HIV testing and high risk sexual behaviour among London's migrant African communities: a participatory research study

Fenton, Kevin, Chinouya, Martha, Davidson, Oliver and Copas, Andrew (2002) HIV testing and high risk sexual behaviour among London's migrant African communities: a participatory research study. Sexually Transmitted Infections, 78 (4). pp. 241-245. ISSN 1368-4973

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Official URL: http://dx.doi.org/10.1136/sti.78.4.241

Abstract

Objectives: To describe the demographic and behavioural factors associated with HIV testing among migrant Africans in London.
Methods: A cross sectional survey of migrants from five sub-Saharan African communities (Congo, Kenya, Uganda, Zambia, Zimbabwe) resident in London was carried out. The study formed part of a larger community based participatory research initiative with migrant African communities in London—the MAYISHA project. Trained, ethnically matched interviewers recruited study participants in a variety of community venues. A brief self completion questionnaire collected data on demographic characteristics, utilisation of sexual health services, HIV testing history, sexual behaviour, and attitudes.
Results: Valid questionnaires were obtained from 748 participants (396 men and 352 women), median ages 31 and 27 years, respectively. Median length of UK residence was 6 years. 34% of men and 30% of women reported ever having had an HIV test. HIV testing was significantly associated with age and previous STI diagnosis among women; and additionally, nationality, education, employment, and self perceived risk of acquiring HIV among men. After controlling for significant demographic variables, previous diagnosis of an STI (adjusted odds ratio and 95% confidence interval for men: 2.96, 1.63 to 5.38, and women 2.03, 1.06 to 3.88) and perceived risk of acquiring HIV for men (adjusted OR 2.28, 95%CI 1.34 to 3.90) remained independently associated.
Conclusion: Among these high HIV prevalence migrant communities, these data suggest that HIV testing remains largely associated with an individual’s STI history or self perceived risk. This strategy may be inappropriate given the potential for onward and vertical transmission. Antenatal HIV testing combined with proactive targeted HIV testing promotion should be prioritised.

Item Type: Article
Subjects: B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Public Health and Wellbeing
Depositing User: EPrints Services
Date Deposited: 07 Dec 2010 10:16
Last Modified: 24 Feb 2016 12:50
URI: http://nrl.northumbria.ac.uk/id/eprint/1310

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