOR = 3.566,CI = 2.309, 5.509), married (AOR = 1.50, CI = 1.167, 1.931), and men in Upper East (AOR = 2.625, CI = 1.608, 4.285) had higher odds of HIV testing uptake than their counter parts aged 15-19, those with no formal education unmarried and those in Western Region, respectively. However, men with no religion (AOR = 0.606, CI = 0.376, 0.975) and those who belong to the Mole-Dagbani ethnic group (AOR = 0.633, CI = 0.429, 0.934) had lower odds of HIV testing uptake compared to those who are Christians, and Akans, respectively. Men who have subscribed to health insurance (AOR = 1.896, 95% CI = 1.361, 2.643), those in the rich wealth quintile (AOR = 1.896, CI = 1.361, 2.643), those who read newspaper (AOR = 1.552, CI = 1.198, 2.012), listened to radio (AOR = 1.530, CI = 1.087, 2.153) at least once a week, and men who experienced discharge from their penis (AOR = 1.056, CI = 1.200, 1.515) had higher odds of HIV testing uptake. Uptake of HIV testing among Ghanaian men is relatively low. There is the need for a concerted effort by various stakeholders to strengthen current efforts to target younger and unmarried men, men with low level of education, those who do not profess any religious affiliation and men belonging to Mole-Dagbani ethnic group.
在全球范围内，艾滋病毒检测与咨询被视为艾滋病毒预防和治疗中一项具有成本效益的关键组成部分。本研究旨在运用安德森的卫生服务利用模型，评估加纳性活跃男性对艾滋病毒检测服务的接受情况。数据来自2014年加纳人口与健康调查。进行了双变量和多变量分析。多变量分析结果以调整后的优势比（AOR）及95%置信区间（CI）呈现。统计学显著性设定为<0.05。共有3052名年龄在15至59岁的性活跃男性纳入分析。其中，25.4%进行了艾滋病毒检测。年龄在30至39岁的男性（AOR = 2.715，CI = 1.458，5.054）、受教育程度较高的男性（AOR = 3.566，CI = 2.309，5.509）、已婚男性（AOR = 1.50，CI = 1.167，1.931）以及上东部地区的男性（AOR = 2.625，CI = 1.608，4.285）接受艾滋病毒检测的几率分别高于15至19岁的男性、未接受正规教育的男性、未婚男性以及西部地区的男性。然而，无宗教信仰的男性（AOR = 0.606，CI = 0.376，0.975）以及属于莫勒 - 达格巴尼族的男性（AOR = 0.633，CI = 0.429，0.934）接受艾滋病毒检测的几率分别低于基督教徒和阿坎族男性。参加了医疗保险的男性（AOR = 1.896，95%CI = 1.361，2.643）、处于最富有财富五分位数的男性（AOR = 1.896，CI = 1.361，2.643）、每周至少读一次报纸的男性（AOR = 1.552，CI = 1.198，2.012）、每周至少听一次广播的男性（AOR = 1.530，CI = 1.087，2.153）以及有阴茎分泌物的男性（AOR = 1.056，CI = 1.200，1.515）接受艾滋病毒检测的几率较高。加纳男性中艾滋病毒检测的接受率相对较低。各利益相关方需要齐心协力，加强当前针对年轻未婚男性、低教育水平男性、无宗教信仰男性以及莫勒 - 达格巴尼族男性的工作力度。
