Factors associated with HIV counseling and testing behavior among undergraduates of universities and vocational technical training schools in Tbilisi, GeorgiaReport as inadecuate




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BMC Public Health

, 15:427

Health behavior, health promotion and society

Abstract

BackgroundStigmatizing attitude towards HIV-AIDS alongside other factors such as HIV knowledge, substance use, sexual behavior, and involvement in various social activities e.g., internet use, exposure to media may be related to likelihood of having HIV counseling and testing HCT. Thus, we examined these associations among 18–24 year old post-secondary school students in Tbilisi, Georgia.

MethodsWe conducted a secondary data analysis of a 2010 cross-sectional survey of 1,879 secondary and post-secondary school students aged 15 to 24 years in Tbilisi, Georgia examining sociodemographics, substance use, sexual behavior, HIV-related knowledge and stigmatizing attitudes, and recreational activities in relation to lifetime HCT. A stratified two-stage cluster sample design was used by the parent study with universities selected with probabilities proportional to their size at the first stage, and with a random selection of students stratified by gender in each of the participating university at the second stage.

ResultsThe vast majority 95.6% of participants never received HCT. In the multivariate regression model, significant predictors of lifetime receipt of HCT included being married p = 0.03, not having HIV stigmatized attitude p = 0.03, more often reading fiction literature p = 0.02, more often going out in the evenings p = 0.03, and more often passing time with friends p = 0.05.

ConclusionsIntervening on HIV stigmatizing attitudes may be a critical prevention or HCT promotion strategy among youth in Georgia. In order to better inform policy and programs, future research should examine contextual factors in secondary and post-secondary schools that impact HCT among Georgian youth. Specifically, factors impacting differential rates of HCT among males and females, the social stigma and knowledge related to HCT and HIV, and the impact of leisure time activity involvement on HCT should be examined further. In addition, interventions and policies that might impact attitudes toward HIV and HCT should be investigated and considered.

KeywordsHIV AIDS HIV counseling and testing Youth Stigma Georgia AbbreviationsAIDSAcquired immunodeficiency syndrome

CIConfidence interval

HCTHIV counseling and testing

HIVHuman immunodeficiency virus

IRBInstitutional review board

OROdds ratio

SDStandard deviation

USAIDUnited States agency for international development

VTTSVocational-technical training school

WHOWorld Health Organization

Tamar Zurashvili, Tamar Kasrashvili and Carla J Berg contributed equally to this work.

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Author: Mamuka Djibuti - Tamar Zurashvili - Tamar Kasrashvili - Carla J Berg

Source: https://link.springer.com/







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