Knowledge, attitude, and utilization of HIV counseling and testing by female sex workers in Lagos State, Nigeria

Objectives: The Human Immunodeficiency Virus (HIV) epidemic continues to expand among female sex workers (FSWs) who have limited access to and utilization of HIV counseling and testing services (HCT). HCT plays a pivotal role in increasing knowledge and awareness to prevent, treat, and control HIV/AIDS. The study objective was to determine the knowledge, attitude, utilization of HCT among brothel-based FSWs (BBFSWs). Method: This was a descriptive cross-sectional study among 300 BBFSWs in Lagos State. The respondents were recruited by snowballing after a multistage sampling method was used in the selection of the brothels. The data was collected using an adapted interviewer-administered questionnaire and analyzed using IBM SPSS Statistics version 23. The level of statistical significance was set at p<0.05. Results: Majority (63.0%) of the respondents were between the ages of 21-30 years and 67.4% had good knowledge of HIV and HCT. About 75.0% had a positive attitude towards HCT and 55.6% of FSWs in this study had utilized an HCT center in the past. The main reason for not taking HIV test was the fear of a positive result (90.6%) while the main reasons given for not visiting any HCT center were lack of confidentiality (13.3%), stigmatization (14.8%), and distance to the HCT center (67.2%). Conclusion: There was a good knowledge of HCT and a positive attitude towards HCT services by the respondents. The main reasons for not taking the HIV test as indicated by respondents were fear of a positive result. HIV-stigma related issues should be adequately addressed.

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Perilaku Wanita Pekerja Seks Melakukan Konseling dan Tes HIV

Jurnal Ilmiah Universitas Batanghari Jambi ◽

10.33087/jiubj.v18i3.514 ◽

2018 ◽

Vol 18 (3) ◽

pp. 477

Author(s):

Ruwayda Ruwayda ◽

M Dody Izhar

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

P Value ◽

Hiv Counseling And Testing ◽

Hiv Counseling ◽

Sex Worker ◽

Female Sex ◽

Counseling And Testing ◽

Hiv Test

The high prevalence of current HIV / AIDS problems is not only a health problem of infectious disease, but has become a very widespread public health problem, one of the high risk groups is Female Sex Workers (WPS). The number of female sex workers who counsel and test HIV in Rawasari Health Center is still low that is 27,67%. This research is quantitative research with cross sectional method, using Systematic Random Sampling technique with sample number 77 female sex worker. Instrument used questionnaire, analyzed by univariate analysis, bivariate and chi-square test. The result of the analysis of 77 respondents, 61% have bad behavior to do counseling of HIV test and 39% have good behavior do counseling of HIV test, 57,1% of respondents have low knowledge, 50,6% of respondents have unfavorable attitude and 50,6 respondents argue that the role of health workers is good for HIV counseling and testing. The result of bivariate analysis shows that there is significant correlation between knowledge (p-value = 0,000), attitude (p-value = 0,000) and the role of health officer (p-value = 0,013) with female sex worker conduct HIV counseling and testing at Payo Sigadung City of Jambi.It is hoped that health officers at Rawasari Puskesmas will improve direct and periodic counseling through information media, encourage and encourage female sex workers to conduct HIV counseling and testing.

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The relationship between health worker stigma and uptake of HIV counseling and testing and utilization of non-HIV health services: the experience of male and female sex workers in Kenya

AIDS Care ◽

10.1080/09540121.2017.1307922 ◽

2017 ◽

Vol 29 (11) ◽

pp. 1364-1372 ◽

Cited By ~ 28

Author(s):

Laura Nyblade ◽

Aditi Reddy ◽

David Mbote ◽

John Kraemer ◽

Melissa Stockton ◽

...

Keyword(s):

Health Services ◽

Health Worker ◽

Sex Workers ◽

Female Sex Workers ◽

Hiv Counseling And Testing ◽

Male And Female ◽

Hiv Counseling ◽

Female Sex ◽

Counseling And Testing ◽

The Relationship

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Perseverance Pays Off: Health Care Providers' Impact on HIV Testing Decisions by Adolescent Females

PEDIATRICS ◽

10.1542/peds.94.6.878 ◽

1994 ◽

Vol 94 (6) ◽

pp. 878-882 ◽

Cited By ~ 1

Author(s):

Elizabeth Goodman ◽

Ann C. Tipton ◽

Liza Hecht ◽

Margaret A. Chesney

Keyword(s):

Health Care ◽

Hiv Testing ◽

Adolescent Girls ◽

Health Care Providers ◽

Care Providers ◽

Hiv Counseling And Testing ◽

Hiv Counseling ◽

Counseling And Testing ◽

Hiv Test ◽

Hiv Testing Services

Background and objective. Although HIV counseling and testing of adolescents has increased rapidly in recent years due to increasing HIV seroprevalence rates, little is known about adolescents' use of HIV testing services. The aims of this study were to determine what proportion of high risk adolescent girls would use confidential HIV testing services linked to primary care and to explore the characteristics, beliefs, and experiences that distinguish those teenage girls who obtain HIV testing in this setting from those who do not. Design. Prospective cohort study. Setting. General pediatrics clinic with adolescent-specific appointments at a large urban HMO. Participants. Convenience sample of 124 adolescent girls engaging in risky behaviors identified by chart review before regularly scheduled clinic appointments. Intervention. Subjects completed a self-report questionnaire assessing HIV-related knowledge, attitudes, beliefs, and behaviors before the medical visit. During their provider visit, teens were counseled about their risk behaviors and the availability of HIV testing services at the clinic. Subjects were also given the opportunity to view an educational video about HIV testing designed for adolescents. Main outcome measures. Use of HIV counseling and testing services at the clinic and HIV test results. Results. Forty-one percent of these adolescent girls obtained HIV testing at the clinic on the day of their scheduled appointment. Univariate analysis revealed that adolescents who obtained testing had initiated sexual intercourse at a younger age (mean age 13.8 vs 14.4 years, P = .02) and were more likely to have had a prior discussion about HIV testing with a health care provider [RR = 2.02, 95% CIs (1.22, 3.36)]. Those who did not view the video were less likely to test [RR = 0.20, 95% CIs (0.07, 0.58)]. Multiple logistic regression modeling revealed that a prior discussion with a health care provider was the only independent predictor of obtaining an HIV test [OR = 3.47 95% CIs (1.26, 9.52)]. Conclusions. A significant proportion of adolescent girls engaging in risky behaviors will use confidential HIV counseling and testing services that are linked to primary care. Health care providers play an important role in helping teens address their risk for and concerns about HIV infection by engaging adolescents in repeated discussions about HIV testing.

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Demographic Predictors of HIV Serostatus among HIV Counseling and Testing Clients in Rural Nigeria

Journal of the International Association of Physicians in AIDS Care ◽

10.1177/1545109712454193 ◽

2012 ◽

Vol 11 (6) ◽

pp. 366-368

Author(s):

Oluyemisi A. Akinwande ◽

Prince U. Ele ◽

Usman I. Gebi ◽

Donald O. Igboelina ◽

Patrick S. Dakum ◽

...

Keyword(s):

Risk Group ◽

Hiv Counseling And Testing ◽

Hiv Counseling ◽

Rural Nigeria ◽

Counseling And Testing ◽

Hiv Test ◽

Immunodeficiency Virus ◽

Hiv Serostatus ◽

Testing Center ◽

Preventive Methods

Nnewi is a rural Nigerian town with a human immunodeficiency virus (HIV) counseling and testing center which tests about 120 clients/d. The objective of this study is to determine the factors predicting positive HIV status at Nnewi. Review of records was done with age, gender, marital status, and occupation as variables. Logistic regression analysis was used to identify factors linked to a positive HIV test. Overall HIV prevalence was 31.14%. Drivers and married clients had a high risk of being HIV+ (odds ratio [OR], 3.59; 95% confidence interval [CI], 2.17-5.96 and OR, 2.78; 95% CI, 2.42-3.19). Housewives were 2 times more likely to be positive (OR, 2.11; 95% CI, 1.35-3.29). After adjustment, females had 22% higher risk (OR, 1.22; 95% CI, 1.03-1.45) with the highest chance found in married females (OR, 6.70; 95% CI, 4.45-10.09). The study succeeded in panning out an unexpected risk group: married women. Drivers have been known to be a risk group. Preventive methods must be tailored to and acceptable by each risk group.

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Provision of Test Results and Posttest Counseling at STD Clinics in 24 Health Departments: U.S., 2007

Public Health Reports ◽

10.1177/003335491212700411 ◽

2012 ◽

Vol 127 (4) ◽

pp. 432-439 ◽

Cited By ~ 5

Author(s):

Elin Begley ◽

Michelle VanHandel

Keyword(s):

Transmitted Disease ◽

Self Report ◽

Hiv Positive ◽

Risk Category ◽

Test Results ◽

Health Departments ◽

Hiv Counseling And Testing ◽

Hiv Counseling ◽

Counseling And Testing ◽

Hiv Test

Objective. We determined the demographic and HIV test characteristics of tests conducted in CDC-funded sexually transmitted disease (STD) clinics with provision of test results and posttest counseling. Methods. We used CDC's HIV Counseling and Testing System data from 2007 for the 24 U.S. health departments that reported test-level data from STD clinics. We calculated and analyzed newly identified HIV positivity and the percentage of tests with provision of test results and posttest counseling (provision of posttest counseling), by demographic and HIV-related characteristics. Results. Of 372,757 tests conducted among people without a previous HIV diagnosis by self-report, provision of posttest counseling was documented for 191,582 (51.4%) HIV tests overall and 1,922 (71.2%) newly identified HIV-positive test results. At these STD clinics, provision of posttest counseling varied by HIV serostatus, age, race/ethnicity, test type, and risk category; however, documentation of posttest counseling was missing for more than 20% of tests. The newly identified HIV positivity among all testers was 0.7%. Conclusions. One of the main goals of HIV counseling and testing is to inform people of their HIV status, because knowledge of one's HIV-positive serostatus can result in a reduction in risk behaviors and allow the person to access HIV medical care and treatment. STD clinics offering HIV testing may need to further their emphasis on increasing the proportion of clients who are provided posttest counseling and on improving documentation of this information.

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