Demographic and AIDS-related characteristics of consenters to a population-based HIV-survey: results from a pilot study in Arusha, Tanzania.
The aim was to compare demographic and AIDS-related characteristics of people who consented to HIV-testing as part of a population survey with those who did not consent to HIV-testing. Subjects, aged 15-54 years, living in ten randomly selected clusters of households in one ward of Arusha town were asked to participate in a structured interview and to provide a blood sample for HIV-testing. Measurements included demographic variables and AIDS-related factors, such as knowledge of AIDS and sexual behaviour, and HIV-testing with Western Blot confirmation. Sixty-two percent of the eligible population (N = 600) participated in the interview, while 38% consented to HIV-testing. Odds ratio analysis techniques were used to compare consenters and non-consenters. More women than men participated in the interview (OR = 4.23), and participating men were younger than non-participating men (29.1 vs 31.9 years). Subjects who had attended secondary school were underrepresented among the HIV- test consenters (OR = 0.40). No other demographic or AIDS-related differences were observed between HIV-test consenters and non-consenters. At least in this pilot, non- consenters did not appear to be at any higher risk for HIV-infection than the consenters. Future population-based HIV-surveys might have to compromise on maximizing participation rate in order to secure informed, non-coerced consent from participants.
Ole-King'Ori
N
N
Tanzanian-Norwegian AIDS Project (MUTAN), Arusha.
Klepp
K I
KI
Kissila
P E
PE
Biswalo
P M
PM
Mnyika
K S
KS
D015492:AIDS Serodiagnosis / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D015153:Blotting, Western; D005260:Female; D015658:HIV Infections / Q000097:blood / Q000453:epidemiology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010865:Pilot Projects; D011159:Population Surveillance; D015995:Prevalence; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013636:Tanzania / Q000453:epidemiology