Acceptance of repeat worksite HIV voluntary counselling and testing in a rural South African factory.
In response to the human immunodeficiency virus (HIV) pandemic, many employers in sub-Saharan Africa have introduced voluntary counselling and testing (VCT) for HIV. To assess the factors that predict repeat VCT attendance at 12-month follow-up we analysed data from a nurse-administered questionnaire that was distributed to factory workers in a rural South African factory. Employees were offered VCT for HIV in 2009 and again 12 months later. Odds ratios examined factors associated with attendance at follow-up. Totally, 2138 employees accepted VCT at initial assessment and 406 attended at follow-up. After controlling for socio-demographic factors (age, gender, marital status and education), elevated blood glucose was associated with increased likelihood of attendance at follow-up; positive HIV status was a key risk factor for non-attendance at follow-up. This study underscores the importance of determining those groups at risk of non-attendance at employer-provided repeat VCT clinics; differences between employee groups might usefully inform targeted promotional activities to encourage attendance.
a Institute of Work, Health and Organisations , University of Nottingham , Nottingham , UK.
Jonathan
J
Houdmont
Fehmidah
F
Munir
Megan
M
Grey
D000328:Adult; D017954:Africa South of the Sahara; D003376:Counseling / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D019035:Rural Health Services / Q000706:statistics & numerical data*; D012424:Rural Population