Accuracy and determinants of perceived HIV risk among young women in South Africa

HIV risk perceptions are a key determinant of HIV testing. The success of efforts to achieve an AIDS-free generation - including reaching the UNAIDS 90-90-90 target - thus depends critically on the content of these perceptions. We examined the accuracy of HIV-risk perceptions and their correlates am...

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Bibliographic Details
Published in:BMC public health 2017-07, Vol.18 (1), p.42-42, Article 42
Main Authors: Maughan-Brown, Brendan, Venkataramani, Atheendar S
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
African Continental Ancestry Group
Age
AIDS
Circumcision, Male
Correlation analysis
Cross-Sectional Studies
Demographics
Disease transmission
Epidemiology
Female
Health aspects
Health Knowledge, Attitudes, Practice
Health risks
HIV
HIV Infections - epidemiology
HIV testing
HIV tests
Human immunodeficiency virus
Humans
Logistic Models
Male
Mass Screening
Partnerships
Perception
Perceptions
Public health
Risk analysis
Risk Factors
Risk perception
Risk perceptions
Safe Sex
Sexual Behavior
Sexual behaviour
Sexual Partners
Sexually Transmitted Diseases
Social factors
South Africa
South Africa - epidemiology
STD
Stigma
Women
Young Adult
Young women
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Summary:HIV risk perceptions are a key determinant of HIV testing. The success of efforts to achieve an AIDS-free generation - including reaching the UNAIDS 90-90-90 target - thus depends critically on the content of these perceptions. We examined the accuracy of HIV-risk perceptions and their correlates among young black women in South Africa, a group with one of the highest HIV incidence rates worldwide. We used individual-level longitudinal data from the Cape Area Panel Study (CAPS) from 2005 to 2009 on black African women (20-30 years old in 2009) to assess the association between perceived HIV-risk in 2005 and the probability of testing HIV-positive four years later. We then estimated multivariable logistic regressions using cross-sectional data from the 2009 CAPS wave to assess the relationship between risk perceptions and a wide range of demographic, sexual behaviour and psychosocial covariates of perceived HIV-risk. We found that the proportion testing HIV-positive in 2009 was almost identical across perceived risk categories in 2005 (no, small, moderate, great) (χ  = 1.43, p = 0.85). Consistent with epidemiologic risk factors, the likelihood of reporting moderate or great HIV-risk perceptions was associated with condom-use (aOR: 0.57; 95% CI: 0.36, 0.89; p 
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-017-4593-0