title: HIV antibody testing and its correlates among heterosexual attendees of sexually transmitted disease clinics in China.
abstract: BACKGROUND
  This study was conducted to determine the prevalence of HIV antibody testing and associated factors among heterosexual sexually transmitted disease (STD) clinic attendees in China.
  
  
  METHODS
  A self-administered questionnaire was administered among 823 attendees of 4 STD clinics of Zhejiang Province, China in October to December 2007. Psychosocial and behavioural factors associated with HIV antibody testing were identified in both genders using univariate and multivariate analyses.
  
  
  RESULTS
  Of all 823 STD clinic attendees, 9.3% of male and 18.0% of female attendees underwent HIV antibody testing in the most recent 6 months, and 60% of the participants had gotten no educational/behavioral intervention related to HIV prevention. The correlates for HIV antibody testing in the most recent 6 months as identified by multivariate analysis were ever condom use [odds ratio (OR), 10.37; 95% confidence interval (CI), 1.32-81.22]; ever anal/oral sex (OR, 3.13; 95% CI, 1.03-9.50) during their lifetime; having ever received three to seven types of behavioural interventions in the most recent 6 months (OR, 3.70; 95% CI, 1.32-10.36) among male subjects; and ever condom use (OR, 12.50; 95% CI, 2.20-71.01), STD history (OR, 3.86; 95% CI, 1.26-11.86) over their lifetime, or having ever received three to seven types of behavioural interventions in the most recent 6 months (OR, 8.68; 95% CI, 2.39-31.46) in female subjects. A lifetime experience of casual/commercial sex partners was strongly negatively associated with HIV testing in female subjects (OR, 0.08; 95% CI, 0.01-0.83).
  
  
  CONCLUSIONS
  The low prevalence of HIV antibody testing and behavioural intervention among STD clinic attendees indicates a need for more targeted, intensive behavioural interventions to promote HIV antibody testing in this population.
authors: Center for Disease Control and Prevention of Zhejiang Province, Hangzhou, 310051, People's Republic of China. qiaoqinma@yahoo.com.cn
authors: Qiaoqin
authors: Q
authors: Ma
authors: Xiaohong
authors: X
authors: Pan
authors: Gaofeng
authors: G
authors: Cai
authors: Jiezhe
authors: J
authors: Yan
authors: Masako
authors: M
authors: Ono-Kihara
authors: Masahiro
authors: M
authors: Kihara
mesh_terms: D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D015483:HIV Antibodies / Q000032:analysis*; D015658:HIV Infections / Q000276:immunology* / Q000517:prevention & control*; D006268:Health Facilities; D020010:Heterosexuality / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases; D011795:Surveys and Questionnaires
chemical_list: D015483:HIV Antibodies