title: Factors contributing to home-based acceptability of rapid testing for HIV infection among the inner city commuter population in Johannesburg, South Africa.
abstract: BACKGROUND
  The study aimed to determine factors contributing to the acceptability of home-based HIV counselling and testing (HBHCT) among commuters in Johannesburg inner city.
  
  
  METHODS
  Simple random sampling was used to select participants in a venue based intercept survey at Noord Street taxi rank in Johannesburg central business district. A total of 1146 individuals were interviewed and logistic regression analysis assessed factors associated with HBHCT acceptability.
  
  
  RESULTS
  HBHCT acceptability was 64%. Home testing was preferred as an alternative to testing at a health facility. High school education (adjusted odds ratio [aOR] 0.61, CI: 0.46-0.85), inner city residence aOR 0.70, CI: 0.52-0.94), previous HIV testing in the hospital (aOR 0.22, CI: 0.15-0.32) and at home (aOR 0.18, CI: 0.11-0.27) were significantly less likely associated with HBHCT acceptability. Being married (aOR 1.64, CI: 1.15-2.32), recent HIV testing (aOR 1.85, CI: 1.15-2.99) and having experienced negative health worker attitude (aOR 2.41, CI: 1.66-3.48) were significantly more likely associated with HBHCT acceptability.
  
  
  CONCLUSIONS
  High acceptability of HBHCT among urban-based commuters plus factors that would deter HBHCT acceptability were identified. Further research to identify strategies to improve HBHCT acceptability among commuter populations is needed.
authors.affiliation: Community AIDS Response, Norwood, Johannesburg, South Africa.
authors.forename: Keith
authors.initials: K
authors.lastname: Muloongo
authors.affiliation: Community AIDS Response, Norwood, Johannesburg, South Africa.
authors.forename: Ndumiso
authors.initials: N
authors.lastname: Tshuma
authors.affiliation: Wits Reproductive Health and HIV Research Institute (WHRI), Hillbrow, Johannesburg, South Africa.
authors.forename: Lucy
authors.initials: L
authors.lastname: Chimoyi
authors.affiliation: HIV/AIDS, STI and TB (HAST) Research Program, Human Sciences Research Council Pretoria, South Africa.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Setswe
authors.affiliation: Department of Epidemiology and Disease Control, School of Public Health, University of Ghana, Legon-Accra, Ghana.
authors.forename: Bismark
authors.initials: B
authors.lastname: Sarfo
authors.affiliation: School of Public Health, University of the Witwatersrand, Johannesburg, South Africa School of Health Sciences, Monash University, Ruimsig, Johannesburg, South Africa peter.nyasulu@monash.edu.
authors.forename: Peter
authors.initials: P
authors.lastname: Nyasulu
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D003376:Counseling / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006699:Home Care Services; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012111:Residence Characteristics; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Commuter population; Counselling; HIV; HIV testing; Home-based testing; Johannesburg