Individual and jurisdictional factors associated with voluntary HIV testing in Canada: Results of a national survey, 2011

OBJECTIVE:HIV testing remains a central strategy for HIV prevention for its ability to link those who test positive to treatment and support. In Canada, national guidelines have recently changed as part of standard primary care to recommend voluntary HIV testing for those aged 16–64 years. Using res...

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Bibliographic Details
Published in:Canadian journal of public health 2015-01, Vol.106 (2), p.e4-e9
Main Authors: Worthington, Catherine A., Calzavara, Liviana M., White, Samantha J., Allman, Dan, Tyndall, Mark W.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Age Factors
AIDS
AIDS serodiagnosis
Anonymous testing
Canada - epidemiology
Casual sex
Female
Health behavior
Health Care Surveys
Health Knowledge, Attitudes, Practice
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV testing
Human immunodeficiency virus
Humans
Jurisdiction
Laws, regulations and rules
Male
Mass Screening - statistics & numerical data
Medical screening
Medicine & Public Health
Men
Middle Aged
Minority Groups - statistics & numerical data
Patient Acceptance of Health Care - statistics & numerical data
Public Health
Quantitative Research
Residence Characteristics - statistics & numerical data
Screening tests
Sex Factors
Sexual Behavior - statistics & numerical data
Sexual Partners
Sexuality - statistics & numerical data
Social aspects
Surveillance
Voluntary Programs - statistics & numerical data
Young Adult
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Summary:OBJECTIVE:HIV testing remains a central strategy for HIV prevention for its ability to link those who test positive to treatment and support. In Canada, national guidelines have recently changed as part of standard primary care to recommend voluntary HIV testing for those aged 16–64 years. Using results from a nationally representative survey, we examined individual and jurisdictional factors associated with voluntary testing. METHODS:A total of 2,139 participants were sampled using a regionally stratified, two-stage recruitment process. English or French interviews (by phone or online) were conducted during May 2011. Voluntary testing was defined as testing at least once for reasons other than blood donation, insurance purposes, immigration screening or research participation. Weighted logistic regression analysis (including socio-demographic, sexual activity, HIV/AIDS knowledge and jurisdictional factors of HIV prevalence and anonymous testing availability) were conducted for the overall sample, and stratified by sex. RESULTS:Twenty-nine percent (29%) of survey participants reported at least one lifetime voluntary HIV test. For the full-sample model, the following were associated with increased odds of testing: age
ISSN:0008-4263
1920-7476
DOI:10.17269/CJPH.106.4625